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Blog
Health Care
One Good Way to Save More on Medicaid
February 21, 2011
One of the Medicaid Redesign Team's proposals – reforming the state’s payment method for nursing homes – should be strengthened to increase savings and improve care.
Blog
Pensions & Benefits
Possible City Savings From Health Insurance Changes
June 19, 2011
Following the template provided by Governor Cuomo and the CSEA can produce $1.4 billion in savings for New York City in fiscal year 2012 – more than enough to avert layoffs and other cuts.
Letter
Economic Development
CBC Urges the State Legislature to Let the Empire Zones Program Sunset
April 12, 2010
This letter was written to urge the State legislature to allow the seriously flawed Empire Zones program to sunset as of June 30, 2010, as established by law, and to enact the Excelsior program as proposed by the Governor.
Blog
Economic Development
End the Empire Zones Program and Adopt Excelsior
March 24, 2010
Explains why Empire Zones were ineffective and argues in favor of the improved features of Excelsior tax credits.
Blog
Pensions & Benefits
How Much Did New York’s 2010 Early Retirement Incentive Save?
October 25, 2011
The CBC estimates that early retirement incentives saved taxpayers $681 million savings- less than would have been saved if the Governor had been able to achieve through layoffs.
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.
Blog
Pensions & Benefits
School Districts Savings by Following State Practices for Employee Health Insurance
February 01, 2011
Negotiating increases in premium sharing with school employee unions would provide immediate savings and reduce future costs.
Blog
Public Workforce
Another Good Idea to Save the City Money
October 27, 2011
The New York City union welfare funds could also use some "depoliticizing, professionalizing and streamlining."
Blog
Pensions & Benefits
Simple But Significant
Savings from the Elimination of the Medicare Part B Reimbursement
December 19, 2010
As New York’s elected officials consider options for balancing budgets in the face of record deficits, they should eliminate a public employee fringe benefit rarely offered anywhere else: reimbursement for Medicare Part B premiums.
Blog
Health Care
Cause for Concern with the Medicaid Redesign Team Implementation
October 13, 2011
NY is roughly halfway to meeting its budgeted Medicaid savings target of $2.2 billion for fiscal year 2012. A closer look suggests there is cause for concern that some of the savings may not be implemented on time.
Blog
Public Workforce
State Agreement Is a Template to Avoid City Layoffs
June 22, 2011
Following the template provided by Governor Cuomo and the CSEA can produce $1.4 billion in savings for New York City in fiscal year 2012 – more than enough to avert layoffs and other cuts.
Blog
City Budget
The New York City Budget Since the Recession
Seven Rounds of Cuts and the Deepest Still to Come
February 06, 2011
Since 2008, Mayor Bloomberg has implemented seven rounds of cuts to find budget savings, and an eight round is likely due to anticipated reductions in State and federal aid.
Blog
City Budget
The City’s FY 2011 Budget: The Buck Stops Here
July 12, 2010
With significant budget gaps looming in the outyears and the end of nearly a decade of multi-billion dollar surpluses, it is disappointing that more has not been done to lower spending.
Blog
City Budget
Delaying the Pain
The truth about cost-cutting in New York City's November Plan
December 15, 2010
A closer look at the City November 2011 savings plan reveals two notable points: Nearly two-thirds consists of new revenue, and expenditure cuts are modest, although health, welfare, libraries and cultural institutions bear most of the burden.
Testimony
Health Care
Testimony on Reforming Medicaid
Submitted to the NY State Medicaid Redesign Team
January 28, 2011
Savings can be achieved without denying needed care to low income New Yorkers through three strategies: (1) reducing non‐competitive rates paid to institutional providers; (2) rationalizing utilization of services; (3) tightening eligibility rules and practices to curb the misuse of Medicaid by middle and higher income families for long‐term care.
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
Public Workforce
What Concessions?
August 28, 2011
A close look at the agreements between Mayor Bloomberg and city unions reveals that jobs were not saved by labor concessions but through diverting other resources or creating new risks in the budget.
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.
Testimony
Energy & Environment
Testimony on NYC Solid Waste Management Practices
Submitted to NYC Council Committee on Sanitation & Solid Waste Management
October 27, 2011
New York is being wasteful in its waste management practices. We could save tens of millions, perhaps even hundreds of millions, of dollars without harming the environment by more sensibly managing New Yorkers’ solid waste. An improved system for waste collection and disposal could prevent further reductions in essential services in coming budgets.
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.