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This past Monday evening, I spoke on a panel at Wake Forest University's School of Law on whether North Carolina should expand Medicaid, the medical assistance program originally designed for low-income parents, children, elderly, blind, and disabled. Despite the enthusiastic, overwhelmingly...
This past Monday evening, I spoke on a panel at Wake Forest University's School of Law on whether North Carolina should expand Medicaid, the medical assistance program originally designed for low-income parents, children, elderly, blind, and disabled. Despite the enthusiastic, overwhelmingly...
 
Obamacare's failing co-ops (consumer-operated and oriented health plans) simply reinforce the fact that government intervention in health care creates all sorts of problems.
Obamacare's failing co-ops (consumer-operated and oriented health plans) simply reinforce the fact that government intervention in health care creates all sorts of problems.
 
Medical providers will tell you that about 75 percent of health care can be provided in a primary care setting. Yet rising health insurance premiums and narrower networks are making it a burden for patients to access basic health care.
Medical providers will tell you that about 75 percent of health care can be provided in a primary care setting. Yet rising health insurance premiums and narrower networks are making it a burden for patients to access basic health care.
 
Obamacare's third annual enrollment period for health insurance is officially underway. Americans who do not have access to employer-sponsored health insurance, are self-employed, or have been dumped into the individual marketplace by their employers have the opportunity to sign up or renew their...
Obamacare's third annual enrollment period for health insurance is officially underway. Americans who do not have access to employer-sponsored health insurance, are self-employed, or have been dumped into the individual marketplace by their employers have the opportunity to sign up or renew their...
 
The excessive amount of government intervention that has been entrenched in our nation's health care system is curiously pushing medical providers to channel this negative energy into positive solutions - ones in which physicians are either scaling back or cutting off their relationships...
The excessive amount of government intervention that has been entrenched in our nation's health care system is curiously pushing medical providers to channel this negative energy into positive solutions - ones in which physicians are either scaling back or cutting off their relationships...
 
Since the World War II era, workers have benefited from a rather large implicit tax subsidy on health coverage provided by their employers. Every dollar an employee spends from earned income is taxed, but every dollar spent on health care is not. Those who purchase health plans on their own lose...
Since the World War II era, workers have benefited from a rather large implicit tax subsidy on health coverage provided by their employers. Every dollar an employee spends from earned income is taxed, but every dollar spent on health care is not. Those who purchase health plans on their own lose...
 
The medical code overkill is now here. After a four-year delay, the US health care system has crossed over to an updated medical diagnosis coding system endorsed by the World Health Organization (WHO), formally known as the tenth edition of the International Classification of Diseases, or ICD-10.
The medical code overkill is now here. After a four-year delay, the US health care system has crossed over to an updated medical diagnosis coding system endorsed by the World Health Organization (WHO), formally known as the tenth edition of the International Classification of Diseases, or ICD-10.
 
After an 80-day extension costing taxpayers well over $1 million, the North Carolina House and Senate chambers have finally reached a tentative budget agreement with a price tag of roughly $22 billion - a fiscally conservative budget considering that spending increased by only 3.1 percent which...
After an 80-day extension costing taxpayers well over $1 million, the North Carolina House and Senate chambers have finally reached a tentative budget agreement with a price tag of roughly $22 billion - a fiscally conservative budget considering that spending increased by only 3.1 percent which...
 
Health policy doesn't exactly rank high on the summer reading bucket list. Let's be real - for most people, it's not all that fitting for the beach, and it surely doesn't pair well with red wine during a gossipy book-club meeting.
Health policy doesn't exactly rank high on the summer reading bucket list. Let's be real - for most people, it's not all that fitting for the beach, and it surely doesn't pair well with red wine during a gossipy book-club meeting.
 
Health care policy decisions usually come as federal dictates, so it's a rare opportunity when state legislators have full authority to grant North Carolinians more freedom over their health care options.
Health care policy decisions usually come as federal dictates, so it's a rare opportunity when state legislators have full authority to grant North Carolinians more freedom over their health care options.
 
Crafting a politically feasible health care reform that steers away from Obamacare's massive redistribution of health is more than a desirable component for any serious Republican presidential contender's platform. It is a necessity.
Crafting a politically feasible health care reform that steers away from Obamacare's massive redistribution of health is more than a desirable component for any serious Republican presidential contender's platform. It is a necessity.
 
