No need for a Certificate of Need?

The Fountain City Journal writes about the Medical Association of Georgia’s desire to see Certificate of Need laws repealed:

So, if physician offices are excluded, why has MAG decided to enter this fight? The people who run MAG are mostly specialists and surgeons and they want to open private facilities that do outpatient (meaning no overnight stay required) procedures. For instance, a group of surgeons may open an outpatient surgical facility, like the one on Weems Road here in Columbus. Suppose an orthopedic surgeon is in the group and performs arthroscopic knee surgery there. He bills the professional component (the actual work) and the surgical center bills the facility component. Since the surgeon is a partner in the surgical center, he makes money off both the procedure he performed and a share of the profit from the facility.

So, what about this? Will doing away with CON laws be on the legislative agenda?

2 comments

  1. Inside_Man says:

    The real fight is coming down because the CON Commission is recommending adding a NEW regulation on Ambulatory Surgical Centers (although not based on need), which are physician owned and grab profitable business from Hospitals. Look for the GHA to try and shut-down any movement at all. They will try and block everything and hope for the best. MAG has internal problems of it’s own, which may play right into the Hospital’s hands. While the ideologues’ knee-jerk reaction is to can CON, any cursory examination of the issue reveals that the solution is not that simple. The difficulty is that every big health issue that the General Assembly will tackle this year is related to all the others. You can’t fix CON without fixing Trauma, you can’t fight Pandemic Flu without dealing with Trauma and Public Health Grant-in-Aid, and you can’t have managed care with CON. My guess is that we will get a very watered down CON reform, with relaxed restrictions on non-hospital based services.

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