About: Katherine Restrepo

Recent Posts by Katherine Restrepo

Does CON Help Increase Access To Care In Rural Counties?

Proponents of Certificate of Need (CON) argue that it helps preserve health care infrastructure, especially in rural areas. They contend, for example, that repealing the law could lead to a greater concentration of ambulatory surgery centers (ASCs) in more urbanized areas, which would lead to rural patients traveling there for treatment and put community hospitalsContinue Reading

How The Obamacare Subsidy Lawsuits Could Affect North Carolina Medicaid Patients

In just one month the Supreme Court will decide whether health insurance subsidies issued under the Affordable Care Act shall only be distributed to insurance companies in state-based exchanges. While it is widely known that there is mounting political pressure for federal exchange states like North Carolina to make the switch to a state exchangeContinue Reading

Medicaid Expansion Sign-Ups Surpassing Projections

Politico reports that for many states that have opted for Obamacare’s Medicaid expansion, enrollments are greatly surpassing original projections. While this phenomena certainly indicates that the law is achieving its goal of expanding coverage, it means that expanding medical assistance to working, able-bodied adults only diverts resources away from the program’s most vulnerable patients. ItContinue Reading

Emergency Room Visits Increasing Under Obamacare

The architects of the Affordable Care Act believe that expanding health coverage will curb overall health care costs. Forcing individuals to purchase or pay for someone else’s health insurance will direct them to capitalize on preventative health care in primary care settings, thereby decreasing expensive and in many cases unnecessary visits to the Emergency Room. According to a recent survey conducted byContinue Reading

State Exchanges Struggling

This June, the Supreme Court will decide whether health insurance subsidies issued under the Affordable Care Act shall only be distributed to state exchanges. In the meantime, there is mounting political pressure for federal exchange states like North Carolina to make the switch to a state-run exchange so individual marketplace customers will not lose theirContinue Reading

The Battle For A More Competitive Health Care Market Continues

The battle to allow for more competition in the health care market wages on between the Davids and Goliaths of the North Carolina health care industry. A few weeks ago, the NC House Health Committee meeting featured a debate between the Hospital Association’s deputy general counsel and a lobbyist representing the North Carolina Orthopaedic Association. BothContinue Reading

Another Reason To Repeal Certificate of Need

…Over 70 percent of the 635,000 annual surgeries in North Carolina are performed in outpatient settings, and 70 percent of these surgeries are conducted in the highest cost hospital systems. If North Carolina were to reform it’s Certificate of Need law by allowing for more multi-specialty ambulatory surgery centers to open, more patients could undergoContinue Reading

Will Repealing Certificate of Need Laws Lead To Patient Cherry Picking?

Today’s 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 full-blown repeal, as this would open up competition in the health care market and enable patients to enjoy lower health careContinue Reading

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