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Tom Piper
Jefferson City, MO
Retired from State Government, active consulting second career
Recent Activity
by Emma Lamberton of Vermont Watchdog Certificate of need laws decrease the quality of care and increase costs, say two newly released studies from George Mason University. The finding has implications for Vermont, which has the most extensive CON laws of any state. CON laws restrict entry for new practices... Continue reading
Posted Oct 7, 2016 at MacQuest Services
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Letha and I have a great time July 13-17, 2016, as we travelled to Chicago for a few days of vacation, followed by a terrific Macstock (second edition) in Woodstock, IL. To see a few of the pictures we captured in Chicago, just click on: https://www.icloud.com/sharedalbum/#B0a5ejO17eav3t To see a few... Continue reading
Posted Jul 25, 2016 at MacQuest Services
by Richard Mark Kinkier of Managed Care Is health care a free market? Legislators in Florida and Virginia want it to be, so they are moving to scrap the laws that require health care providers to get state approval before they expand or add services. Meanwhile, hospital interests in several... Continue reading
Posted Mar 17, 2016 at MacQuest Services
by Travis Fain, Reporter for Daily Press RICHMOND – Some of furthest reaching hospital reforms of this session limped from one chamber to the other Monday, with supporters promising amendments before anything is final. House Bill 193 would overhaul the state's Certificate of Public Need rules, which empower state officials... Continue reading
Posted Feb 16, 2016 at MacQuest Services
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by the National Law Review Weighing in on the growing debate around certificate of need (“CON”) laws, the Federal Trade Commission and the Antitrust Division of the U.S. Department of Justice (the “Agencies”) issued a joint statement on October 26, 2015, advocating the repeal or reform of Virginia’s Certificate of... Continue reading
Posted Dec 3, 2015 at MacQuest Services
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There is an effort coming together to reform a corner of state government that is gatekeeper to health care provider expansion in the upcoming legislative session. Sen. Todd Gardenhire, R-Chattanooga, was chairman of a hearing Monday that highlighted how a bill aimed to reform the certificate of need program, administered... Continue reading
Posted Nov 18, 2015 at MacQuest Services
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by Renee Montgomery, Parker Poe Adams & Bernstein LLP There has been a lot of discussion about major changes to North Carolina’s Certificate of Need law. As these legislative discussions continue, the State Health Coordinating Council continues its work on next year’s State Medical Facilities Plan (“SMFP”). The draft plan... Continue reading
Posted Aug 19, 2015 at MacQuest Services
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BY TAMMIE SMITH, The Daily Progress RICHMOND — Critics of Virginia’s regulatory system for approving new medical facilities and services say the process takes too long, is political and costs too much, but close to three dozen other states have similar programs with varying degrees of fees and restrictions. In... Continue reading
Posted Jul 27, 2015 at MacQuest Services
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by Andy Meek, the Daily-News, Memphis The state-level approval process Methodist South Hospital recently cleared that allows it to pursue an $8.7 million emergency department expansion has been in legislative crosshairs in Nashville recently. Some lawmakers think the process by which the Tennessee Health Services and Development Agency approves or... Continue reading
Posted Jul 8, 2015 at MacQuest Services
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By Christopher Curry, Staff writer An effort to deregulate new hospital construction continued to advance in the Florida House on Wednesday. The Health and Human Services Committee approved a bill eliminating the state’s required certificate of need review and approval process for new hospitals, replacement hospitals, conversion of hospitals from... Continue reading
Posted Jun 11, 2015 at MacQuest Services
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CON laws stifle competition and hurt consumers. Veronique de Rugy | June 11, 2015 If I got a dollar each time the federal or state government promised that new regulations of the health care market would reduce the cost of health care—and it subsequently failed to deliver on that promise—I... Continue reading
Posted Jun 11, 2015 at MacQuest Services
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by Jason deBruyn, Staff Writer- Triangle Business Journal A proposed law to bring major changes to surgery centers in North Carolina hit the legislative floor Wednesday. Already, House Bill 200 was referred to three committees, a sign that lawmakers will take it seriously. In short, the new law would deregulate... Continue reading
Posted Mar 12, 2015 at MacQuest Services