Legislators involved with the certificate-of-need debate are probably overwhelmed with conflicting studies on whether the regulatory program should stay, be reduced, or go altogether.
Legislators involved with the certificate-of-need debate are probably overwhelmed with conflicting studies on whether the regulatory program should stay, be reduced, or go altogether.
 
Legislators involved with the Certificate of Need (CON) debate are probably overwhelmed with conflicting studies on whether the regulatory program should stay, be reduced, or go altogether.
Legislators involved with the Certificate of Need (CON) debate are probably overwhelmed with conflicting studies on whether the regulatory program should stay, be reduced, or go altogether.
 
At face value, the Affordable Care Act (ACA) granted health insurance companies a pretty sweet deal. People are required to purchase their products under the law's individual mandate.
At face value, the Affordable Care Act (ACA) granted health insurance companies a pretty sweet deal. People are required to purchase their products under the law's individual mandate.
 
The Affordable Care Act's (ACA) health insurance exchanges are just one mechanism to expand coverage that primarily benefits low-income individual market policyholders and those with pre-existing conditions who cannot afford or access employer-sponsored health insurance.
The Affordable Care Act's (ACA) health insurance exchanges are just one mechanism to expand coverage that primarily benefits low-income individual market policyholders and those with pre-existing conditions who cannot afford or access employer-sponsored health insurance.
 
SCOTUS may have saved Obamacare from having to operate as written, but the landmark decision on King v Burwell has not deterred those on the right side of things from focusing on making health insurance (and more importantly health care) more affordable for more Americans.
SCOTUS may have saved Obamacare from having to operate as written, but the landmark decision on King v Burwell has not deterred those on the right side of things from focusing on making health insurance (and more importantly health care) more affordable for more Americans.
 
It's going to take a while longer for the North Carolina Legislature to pass its two-year budget. Part of the hold up will be finalizing an agreement on reforming the state's certificate of need (CON) law, which requires health systems and medical providers to first obtain a hall pass from the...
It's going to take a while longer for the North Carolina Legislature to pass its two-year budget. Part of the hold up will be finalizing an agreement on reforming the state's certificate of need (CON) law, which requires health systems and medical providers to first obtain a hall pass from the...
 
The prescription for improving North Carolina's Medicaid program has been a repetitive talking point for the past two years. The initial game plan back in April 2013 was for the state to contract with at least three private managed care organizations (MCOs) to take on full risk for managing...
The prescription for improving North Carolina's Medicaid program has been a repetitive talking point for the past two years. The initial game plan back in April 2013 was for the state to contract with at least three private managed care organizations (MCOs) to take on full risk for managing...
 
It's rate-filing season for health insurance companies, and this week marked the deadline for carriers to disclose and explain any proposed rate increases of ten percent or more for 2016 Obamacare plans sold on the individual market. Blue Cross and Blue Shield of North Carolina made the cut.
It's rate-filing season for health insurance companies, and this week marked the deadline for carriers to disclose and explain any proposed rate increases of ten percent or more for 2016 Obamacare plans sold on the individual market. Blue Cross and Blue Shield of North Carolina made the cut.
 
In just one month, the U.S. Supreme Court will decide whether health insurance subsidies issued under the Affordable Care Act should be distributed only to insurance companies in state-based exchanges.
In just one month, the U.S. Supreme Court will decide whether health insurance subsidies issued under the Affordable Care Act should be distributed only to insurance companies in state-based exchanges.
 
The Raleigh Chamber of Commerce recently sponsored a health care breakfast panel with three North Carolina hospital CEOs talking about how competition brings out the best in their health systems. Competition is healthy. Competition is a beautiful thing.
The Raleigh Chamber of Commerce recently sponsored a health care breakfast panel with three North Carolina hospital CEOs talking about how competition brings out the best in their health systems. Competition is healthy. Competition is a beautiful thing.
 
Last Monday, the John Locke Foundation hosted a thoughtful health care forum where three expert panelists offered insight on the status of Kansas, Louisiana, and Florida's Medicaid reforms. Featured speakers included Kansas Lt. Governor Jeff Colyer, a pediatric plastic surgeon and leader of...
Last Monday, the John Locke Foundation hosted a thoughtful health care forum where three expert panelists offered insight on the status of Kansas, Louisiana, and Florida's Medicaid reforms. Featured speakers included Kansas Lt. Governor Jeff Colyer, a pediatric plastic surgeon and leader of...
 
