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Report
Health Care
Better Managing New York State's Health Insurance Subsidy Programs
September 30, 2001
Report by the CBC that analyzes the problems that limit the impact of the subsidized health insurance programs and advocates a two-stage strategy - an integrated eligibility system and expanding integrated eligibility to other programs - to make the health insurance subsidy programs work more effectively and efficiently.
Report
Health Care
Analysis of the New York State Medicaid Program and Identification of Potential Cost-Containment Opportunities
November 17, 2010
This report identifies trends in expenditures and enrollment in New York’s Medicaid program.
Report
Public Workforce
How to Make $1 Billion in Labor Savings Real & Recurring
September 02, 2020
As the City faces the worst fiscal crisis in generations, municipal workers are also facing the dire prospect of layoffs.
Report
Economic Development
Managing Economic Development Programs in NYC: Lessons for the Next Mayor From the Past Decade
The Most Important Economic and Fiscal Decisions Facing the Next Mayor
December 06, 2013
This paper describes the economic development programs used in New York City and assesses the experience during the Bloomberg Administration in order to provide suggestions for further improvements by the next Mayor.
Report
City Budget
Unpacking the PEG
Examining the Impact of the NYC November 2023 Financial Plan Savings
January 10, 2024
Agencies should continue to identify efficiency savings that do not affect critical program services.
Report
City Budget
PEG for Productivity
NYC's Fiscal Year 2023 Program to Eliminate the Gap
April 05, 2022
To increase the City’s fiscal stability and the quality of priority services, identifying and implementing efficiencies to reduce recurring costs without reducing services should be a high priority.
Report
Health Care
Paying More, But Not Getting Better Care
The Case For A New Payment System For Nursing Homes In New York's Medicaid Program
December 09, 2008
New York’s Medicaid program is the most expensive in the nation, projected to cost $45 billion in fiscal year 2008-09 and to consume nearly one-third of the New York State budget. New York State can provide needy residents with better nursing home care and save about $1.2 billion annually in fiscal year 2008-2009 by changing the way its Medicaid program pays nursing homes. This report explains why the current system is wasteful, perpetuating inefficiencies and inequities without assuring high quality care, and how a better payment system might work.
Report
Health Care
Medicaid Supplemental Payments
The Alphabet Soup of Programs Sustaining Ailing Hospitals Faces Risks and Needs Reform
August 31, 2017
$5 billion in annual supplemental payments are important to the finances of many hospitals. Federal policy will shrink these payments; the impact will be most severe for NYC municipal hospitals.
Report
City Budget
The Myth of the "Uncontrollables"
Four Ways New York City Can Take Control of Its Financial Future and Save $2.5 Billion per Year
May 11, 2005
For years New York City mayors have bemoaned the fact that much of the budget is uncontrollable: pension fund contributions, health insurance, Medicaid, and debt service. This report suggests four ways to reduce the “uncontrollables” and save $2.5 billion annually.
Report
City Budget
PEGs In Perspective
NYC FY 2024 Executive Budget
May 23, 2023
The vast majority of these actions will have no impact on services, thus far providing savings primarily by saving money that would not have been spent anyway.
Report
City Budget
Don’t Step Off the Cliff
Fiscal Cliffs and Budget Gaps in New York City’s Fiscal Year 2025 Preliminary Budget
February 08, 2024
To balance the fiscal year 2025 budget while also ensuring projected spending fully supports all planned programs, the City should implement an additional PEG in the Executive Budget and shrink or eliminate programs that the available resources cannot fully support.
Report
City Budget
9 Things New Yorkers Should Know About How New York City Buys Stuff
February 21, 2019
CBC's new report outlines nine critical things New Yorkers should know about procurement and makes four recommendations that could generate savings for the City.
Report
Economic Development
Opportunity Zones In New York State and City
August 20, 2019
The Opportunity Zone program may amount to significant losses for both NYS and NYC before rising substantially in 2029.
Report
City Budget
Real Numbers, Real Choices
Recommendations for a Clearer Fiscal View in the NYC Executive Budget
April 18, 2024
New York City’s long-run fiscal stability is precarious, and its short-term prospects are uncertain. Major causes of this uncertainty are revenue estimates that may be unreasonably conservative and spending estimates for current programs that are alarmingly understated.
Report
Energy & Environment
Can We Have Our Cake and Compost It Too?
An Analysis of Organic Waste Diversion in New York City
February 02, 2016
This report examines the feasibility and the cost of options for expanding the Department of Sanitation's organic waste program.
Report
Energy & Environment
Getting the Fiscal Waste Out of Solid Waste Collection in New York City
September 23, 2014
With a new mayoral administration, a new sanitation commissioner, and an expired contract with municipal sanitation workers, redesigning the public and private components of local waste collection would save about $300 million annually in the long term. The Mayor and City Council should make this restructuring a goal and begin a multiyear phase-in.
Report
Health Care
Still a Poor Way to Pay for Medicaid
October 01, 2018
For more than 50 years New York State has financed its Medicaid program in a unique way: the State requires New York City and the 57 other counties to pay more for Medicaid than all other local governments in the nation combined.
Report
City Budget
What to Look for in the New York City November 2023 Financial Plan
November 14, 2023
When New York City adopted its fiscal year 2024 budget in June 2023 without addressing underlying structural imbalances, it virtually guaranteed that major fiscal challenges remained on the horizon.
Report
State Budget
Overdue Bills
Time to Face the Reality of Rising Medicaid Costs
October 09, 2019
State leaders have two options to reconcile the disconnect between reality and the budget: reduce Medicaid spending and/or achieve savings in other areas of the budget.
Report
Pensions & Benefits
Union-Administered Benefit Funds
Getting More Out Of A Billion Dollar Taxpayer Contribution
February 08, 2018
NYC taxpayers are projected to contribute $1.1 billion to 108 union-administered benefit funds. Better management, oversight, and consolidation can create more than $160 million in savings for the City and improve benefits for members.