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Session: Certificate of Need Challenges: Efficient Management in a Competitive Marketplace
5094.0: Wednesday, November 10, 2004: 12:30 PM-2:00 PM
Oral
Certificate of Need Challenges: Efficient Management in a Competitive Marketplace
Certificate of Need (CON) regulation has been controversial since its inception in 1964. The debate over competition vs. regulation continues unabated, particularly around the following questions:
  • Can government oversight use supply-side management, service cooperation and public understanding to improve access, assure quality and restrain costs?
  • Can health care providers, by serving highly profitable niche markets, produce better treatment outcomes and lower costs and charges than those operating in planned franchise environments?
  • Can a reasonable balance be drawn between public planning and regulation, and private investment and innovation to achieve reasonable health care delivery?
This session would bring together three active health care leaders (to be selected by July) representing states with and without CON. The format would include 20-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 15 years of monitoring CON programs around the United States, plus information from numerous studies and surveys. With 36 states (plus the District of Columbia) administering CON programs, the diversity of experience and varying program results are instructive. This would bring to bear the involvement of the American Health Planning Association, which has a long history of advocating sound community-based planning and implementation, as well as a new Internet “ePlanner” initiative.
Learning Objectives: After attending this session, the participants would be: 1.Aware of a number of planning methods to assure a healthy community; 2.Better prepared to assess the value of cooperative planning and regulation in their community; and 3.Able to weigh, and participate in, the debate over managed care vs. planning and regulation.
Organizer(s):Thomas R. Piper, BA
12:30 PMCan government oversight assure greater value for the public’s health care dollars?
John W Steen, PhD
12:50 PMCan a reasonable balance be drawn between public planning and regulation, and private investment and innovation to achieve reasonable health care delivery?
Michael K. Dexter
1:10 PMOutcomes of regulation versus competition: Enabling information access, assessment modeling, and outcomes evaluation with ePlanner, a commnity health planning tool
Robert R. Vogel, MPA
See individual abstracts for presenting author's disclosure statement and author's information.
Organized by:Community Health Planning and Policy Development
CE Credits:CME, Health Education (CHES), Nursing

The 132nd Annual Meeting (November 6-10, 2004) of APHA