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Report
Economic Development
It's Time to End New York State's Empire Zone Program
December 02, 2008
The Economic Development Zone program has become a vehicle for giving tax breaks to a variety of corporations with no clear, consistent, verifiable justification for the public investment. This report describes the benefits enjoyed by participating firms and how those benefits are distributed among economic regions of the State and types of firms; identifies and elaborates on the three serious problems that compromise the program’s efficacy; and asserts that the Empire Zone program cannot be fixed, citing past failures to do so, and should end.
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
Economic Development
Overhauling the New York Power Authority's Economic Development Programs
September 22, 2009
This report focuses on the numerous subsidized power programs for economic development run by the New York Power Authority. It is the second in a series, the intent of which is to identify ways that New York's current tools can be used more effectively.
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
Economic Development
Managing Economic Development Programs in New York City
An Assessment of Progress
January 02, 2018
The de Blasio administration has made some progress on 5 CBC recommendations made prior to the start of Mayor de Blasio’s first term, but more work is needed to make EDC more effective.
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
Economic Development
Bigger Not Better
New York’s Expanding Economic Development Programs
February 18, 2015
Although some modest reforms have been made, many economic development programs have grown significantly without the improvements needed to address widely noted shortcomings.
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
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
Economic Development
2019 Economic Development Scorecard
New York State Bill Tracker
April 24, 2019
Dozens of bills to expand existing economic development programs and create new ones have been introduced during the legislative session.
Report
Economic Development
10 Billion Reasons to Rethink Economic Development in New York
February 11, 2019
This policy brief updates the Citizens Budget Commission's previous analyses of the cost of New York's state and local economic development programs.
Report
Economic Development
Increasing Without Evidence
NYS Economic Development Spending Update
September 26, 2016
This report tracks growth in NYS' economic development programs between 2010 and 2014. Little progress has been made on improving transparency and demonstrating effectiveness.
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
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
Economic Development
Economic Development Scorecard
2018 New York State Bill Tracker
June 22, 2018
91 bills active in this session would create and expand economic development programs. Until reform is enacted, these bills should be halted.
Report
Health Care
Confronting the Tradeoffs in Medicaid Cost Containment
February 20, 2004
While its benefits are clear and widely supported, Medicaid's costs are far more controversial. In New York, total spending for Medicaid of $36 billion in fiscal year 2003 represented nearly 40 percent of total State expenditures. The portion of the Medicaid program paid for with State-raised revenues totaled $12.6 billion or more than one-quarter of all State spending financed with State revenues.
Report
Health Care
Challenges of Enhancing Effective Engagement of Community Based Organizations in Performing Provider Systems
A Discussion Paper
November 13, 2017
Reform of NY's Medicaid program has made significant progress; however, much remains to be accomplished. A project funded with support from the New York Community Trust to help effectively implement redesign strategies.
Report
Economic Development
11 Billion Reasons to Rethink
New York's Increasing Economic Development Spending
July 20, 2023
Despite improved disclosure about individual projects, State and local economic development spending continues to increase without sufficient evidence that these programs cost-effectively create jobs or are more beneficial than alternative uses of the funds.
Report
Health Care
No Easy Solution
Effective Medicaid Control Must Focus on the Elderly and Disabled
November 17, 2010
This report examines Medicaid spending in New York relative to other states and finds the program is big not just because New York is a populous state or it covers a lot of people. It recommends a multi‐year agenda to restructure service provision and the cost of care for the elderly and disabled.