Yesterday's front page of the News & Observer features the North Carolina Hospital Association, a free-market lobbyist, and legislators battling over pending legislation that could potentially terminate the state's highly bureaucratic Certificate of Need (CON) law. Senator Tom Apodaca favors...
Yesterday's front page of the News & Observer features the North Carolina Hospital Association, a free-market lobbyist, and legislators battling over pending legislation that could potentially terminate the state's highly bureaucratic Certificate of Need (CON) law. Senator Tom Apodaca favors...
 
Last week, the Raleigh Chamber of Commerce sponsored a health care breakfast panel where three North Carolina hospital CEOs talked about how competition brings out the best in their health systems. Competition is healthy. Competition is a beautiful thing.
Last week, the Raleigh Chamber of Commerce sponsored a health care breakfast panel where three North Carolina hospital CEOs talked about how competition brings out the best in their health systems. Competition is healthy. Competition is a beautiful thing.
 
It's been a little over one week since the House filed HB 200, which would loosen up the state's Certificate of Need (CON) law - a regulatory burden requiring medical providers to ask permission from the state and their competitors before expanding their businesses.
It's been a little over one week since the House filed HB 200, which would loosen up the state's Certificate of Need (CON) law - a regulatory burden requiring medical providers to ask permission from the state and their competitors before expanding their businesses.
 
It looks as if the recent U.S. Supreme Court oral arguments in King v. Burwell transpired as expected. While all justices must follow the golden rule that a statute cannot be interpreted in isolation but instead must be read in full context, there were differing opinions as to whether Congress...
It looks as if the recent U.S. Supreme Court oral arguments in King v. Burwell transpired as expected. While all justices must follow the golden rule that a statute cannot be interpreted in isolation but instead must be read in full context, there were differing opinions as to whether Congress...
 
This morning, the Supreme Court will hear oral arguments in King v Burwell, where the plaintiffs are not seeking to challenge Obamacare, but for the federal health law to operate as written.
This morning, the Supreme Court will hear oral arguments in King v Burwell, where the plaintiffs are not seeking to challenge Obamacare, but for the federal health law to operate as written.
 
Obamacare's original second enrollment period to #GetCovered has just about come to a close. (It was supposed to end on Sunday, but the administration announced this week that they will be opening a new special enrollment period during tax season.) The Obama Administration has been chirping...
Obamacare's original second enrollment period to #GetCovered has just about come to a close. (It was supposed to end on Sunday, but the administration announced this week that they will be opening a new special enrollment period during tax season.) The Obama Administration has been chirping...
 
While Obamacare continues to flood the health care sector with more taxes and mandates, it's simultaneously driving insurers and health care providers to increase price transparency. Because the law's pricey regulations are either driving employers to push more benefit cost sharing onto employees...
While Obamacare continues to flood the health care sector with more taxes and mandates, it's simultaneously driving insurers and health care providers to increase price transparency. Because the law's pricey regulations are either driving employers to push more benefit cost sharing onto employees...
 
It's now been one month since Blue Cross and Blue Shield of North Carolina went public with its health care cost estimator tool. Regardless of whether you have a BCBS card, anyone can now compare average costs for more than 1,200 procedures in just about any zip code across the state...
It's now been one month since Blue Cross and Blue Shield of North Carolina went public with its health care cost estimator tool. Regardless of whether you have a BCBS card, anyone can now compare average costs for more than 1,200 procedures in just about any zip code across the state...
 
The 2015 legislative session has commenced, which means that the House and Senate will be hashing out their differences about how best to reform our state's Medicaid program. The Senate favors a privatization approach, where multiple managed care companies (MCOs) compete for state contracts to...
The 2015 legislative session has commenced, which means that the House and Senate will be hashing out their differences about how best to reform our state's Medicaid program. The Senate favors a privatization approach, where multiple managed care companies (MCOs) compete for state contracts to...
 
