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Testimony
Transportation
Testimony on the MTA’s Access-A-Ride Program
December 18, 2019
The City should work with the MTA to assure that Access-A-Ride will achieve firm financial footing while providing a cost-effective and efficient service.
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.
Op Ed
Transportation
Shared sacrifice to save the subways
It's not just the mayor and governor; transit workers and motorists must chip in, too
July 28, 2017
Neither the “city” nor the “state” is a person with a bank account: it is taxpayers who are being called upon to foot the bill. Motorists and workers should also share the burden.
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.
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.
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.
Testimony
Transportation
Testimony on the Metropolitan Transportation Authority’s 2020-2024 Capital Program
November 12, 2019
The plan’s sheer size renders it impossible to determine what investments should and will happen in the next five years
Press Release
Transportation
Groups call for MTA Capital Program Review Board to Follow Open Meetings Law
August 08, 2019
Seventeen groups call on MTA Capital Program Review Board to follow open meetings law.
Testimony
Transportation
Public Comment on the Proposed Structure For the Central Business District Tolling Program
Submitted to the Metropolitan Transportation Authority
February 29, 2024
While the Citizens Budget Commission (CBC) has long held the position that there should not be credits for bridge or tunnel crossings, we believe the Traffic Mobility Review Board’s (TMRB) congestion pricing toll recommendations, as a whole, are reasonable.
Blog
Pensions & Benefits
Giving Credit Where It’s Due? New York City’s $1.3 Billion in Health Insurance Savings
December 28, 2014
In its recent mid-year budget modification the de Blasio administration credited a coalition of municipal employee unions with achieving $1.3 billion in savings in the City’s employee and retiree health insurance costs. Yet the unions have not agreed to any changes in the plan, and the City and the unions have taken no actions to reduce costs. How can this be?
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.
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.
Op Ed
City Budget
How New York City Can Afford Fair Fares
Slowing the growth of the city’s workforce would provide the needed savings
April 16, 2018
The Fair Fares proposal can be accommodated within the city budget by exercising greater restraint in hiring and more aggressively tackling inefficiencies in its operations.
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.
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.
Report
Transportation
The Track to Fiscal Stability
Operations Reforms for the MTA
May 25, 2021
Given the implementation challenges, saving the full $2.9 billion by 2024 may not be likely. Still, significant changes should be pursued—and achieved—if the MTA is to be on a fiscally sustainable path.
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
Transportation
Light, at the Beginning of the Tunnel
What to Look for in the MTA 2021 July Financial Plan
July 20, 2021
While the path to achieving operating savings is hard, it is much preferable to phase in these savings over the next few years than to have massive fare and toll increases, economically damaging service cuts, or significant increases in dedicated taxes and subsidies.
Blog
State Budget
Truth in (Financial Plan) Reporting
Will New York State’s Mid-Year Financial Plan Update Appropriately Reflect and Address the Medicaid Budget Shortfall?
November 05, 2019
The State must recognize actual and timely payments for the Medicaid program and explain how it will address the estimated $9 billion Medicaid budget shortfall.
Blog
Capital Spending
Design-Build Contracting
A Way to Fix More Bridges for Less Money
February 17, 2016
State legislators should enable New York City to benefit from design-build contracting: if it realized savings on par with the State’s experience, the City could save $2 billion over 10 years.