medicaid

Click here to view and here to listen to Joseph Coletti discussing this Policy Report. RALEIGH — Medicaid spending has increased by nearly 300 percent in North Carolina…

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.

North Carolina has one of the most expensive Medicaid programs in the Southeast, and Obamacare will expand enrollment from 1.3 million people to potentially over 2 million people in 2014. Without Medicaid reform or tighter eligibility, North Carolina will need to cut some services and payments to doctors. Both options will mean worse care for every person on Medicaid. Gov. Bev Perdue and the General Assembly need to push Washington for exemptions from Medicaid restrictions and greater ability to innovate with premium support and encourage patient control of their own care.

Click here to view and here to listen to Joseph Coletti discussing this Spotlight report. RALEIGH — North Carolina needs relief from a year-old federal health care reform…

RALEIGH – North Carolina will face “insurmountable” budget problems linked to retiring baby boomers, if the state continues on its current course of long-term care public policy. That’s a key…

Long-term care in nursing homes, assisted living facilities, or an individual’s own home, is the largest portion of North Carolina’s Medicaid budget. It is also the fastest growing portion of that budget. As the state’s population ages, it will drive even more demand for these services. Medicaid was not meant to be inheritance insurance for baby boomers, but current policy in North Carolina allows it to be exactly this. Encouraging more people to rely on private payment options, such as reverse mortgages or long-term care insurance, will mean lower state costs for care and better results for individuals. This paper examines the state of long-term care in North Carolina, current abuses of the system, and private payment options.

RALEIGH – North Carolina taxpayers would pay the price if state lawmakers endorse complex fund-raising schemes this year. That’s according to a new John Locke Foundation Policy Report. Click…

Budgets reflect priorities. When families face a new expense, they must cut back on another expense. Governments do not have this limitation. When legislators find they have spent too much or that there are new activities worth funding, they can raise taxes to make sure the budget balances and pass along the tough decisions to businesses, entrepreneurs, and families.

RALEIGH – Legislative leaders might try to use sleight of hand and a series of political deals to raise taxes by nearly $1 billion. That’s the conclusion of a new…

Legislative leaders may be planning a nearly billion-dollar tax hike. The state would take one cent of the sales tax from counties and offer them the option to increase the local sales tax by one cent. To make the trade palatable, legislators would stop charging counties for 15 percent of Medicaid, offer an earned income tax credit for low-income workers, and cut the corporate income tax rate. Counties would also have more responsibility and flexibility in funding school and road construction. Legislators should look for savings in the state budget to pay for schools, roads, and Medicaid before passing the cost to taxpayers.