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Blog
State Budget
Governor Cuomo’s Third Budget: Priorities for Fiscal Year 2013-14
December 17, 2012
Four important challenges face state leaders as they prepare the next budget for FY2014 in Medicaid, Education, Economic Development and Local Government Relief.
Testimony
City Budget
Testimony Examining Health Care Savings Under Recent Collective Bargaining Agreements
Delivered to the NYC Council Committee on Finance
April 01, 2015
Savings that would have normally been reserved for general budget needs—such as funding libraries or maintaining public parks—and are attributable to a national slowdown in health care costs, are now being credited to the health savings agreement.
Blog
State Budget
Balancing the State Budget – Halfway There, But Running Out of Gas?
December 19, 2011
The Governor should avoid more new taxes as the way to close the rest of the budget gap and instead focus on containing spending growth in Medicaid, pensions, education, and economic development.
Testimony
Pensions & Benefits
Testimony on Health Care Savings Under Recent Collective Bargaining Agreements
Delivered to NYC Council Committees on Finance and Civil Service
February 26, 2016
CBC has been monitoring New York City's efforts to find health savings. CBC has long advocated negotiating changes to health insurance as part of collective bargaining and applauded the labor-management agreement that committed to meet annual savings targets.
Testimony
City Budget
Testimony on Oversight of Changes to Municipal Retirees’ Health Care Plan
Testimony before the City Council Committee on Civil Service and Labor
October 28, 2021
This agreement starts right and then veers off course to miss the finish line because the resulting savings do not flow to the City’s bottom line.
Testimony
Pensions & Benefits
The Health Care Savings Agreement: A Look Back and a Look Forward
Testimony Submitted to the New York City Council Committees on Finance and Civil Service and Labor
November 29, 2018
Savings to health benefit expenditures are crucial to attaining labor settlements that are fair and reasonable for both City employees and taxpayers.
Op Ed
Pensions & Benefits
Pension sweeteners a bitter prospect for New York City
New York Daily News
June 15, 2018
The City Council adopted a budget for fiscal year 2019 that totals almost $90 billion. Almost $10 billion will be devoted to pensions for public employees, and the amount is projected to grow. And yet, for some, this is not enough.
Blog
City Budget
Restoring City Priorities Along With Spending Cuts
June 21, 2012
The Mayor and City Council's “budget dance” focuses largely on child care slots and after-school programs, but should really be about the City’s overly generous contributions to the health insurance of former City employees and their spouses.
Video
City Budget
Under the Hood with N.Y. City Budget
The Bond Buyer
July 27, 2016
Maria Doulis of the watchdog Citizens Budget Commission and Howard Cure of Evercore Wealth Management dissect New York City’s $82 billion budget with Bond Buyer Northeast regional editor Paul Burton. They explore efficiencies, debt management, reserves, the economy, the capital budget and Mayor Bill de Blasio’s plan to overhaul Health + Hospitals.
Video
Health Care
The Berger Commission: A Panel Discussion
November 28, 2016
Led by moderator Stephen Berger, the Chair of the Commission on Health Care Facilities in the 21st Century, panelists Elisabeth Benjamin of the Community Service Society and Jeffrey Kraut of Northwell Health and the NYS Public Health & Health Planning Council discussed challenges facing NYC's acute care sector.
Letter
State Budget
Recommendations on the FY 2017 Executive Budget
February 25, 2016
CBC offers recommendations for legislative action on the Governor’s Executive Budget for fiscal year 2017. The recommendations cover four proposals that deserve support, five proposals that should be modified, and four proposals that should be rejected.
Report
Pensions & Benefits
2009 Benefits Sweetener Scorecard
June 02, 2009
The 2009 edition of the scorecard developed by the CBC that highlights legislative activity related to pension costs. The scorecard will track the introduction, progress, and sponsors of legislation designed to sweeten existing pension benefits of government employees, as well as any pension reform efforts to reduce future pension liabilities.
Press Release
Health Care
CSS and CBC Release Comprehensive Report Analyzing Several Options for Closing State’s Health Insurance Coverage Gap
January 12, 2022
More than one million New Yorkers are uninsured; increasing the number of people insured would reduce morbidity and mortality and improve economic security
Blog
Health Care
Agency Focus: NYS DOH
Budget Analysis
November 03, 2014
The New York State Department of Health has overseen dramatic changes in the state's healthcare system in recent years, including the passage of the federal Affordable Care Act and development of the state's own health care exchange website.
Blog
Health Care
Maintaining Momentum on Medicaid Redesign
March 27, 2020
To ensure a sustainable Medicaid program that can help New Yorkers most in need in the future, the Executive and Legislature should continue the course correction started by the MRT, especially as they enact a budget during these troubled times.
Video
Health Care
How to Insure 1 Million New Yorkers
A Panel Discussion with Leading Experts
March 04, 2022
More than 1 million New Yorkers remain uninsured; narrowing the coverage gap would reduce morbidity and mortality and improve economic security. This discussion will open with a presentation of the CBC and CSS report, Narrowing New York's Health Insurance Coverage Gap, followed by a discussion with health care, health insurance, labor and Executive branch leaders.
Video
Health Care
No Easy Solution: Effective Medicaid Cost Control
A Panel Discussion
January 27, 2011
A recent report by the Citizens Budget Commission (CBC) found that elderly and disabled beneficiaries comprise fewer than one in four Medicaid enrollees in New York but account for nearly three of every four program dollars spent. Achieving cost savings among this population, while preserving access to high-quality services, challenges the State to develop creative strategies beyond blunt rate cuts. The CBC and New York State Health Foundation convened a panel of healthcare experts to explore the ideas expounded in the report.
Blog
City Budget
New York City’s Adopted Budget: Missed Opportunities
July 05, 2011
In adopting the FY2012 budget, City leaders missed the opportunity to address the big-ticket items – health insurance, pensions and debt service – whose unchecked growth will continue to dominate the budget and result in service reductions and layoffs.
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
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.