Health Care & Human Services

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.

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.

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.

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.

County governments all over North Carolina are saving money by privatizing services. In an effort to assist in the exchange of information about these activities, the John Locke Foundation conducted a survey of all 100 counties asking county managers to tell us about governmental activities that they currently supply privately. We also asked them if they had problems in the past with a privatized activity that had caused them to return the activity to government provision.

When North Carolina lawmakers return to budget work next year, they should consider compensation for more than 2,900 living victims of the state's forced sterilization program.

Medicaid is a national problem, not just a state problem. All states are faced with the same incentive to grow their Medicaid programs because of the federal match. Unsustainable Medicaid spending is exacerbating the debt crisis at the federal level. It is paramount that state policymakers put pressure on Washington to reform Medicaid and willingly trade the open-ended federal reimbursement of state spending for freedom from federal roadblocks to make common-sense reforms to their programs.