Category: Health Care

Obscure State Laws Hurt Patients, Make Hospitals Worse

By Christopher Koopman and Thomas Stratmann Comparing states with and without certificate-of-need laws provides us with a unique window into how providers would react in a world without CON laws: When providers have to compete for patients, the level of care increases. Individual doctors, nurses and health care administrators are doing their best, but on the macro level, the basic laws of economics still apply to their industry.  More than five decades have passed since New York state first enacted something called a certificate-of-need law (CON) in an effort to curb rising health care costs. Such laws, now enforced in 35 states and the District of Columbia, require providers to first seek permission from their state’s government before opening a… View Article

Checking Up On Health: September 28, 2016

Health News and Views Compiled by Benita M. Dodd Breast Cancer Month is October, and Breast Cancer Day is celebrated Saturday. Get ready for pink ribbons everywhere during this annual campaign to increase awareness of the disease. Millions have walked and millions of dollars have been raised in campaigns to fight breast cancer, going to research, education and support efforts. Do you know how the pink ribbon came about? According to the Breast Cancer Action Network: In the early 1990s, 68-year-old Charlotte Haley began making peach ribbons by hand in her home. Her daughter, sister, and grandmother had breast cancer. She distributed thousands of ribbons at supermarkets with cards that read: “The National Cancer Institute annual budget is $1.8… View Article
By Kelly McCutchen It’s been a rough summer for health care. Sixteen of the 23 federally funded, not-for-profit Consumer Operated and Oriented Plans (co-ops) have now failed. Humana reduced its Georgia coverage area and Cigna, UnitedHealthcare and Aetna have completely pulled out of Georgia’s federally managed insurance exchange. Most premium rate increase requests for 2017 are in the double digits – the weighted average increase is 27 percent. We got ours in the mail last week: 16 percent. In some parts of Georgia, the outlook is worse. With little competition, rural Georgia has the dubious distinction of some of the nation’s highest health care prices and worst health care outcomes. Four rural hospitals recently were forced to close, including the… View Article

Checking Up On Health: August 17, 2016

Health Policy News and Views Compiled by Benita M. Dodd   I visited Canada briefly over the weekend, driving into Windsor, Ontario, from Detroit. Did you know? The first eatery visible after you cross the Ambassador Bridge into Canada is a McDonald’s; the second is a Popeye’s! What was really interesting, however, was the proliferation of pharmacies in Windsor. I assume — I can’t vouch for it — that it’s as a convenience for U.S. citizens who want to zip over there to purchase Canada’s lower-priced prescription drugs. That began a discussion in the car about why Canada drugs are cheaper: lower prices because of the government’s buying power there as opposed to private negotiations in the United States, fewer choices… View Article

Guide to the Issues: Health Care

Principles: Sound health care policy should have the following characteristics: Patient-centered– Putting economic purchasing power and decision-making in the hands of participants minimizes third-party reimbursements, which foster an environment of entitlement and unlimited demand for health care services. Security for the sickest– Any health care reform must work for the healthy as well as those who are sick or chronically ill. Equitable tax treatment– Tax policy should not favor health care purchased by employers over policies purchased by individuals, should not favor financing health care through insurance over paying out-of-pocket and should not favor high-income employees over low-income individuals and families. Personal responsibility– Health care reform should combine personal responsibility with financial involvement to incentivize program… View Article

Guide to the Issues: Long-Term Care

Principles Long-term care programs should be reserved for Georgia’s most vulnerable populations. Long-term care programs should be designed to avoid “crowding out” private solutions and personal responsibility. Recommendations Seek ways to target publicly funded long-term care (LTC) services to the neediestGeorgians. Middle-class and affluent people should prepay for care or repay from their estates. Now that the maintenance-of-effort restriction in the Affordable Care Act has expired, Medicaid LTC eligibility criteria should be tightened as much as possible under federal law so as to avoid “crowding out” private sources of LTC financing and encourage a privately financed home- and community-based services infrastructure. Seek waivers to eliminate or severely reduce the home equity exemption under Medicaid from its current level of $536,000… View Article

Guide to the Issues: Medicaid

Principles: Government should be willing to spend what it is already spending, but in a more rational manner. Hundreds of millions of dollars are spent annually in Georgia on uncompensated care for the uninsured. The uninsured may not have coverage but they do get sick; one way or another, we all pay for their care in a way that is terribly inefficient. Money should follow people. It is important to support the institutions and providers that make up Georgia’s safety net, but solutions should be people-centered, not institution-centered. Innovation requires flexibility and choices. Micromanaging every last detail is a recipe for the status quo. Facts: The accompanying table shows the most recent data on the average enrollment and cost per… View Article

Guide to the Issues: Medical Malpractice

Principles:  Medical malpractice reforms should accomplish the following goals: Reduce the rates of preventable patient injuries. Promote open communication between physicians and patients. Ensure patients have access to fair compensation for legitimate medical injuries. Reduce liability insurance premiums for health care providers. Recommendation:  Replace Georgia’s current expensive and ineffective malpractice system with one thatreduces medical errors, enhances patient access to fair compensation for legitimate medical injuries and lowers liability insurance premiums for health care providers. Facts: The current approach to medical errors is failing: Expensive: Billions of dollars are wasted each year on “defensive” medicine, unnecessary procedures and tests ordered to protect health care providers in case of a lawsuit. Ineffective: There is “scant evidence that tort liability… View Article
By John R. Graham Ready for some good news on health reform? Both the presumptive Democratic candidate for President and the Republican majority in the U.S. House of Representatives agree people should be able to spend more money directly on medical care without insurance companies meddling. Both sides would be shocked to have their respective health reforms described as sharing any common ground. However, identifying this common ground might be necessary if either side wants to fix the worst aspects of Obamacare. If Republican politicians in Congress want to give people any relief from the burden of Obamacare, they need to be prepared for the possibility they will have to deal with Hillary Clinton’s White House next year. Speaker… View Article

Thank you for what you are doing to lead the nation. The Georgia Public Policy Foundation is leading the way. This is truly one of the leading lights in the state think tank movement. Excellent ideas. It’s well run. For those of you who are donors I congratulate you on your wisdom and I encourage you to do it and do it more.

Arthur Brooks, President, American Enterprise Institute (2015) more quotes