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By Lody Zwarensteyn, Grand Rapids Business Journal Once again, our legislators have opened season on the Certificate of Need, or CON, program in the health care industry. Despite ample evidence of its success in foiling costly and grandiose schemes over the program’s 42-year history, once again some our legislators seem... Continue reading
Posted Oct 2, 2014 at MacQuest Services
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from The State: South Carolina's Home page A panel of S.C. representatives began the work Wednesday of reviewing the state program that approves or rejects requests for new and expanded medical facilities. In 2013, Gov. Nikki Haley vetoed money that the Department of Health and Environmental Control used to process... Continue reading
Posted Sep 26, 2014 at MacQuest Services
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Beaufort Observer -- Online Edition Katherine Restrepo, of the John Locke Foundation, is their health care policy expert. She recently summarized a major new study that calls into question the efficacy of “Certificate of Need” such as the one North Carolina uses. She writes: The Triangle Business Journal recently published... Continue reading
Posted Aug 18, 2014 at MacQuest Services
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By MEG KINNARD Associated Press COLUMBIA, South Carolina — South Carolina's public health department must administer a program that regulates the building or expansion of medical facilities even though its funding was vetoed by the governor, the state's highest court ruled Monday. The ruling means that the Department of Health... Continue reading
Posted Apr 15, 2014 at MacQuest Services
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County has prescription to cure bureaucratic block on hospitals By Augusta Chronicle Editorial Staff The irony is enough to cause cardiac arrest. In blatant disregard of the free market, Georgia’s Certificate of Need requirement (coincidentally abbreviated as CON) allows the state Department of Community Health to imperiously decide where certain... Continue reading
Posted Dec 26, 2013 at MacQuest Services
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Written by Mark Sanchez Stepping into a debate that often pits the haves against the have-nots, Michigan legislators plan to investigate whether Michigan’s health care certificate-of-need regulations work as intended or need to be changed. While a work group that studied CON this past summer did not reach any firm... Continue reading
Posted Nov 25, 2013 at MacQuest Services
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By Robert F. Graboyes / McClatchy-Tribune Forum American health care has no Steve Jobs or Bill Gates. No Jeff Bezos, Elon Musk, Burt Rutan, or Henry Ford. No innovator whose genius and sweat deliver the twin lightning bolts of cost-reduction and quality improvement across the broad landscape of health care.... Continue reading
Posted Oct 5, 2013 at MacQuest Services
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Information gathered from Google Alerts (click on a blue link to see full story): SC Supreme Court to hear Certificate of Need case Kansas City Star COLUMBIA, S.C. — The South Carolina Supreme Court agreed Friday to hear a lawsuit over whether the state's health agency can end a state... Continue reading
Posted Sep 25, 2013 at MacQuest Services
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Information gathered from Google Alerts (click on a blue link to see full story): Ken Braun: Michigan's Certificate of Need helps hospitals, hurts ... The Bay City Times - MLive.com McLaren Health Care is suing the Michigan Department of Community Health because the the Certificate of Need commission shot down... Continue reading
Posted Aug 1, 2013 at MacQuest Services
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OnlineAthens - Athens Banner-Herald, by Sarita Chourey - Morris News Service As South Carolina squirms over its newly suspended regulations on hospital expansions, a spokesman for the Georgia Hospital Association says Georgia could find itself in a similar spot. Kevin Bloye said there’s a push underway by some physicians to... Continue reading
Posted Jul 11, 2013 at MacQuest Services
The State - South Carolina's Homepage WHEN YOU’RE having a heart attack, you don’t usually call around to compare prices at the local hospitals. You’ll probably have a colonoscopy where your physician schedules it, not at the place you’ve chosen after studying prices vs. results. Even more mundane medical care... Continue reading
Posted Jul 11, 2013 at MacQuest Services
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Written by Laura Miller: Becker's ASC REVIEW Alabama Governor Robert Bentley signed revisions to the state's certificate of need law, expanding CON provisions to limited liability companies and making change of ownership transactions easier, according to a report from Bradley Arant Boult Cummings. The new amendment signed into law clarifies... Continue reading
Posted May 30, 2013 at MacQuest Services
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Join Other World Computing on June 25 in Culver City for the scoop and more at the complete information packaged event. A Special Session on Digital Intermediate Storage at the 2013 Creative Storage Conference San Jose, CA, May 15, 2013 . . . The 2013 Creative Storage Conference (CS 2013)... Continue reading
Posted May 16, 2013 at MacQuest Services