To kick off the New Year, the Cato Institute hosted its 9th annual health policy conference, where I and other attendees were heavily briefed on the status and potential implications of King V Burwell - better known as one of the Obamacare "subsidy lawsuits."
To kick off the New Year, the Cato Institute hosted its 9th annual health policy conference, where I and other attendees were heavily briefed on the status and potential implications of King V Burwell - better known as one of the Obamacare "subsidy lawsuits."
 
It is easy to understand why North Carolina hospitals are adamant about keeping the state's Certificate of Need (CON) regulations locked in the law books. After all, what law better protects their fortresses from potential competitors who could possibly provide more innovative services in less...
It is easy to understand why North Carolina hospitals are adamant about keeping the state's Certificate of Need (CON) regulations locked in the law books. After all, what law better protects their fortresses from potential competitors who could possibly provide more innovative services in less...
 
In previous newsletters, I've discussed how both ends of the political spectrum strive to reform our nation's health care delivery system by following through with the "triple aim" concept of former CMS administrator Dr. Donald Berwick - increase access to care, reduce health care costs, and...
In previous newsletters, I've discussed how both ends of the political spectrum strive to reform our nation's health care delivery system by following through with the "triple aim" concept of former CMS administrator Dr. Donald Berwick - increase access to care, reduce health care costs, and...
 
This Halloween, Blue Cross and Blue Shield of North Carolina (BCBSNC) customers were spooked by skyrocketing premiums when opening their 2015 rate notification letters for their non-group health plans. While it turns out that the mailings provided incorrect information for an estimated 38,000...
This Halloween, Blue Cross and Blue Shield of North Carolina (BCBSNC) customers were spooked by skyrocketing premiums when opening their 2015 rate notification letters for their non-group health plans. While it turns out that the mailings provided incorrect information for an estimated 38,000...
 
A massive government overhaul of our health care delivery system continues to unfold, and the nation is embarking upon uncharted territory. Providers are fed up with reduced payments, spending more time wading through convoluted third-party paperwork, and not being reimbursed in a timely fashion...
A massive government overhaul of our health care delivery system continues to unfold, and the nation is embarking upon uncharted territory. Providers are fed up with reduced payments, spending more time wading through convoluted third-party paperwork, and not being reimbursed in a timely fashion...
 
This week marks the first annual Healthcare Solutions Week - where public policy think tanks nationwide are raising awareness about how market-based principles can reduce health care costs while increasing quality and accessibility of care.
This week marks the first annual Healthcare Solutions Week - where public policy think tanks nationwide are raising awareness about how market-based principles can reduce health care costs while increasing quality and accessibility of care.
 
When it comes to reforming our nation's health care system, both ends of the political spectrum point to the "triple aim" - reduce health care costs, improve quality and access, and increase individuals' overall health.
When it comes to reforming our nation's health care system, both ends of the political spectrum point to the "triple aim" - reduce health care costs, improve quality and access, and increase individuals' overall health.
 
Ongoing Medicaid reform initiatives seeking to rein in unnecessary spending and better coordinate patient care may improve North Carolina's medical assistance program to a degree, and the special interests involved ostensibly have good intentions.
Ongoing Medicaid reform initiatives seeking to rein in unnecessary spending and better coordinate patient care may improve North Carolina's medical assistance program to a degree, and the special interests involved ostensibly have good intentions.
 
Obamacare's health insurance exchanges offer four "metallic" levels of plans: bronze, silver, gold, and platinum. Bronze plans cover 60 percent of benefits, meaning consumers will be responsible for higher out-of-pocket expenses such as co-pays, co-insurance, and deductibles. Meanwhile, platinum...
Obamacare's health insurance exchanges offer four "metallic" levels of plans: bronze, silver, gold, and platinum. Bronze plans cover 60 percent of benefits, meaning consumers will be responsible for higher out-of-pocket expenses such as co-pays, co-insurance, and deductibles. Meanwhile, platinum...
 
The federal health care law known as Obamacare creates more problems for North Carolinians than just the faulty website that has generated recent headlines. A new John Locke Foundation Spotlight report documents key Obamacare flaws and offers alternatives for addressing health care needs.
The federal health care law known as Obamacare creates more problems for North Carolinians than just the faulty website that has generated recent headlines. A new John Locke Foundation Spotlight report documents key Obamacare flaws and offers alternatives for addressing health care needs.
 
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