Author Archive
Entries by Deborah Fournier
50-State Scan Shows Diversity of State Certificate-of-Need Laws
May 22, 2020 in Policy Blogs, Featured News Home Health System Costs, Hospital/Health System Oversight /by Johanna Butler, Adney Rakotoniaina and Deborah FournierAs states respond to the need for increased hospital bed capacity due to COVID-19, governors and legislatures in 22 states have waived certificate-of-need (CON) requirements – streamlining the process for hospitals to add bed capacity. These waivers have focused attention on decades-old CON laws and their utility in a changing health care landscape. The National […]
Governor Takes First Step to Ensure Accountability in How Hospitals Use Federal Relief Funds
April 14, 2020 in COVID-19 State Action Center Blogs, Featured News Home COVID-19, Health System Costs, Hospital/Health System Oversight, Relief and Recovery COVID-19 /by Deborah Fournier and Trish RileyBillions of federal dollars have begun to flow to the nation’s hospitals to help them treat COVID-19 patients and withstand revenue losses due to delayed elective surgeries and other procedures. The Coronavirus Aid, Relief, and Economic Security Act (CARES Act): Increases Medicare payments to hospitals for COVID-19 admissions by 20 percent; Permits the Centers for […]
Anticipating Hospital Bed Shortages, States Suspend Certificate of Need Programs to Allow Quick Expansions
April 6, 2020 in COVID-19 State Action Center Blogs, Featured News Home Community Benefit, COVID-19, Health System Costs, Hospital/Health System Oversight, Population Health /by Deborah Fournier, Adney Rakotoniaina and Johanna ButlerAs coronavirus (COVID-19) hospitalizations and ICU bed demand surge across the country, 13 states have quickly acted to implement temporary, targeted suspensions of their certificate of need (CON) requirements for construction or expansion of new health-care facilities to remove regulatory barriers to address this critical health care need. CON laws are state regulatory mechanisms to […]
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For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 























































































































































