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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.
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.
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."
Letter
Pensions & Benefits
CBC Proposes Guidelines for Determination of Health Insurance Savings Between City and MLC
Letter to Commissioner Robert Linn
June 05, 2014
This letter suggests guidelines for effective implementation of the agreement between the City and the Municipal Labor Committee to generate $3.4 billion in health care savings between fiscal years 2015 and 2018.
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?
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.
Report
Energy & Environment
Getting the Fiscal Waste Out of Solid Waste Collection in New York City
September 23, 2014
With a new mayoral administration, a new sanitation commissioner, and an expired contract with municipal sanitation workers, redesigning the public and private components of local waste collection would save about $300 million annually in the long term. The Mayor and City Council should make this restructuring a goal and begin a multiyear phase-in.
Statement
Pensions & Benefits
Statement on Commissioner Linn's Response to CBC Letter on NYC Health Agreement With the MLC
June 09, 2014
The CBC appreciates receiving Commissioner Linn’s response to CBC President Carol Kellermann’s letter relating to potential savings from health insurance reforms under the recent agreement with the Municipal Labor Committee.
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.
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.
Blog
City Budget
Where Do We Go From Here?
Steering New York City’s Finances in Fiscal Year 2015
June 30, 2014
This blog post examines what’s new in the fiscal year 2015 budget and makes recommendations for steering the City’s finances over the next four years.
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.
Blog
Public Workforce
Three Questions about 1,000 New Police Officers
June 18, 2014
As the New York City budget for fiscal year 2015 nears adoption, one of the more expensive Council initiatives, at an estimated cost of almost $100 million annually, is the hiring of 1,000 new police officers to increase staffing at police precincts.
Blog
State Budget
Stop the Wishful Thinking about a New York State Mid-Year “Surplus”
August 22, 2011
Talk of a surplus and using it for new initiatives should end immediately.