Medicaid’s fundamental flaws stem from the way in which it is funded, as both state and federal government share the total bill. If Medicaid’s federal share was transferred to North Carolina as an annual block grant, it would allow lawmakers to exercise more control over the program and create a stronger incentive to sort out system waste and abuse.
Every two years since 1996, coinciding with North Carolina's races for the General Assembly, the John Locke Foundation has published a revised edition of Agenda, our public policy guide for candidates and voters. Typically as we enter the campaign season, candidates for public office in North Carolina are faced with a daunting task: to develop informed positions on dozens of public policy issues. In the pages of Agenda 2014 we provide a concise and easily digestible guide covering a wide range of specific issues, from taxes and spending to energy policy and education.
Despite it's promises, the federal health care law will bring premium increases to many due to community rating provisions, increased regulation and mandates, and problems with premium and cost-sharing subsidies.
Four decades’ worth of data and research into CON laws have shown that they fail to lower health care costs; if anything, they raise them. Despite this, North Carolina hosts one of the most restrictive CON programs in the country. State leaders could best prevent unnecessary increases in health care costs by repealing CON.
posted October 21, 2013 by Jonathan Ingram and Katherine Restrepo
The debate over NC’s Medicaid program pits defenders of the status-quo Community Care of North Carolina (CCNC) model against reformers touting Governor McCrory’s proposed Partnership for a Healthy North Carolina. This report identifies and explains CCNC’s flaws and shows how the Partnership for a Healthy North Carolina is a far more effective approach to not only improve patient health, but also rein in Medicaid spending and save taxpayer dollars.
posted July 9, 2013 by Jonathan Ingram and Katherine Restrepo
Gov McCrory’s Partnership for a Healthy North Carolina is an innovative approach to redesign the state’s Old Medicaid system. This report explains the strategies and provisions included in the Partnership that help to ensure North Carolina’s Medicaid reform does not replicate Kentucky’s failings.
posted May 28, 2013 by Jonathan Ingram and Katherine Restrepo
The Partnership for a Healthy North Carolina infuses the Medicaid program with winning market-based strategies of competition, accountability, transparency and a common-sense funding structure. Although policymakers should explore additional ways to make the Governor’s proposal even stronger, the Partnership for a Healthy North Carolina represents a major step forward in transforming Medicaid into an affordable and successful health care safety net.
Medicaid’s ineffective utilization of its unpredictable budget has left the state facing a budget overrun of more than $248 million. Consumer-driven Medicaid reform emphasizes principles of choice, competition, and fiscal responsibility for beneficiaries and providers, giving patients would be able to choose benefits and services that best fit their medical needs from multiple health plans with defined block grants.
Counties and towns are critical levels of government in North Carolina, providing or administering many services while taking in billions of dollars of revenue. This is especially true as the state government has increasingly shifted more taxing authority to localities to make up for money kept by the state. While the importance of county and municipal government is great, obtaining comparative data is difficult. To help address this problem, By The Numbers provides information on how much local government costs in every city and county in North Carolina.
North Carolina forcibly sterilized approximately 7,600 individuals in the 20th Century as part of its eugenics program. Many eugenics victims are still alive in North Carolina. This report offers five ways that North Carolina should compensate the victims before it is too late.
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