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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
City Budget
$1.1 Billion in NYC Public Leases
Better Management Needed to Control Rising Costs
August 27, 2019
NYC spent more than $1.1 billion to lease space for public facilities and offices—an amount that has grown 40 percent since fiscal year 2014.
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
Pensions & Benefits
Better Benefits from our Billion Bucks
August 02, 2010
This report describes the organization and financing of the union welfare funds, identifies and documents three problems with the current arrangements – limited accountability, poor financial management and inefficient provision of benefits - and presents recommendations to improve the use of these payments and provide taxpayer savings.
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
State Budget
Making Hay While the Sun Shines
A Plan to Strengthen New York State’s Rainy Day Fund
June 28, 2023
Today we are left playing catchup with the threats of storm clouds looming on the horizon.
Report
Economic Development
Determining an Appropriate Buffalo Stadium Subsidy
Don't Just Wing It
March 21, 2022
New York does not have a good track record of demonstrating that its economic development programs yield benefits exceeding their costs.
Report
Transportation
Refunding the MTA's Debt
The Importance of Getting it Right
May 06, 2012
This brief examines the Metropolitan Transportation Authority's (MTA) large-scale refunding of outstandingdebt. It focuses on a refunding that saves money and spreads debt service costs fairly over time and does not juggle the timing of debt service costs in a manner places unfair costs on riders and taxpayers in the more
distant future.
Report
State Budget
Recommendations for the New York State 2005-2006 Budget
March 21, 2005
CBC recommends for the fiscal year 2005-2006 State budget: 1) Significantly reduce spending on Medicaid and on ineffective programs; 2) Make meaningful progress in a long-run realignment of state and local fiscal responsibilities for Medicaid and school financing; 3) Balance the budget with recurring revenues; and 4) Enact the budget on time and in full sunlight.
Report
Economic Development
Avoiding Past Mistakes
Principles for Governing Regional Economic Development Councils
September 12, 2011
This report examines New York State economic development programs' past mistakes and explores the potential to improve meaningful outcomes via new regional councils designed to streamline and coordinate the current array of state economic development efforts. It warns of the danger that new regional councils will become new heads on the already huge an unwieldy New York State economic development portfolio.
Report
State Budget
The Mid-Year Check-in
Six Takeaways from the NYS Financial Plan Update and Quick Start Budget Report
November 20, 2023
The fiscal news of the last three weeks makes one thing clear: This year’s budget process will be unlike those of recent years.
Report
City Budget
Federal Aid Now, Fiscal Cliffs Later
The Missed Opportunity for NYC Budget Stability
May 24, 2021
Greater detail is needed to address these shortcomings and facilitate the transparency and accountability that should accompany this historic level of resources and the opportunity they provide.
Report
Economic Development
Recommendations for the Next Round of Economic Development Council Awards
October 10, 2012
This brief analyzes the first round of awards for New York State's Regional Economic Development Councils and provides recommendations to standardize and improve evaluation of programs, as well as move toward a unified economic development budget.
Report
Housing
Uncertain Future, Urgent Priority:
Fix NYCHA's Operating Budget Now
May 19, 2023
rapidly rising costs and flagging rent collections have combined to widen budget gaps, leaving NYCHA increasingly reliant on City subsidies and other non-operating resources to fund its basic operations.
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
City Budget
Reviving EMS
Restructuring Emergency Medical Services in New York City
November 25, 2018
The City of New York spends more than $1.1 billion annually in an effort to provide its residents and visitors this vital service, but the money is not used wisely.
Report
City Budget
Track to Have Impact
How to Create NYC's Needed Federal COVID Aid Tracker
January 24, 2022
To support the COVID-19 response and recovery, an unprecedented level of federal aid has been flowing to New York City.
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.