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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
Education
Educational Efficiencies
Savings Within the Educational System
November 29, 2004
CBC recommends reforms to improve efficiencies in education spending to offset the additional spending required under the Campaign for Fiscal Equity settlement. Recommendations include: 1) Reallocating state education aid away from wealthy districts and to more needy districts; 2) Relaxing limits on the time teachers spend in the classroom; 3) Consolidating small school districts; and 4) placing a cap on administrative expenses.
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
Education
5 Myths About School Crowding in New York City
September 07, 2016
CBC unpacks 5 myths about the crowding problem in New York City Schools. While crowding persists in some districts, there is excess capacity citywide.
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
Education
The Challenge of Making Universal Prekindergarten a Reality in New York State
October 23, 2013
Is the expansion of pre-k programs to all three- and four-year-olds in New York worthwhile and cost effective?
Report
Education
Cut Costs, Not Ribbons
Alternatives That Reduce School Crowding
July 09, 2019
Administrative solutions can reduce school crowding and limit the need to build expensive new school buildings.
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
Education
A Better Foundation Aid Formula
Funding Sound Basic Education with Only Modest Added Cost
December 12, 2016
This report explains why Foundation Aid, a need-based State school aid program, was developed, what is wrong with it, and how to make it better.
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.
Report
Health Care
What Ails Medicaid in New York?
And Does the Medicaid Redesign Team Have a Cure?
May 20, 2016
This report assess the progress of the Medicaid Redesign Team (MRT), launched in 2011, in implementing strategies to curb costs and improve the quality of care in Medicaid.
Report
Education
School Spending, Enrollment, and Fiscal Cliffs 101:
The NYC Department of Education Budget Before, During, and After the Pandemic
April 11, 2023
Decisions about the DOE’s budget should consider enrollment declines and the City’s precarious fiscal condition.
Report
Health Care
Options for Enhancing New York's Health Home Initiative
A Discussion Paper
May 01, 2018
This paper addresses the challenges in extending Health Homes to all who can benefit from their services in a cost-effective manner.
Report
Health Care
Six Things to Know About New York State Health Care Reform Act (HCRA) Taxes
March 05, 2020
As lawmakers negotiate this year’s budget, they should review HCRA’s role in health care funding and its impact upon privately insured New Yorkers.
Report
City Budget
NYC Resident Feedback Survey: Report of Results
May 16, 2017
10,000 New Yorkers responded to a survey about which services they're satisfied with -- and which are in need of improvement.
Report
Education
Target and Tighten
The Sustainable Path for School Aid Growth in New York
March 13, 2024
The State’s burgeoning SOF spending has widened budget gaps. Spending restraint is needed to close those gaps, and that will only be accomplished by limiting growth in school aid, which is nearly 30 percent of SOF spending.