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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.
Blog
Health Care
Time to Rethink HCRA Taxes
April 18, 2017
Taxes initially earmarked for health care programs are now being transferred to the State's General Fund and used for other purposes. The Legislature should replace them in future budgets.
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.
Blog
Health Care
Medicaid Supplemental Payments
State Workgroup Makes Limited Progress on Part of the Problem
February 15, 2019
New York State’s $78 billion Medicaid program includes $5.3 billion of “supplemental payments”. These supplemental payments are crucial to hospitals across the state, especially those largely serving uninsured and Medicaid populations.
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
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.
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
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
No Small Change
Opportunities for Streamlining Procurement in New York City
February 10, 2002
This report explores opportunities for streamlining procurement in New York City through emphasis on use of information technology.
Letter
Capital Spending
City Should Evaluate Project Labor Agreements
Letter to Mayor de Blasio
July 05, 2018
With the Capital Commitment Plan now topping $82 billion, it is more important than ever to find ways to reduce costs and speed up project delivery.
Blog
Transportation
Is the Enhanced Station Initiative a Good Idea?
July 20, 2017
Is the enhancement of 32 stations at a cost of nearly $1 billion worth the trade-off against other capital needs?
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.
Testimony
City Budget
Testimony on Comprehensive Long-Term Planning (Intro. 2186)
Submitted to the New York City Council
February 23, 2021
Intro. 2186 proposes a new comprehensive planning framework that would reform the City’s land use and capital planning process.
Testimony
Transportation
Improving the New York City Subway System
Submitted to the NYC Council Committee on Transportation
August 08, 2017
System enhancements have often been prioritized over capital improvements of the MTA's infrastructure. The sensible and ambitious turnaround plan should be funded by motorists and increased labor productivity.
Blog
Health Care
Medicaid Redesign – Significant Progress On A Tough Task
March 09, 2011
The Medicaid Redesign Team changed the dynamic of Medicaid budgeting by focusing many of the stakeholders on the same goal: controlling spending while improving quality of care. The collaborative process promises to be a useful model as reform efforts continue.
Statement
City Budget
CBC Statement on City’s Land Use Process
August 18, 2020
CBC is increasingly concerned that at times the City’s land use process serves as an impediment to proposals needed to spur growth.
Blog
Transportation
“Parity” for State Transportation Investments
A Misguided Misnomer
March 09, 2017
Do the State's transportation and transit investments really achieve "parity" between the DOT and the MTA? They don't -- and they shouldn't.
Blog
Housing
$1.9 Billion More For Affordable Housing, But Plan Lacks Specifics
June 30, 2017
City documents offer few details on how the new funding will be used to enhance different levels of affordability.