4255.0: Tuesday, October 23, 2001 - 4:50 PM

Abstract #31213

Controlling health care costs and improving access: A debate on competition vs. regulation

Thomas R. Piper, Director, Missouri Certificate of Need Program, Department of Health, 915G Leslie Blvd., Jefferson City, MO 65101, 573-751-6403, tpiper@mail.state.mo.us, Lee Hoffman, BA math/psych, Division of facility Services, Certificate of Need Section, North Carolina Department of Health and Human Services, 2704 Mail Service Center, Raleigh, NC 27699-2704, Clyde L. Reese, JD, Deputy General Counsel of DCH, Division of Health Planning, Georgia Department of Community Health, 2 Peachtree Street, N.W., Atlanta, GA 30303, Gretchen McBeath, JD, Bricker & Eckler Law Firm, 100 South Third Street, Columbus, OH 43215, and Howard Burde, JD, Deputy General Counsel to the Governor, Pennsylvania Governor's Office, Harrisburg, PA.

Since its 1964 inception in Rochester, NY, Certificate of Need (CON) has been a center of controversy and opportunity. The debate between competition and regulation continues to flare today, particularly around the following questions:

- Can government involvement build “bridges” of cooperation and understanding to improve access, assure quality and restrain costs? - Can health care providers overcome the “barriers” of regulation and enfranchisement? - Can a reasonable balance be drawn between public planning and regulation, and private investment and innovation?

This session would bring together four active health care leaders (to be selected in July) representing states with and without CON. The format would include 10-minute presentations of individual perceptions and experiences, followed by an interactive debate and audience questions.

As moderator, I would draw upon the knowledge gained from twelve years of assessment of CON programs around the United States, plus information from numerous studies and surveys. With 36 states (plus the District of Columbia) still administering CON programs, the diversity of experience and defensibility is both interesting and exhilarating. This would also bring to bear the involvement of the American Health Planning Association which has a long history of advocating reasonable community-based planning and implementation.

After attending this session, the participants would be able to:

1.List numerous planning methods to assure a healthy community; 2.Assess the value of cooperative planning and regulation to the community; and 3.Take a defensible position in the debate of managed care vs. planned regulation.

See www.ahpanet.org

Learning Objectives: 1.List numerous planning methods to assure a healthy community; 2.Assess the value of cooperative planning and regulation to the community; and 3.Take a defensible position in the debate of managed care vs. planned regulation.

Keywords: Cost Issues, Certificate of Need

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: American Health Planning Association
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 129th Annual Meeting of APHA