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The Erie County Fiscal Stability Authority hired The PFM Group to provide financial suggestions to the County Executive and Legislature. Their completed report was delivered to the Legislature in mid-October 2005. Here's what's referred to as the "Initiative Matrix"; we'll also be linking each initiative to it's relative budget line in the near future.
Initiatives 1-13 Initiatives 14-25 Initiatives 26-37 Initiatives 38-42 Initiatives 43-50
Initiatives 51-57 Initiatives 58-68 Initiatives 69-75 Initiatives 76-86 Initiatives 87-89
Initiatives 90-93 Initiatives 94-98 Initiatives 99-105 Initiatives 106-110 Initiatives 111-115
Initiatives 116-123 Initiatives 124-130 Initiatives 131-134 Initiatives 135-141 Initiatives 142-147
Initiatives 148-152 Initiatives 155-159 Initiatives 160-162 Initiatives 164-167 Summary
# Name of Initiative Summary Description Department Page Revenue Savings or Productivity Strategy FY2005 Impact FY2006 Impact FY2007 Impact FY2008 Impact FY2009 Impact Total Impact Approval Authority
51 Increase Medicaid and Private Insurance Collections for Early Intervention Program Participants Identify Medicaid eligible and potential eligible families and children; pursue third party health insurance payment for children in the EIP Health V-55 Savings Cost Recovery $0 $350,000 $467,000 $467,000 $467,000 $1,751,000 C
52 Develop a Regional Automated Public Health Laboratory Testing Program Invest in robotics technology and turnkey testing services to increase sexually transmitted disease testing; increase fee to cover direct and indirect costs and offer volume pricing discounts to attract bulk purchases Health V-56 Savings Cost Recovery $0 $65,000 210,000 $320,000 $383,000 $978,000 C
53 Increase Revenue by Increasing Medicaid Reimbursement Increase the number of enrollees in the Family Planning Benefit Program and secure cooperation of public managed care programs in credentialing providers on a timely basis and making appropriate payments Health V-58 Savings Realign Services $0 $50,000 $101,000 $100,000 $99,000 $350,000 S
54 Increase Revenue by Increasing Inspection and Other Fees The Department's licensing and inspection fees have not been raised since 1995. New York State Public Health Law requires that fees be charged at a rate comparable to providing the cost of services Health V-60 Revenue Cost Recovery $0 $1,468,000 $1,505,000 $1,543,000 $1,582,000 $6,098,000 C
55 Develop Integrated Data Warehouse System Create an ERP system. To transfer client data to appropriate departments for targeted case management also allows for single point of entry. Reduces the amount of redundant case management and other services DSS V-63 Productivity Process Improvement CQ CQ CQ CQ CQ CQ C
56 Combat Medicaid Fraud and Abuse Approach NYS Department of Health re. MOU to initiate county initiated fraud and abuse activities DSS V-67 Savings Process Improvement $0 $0 $1,398,000 $2,190,000 $3,852,000 $7,440,000 S
57 Fiscal Sanction Avoidance Meet with Department of Health to provide actions and timeframes which resulted in reduction in admin. Costs in 2005 to avoid upwardadjustment in 2005 Medicaid base year calculation DSS V-69 Savings Process Improvement CQ CQ CQ CQ CQ CQ S
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