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.
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.
posted April 2, 2013 by The Hartgen Group and Reason Foundation
North Carolina has the nation’s largest state-owned highway system (80,200 miles), 72 airports, 120+ transit systems, extensive intercity rail freight and passenger service, and several ocean ports. These resources are a key element in the state’s economic vitality and are central to its economic progress. Recent legislative and gubernatorial changes provide an opportunity for charting new directions for transportation policy, planning and investment. This report summarizes an effort by the John Locke Foundation to make recommendations for improving North Carolina’s transportation system.
North Carolina has over 22,500 permanent administrative rules, which carry the full force of law but are not passed by legislators. The General Assembly should return major legislative authority to elected, accountable representatives of the people.
The North Carolina Coastal Resources Commission’s (CRC) forecast of sea level rise from climate change is far greater than the consensus estimate of the United Nations, and Atlantic hurricane activity exhibits no systematic changes in the last hundred years. It is therefore unlikely that catastrophic climate change outcomes await residents of the Outer Banks over the next hundred years.
In recent years, an increasing number of local governments across the nation and across North Carolina have adopted “Smart Growth” policies. However, North Carolina should look to the future and adopt a flexible growth agenda — Flex Growth. Flex Growth is a market-based system of principles for government land use and development policy, especially at the state and local government levels, based upon the idea that people — and not government bureaucrats and planners — know what is best for themselves.
Cronyism is an umbrella term covering a host of government activities by which an industry or even a single firm or speculator is given favors and support that they could not attain in market competition. This report explains what opens government to cronyism, gives a brief rundown of recent examples of cronyism in North Carolina, and offers several possible reforms.
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