Certificate Of Need

  

Categories: Insurance, Econ, Regulations

Certificate of Need is a process that some states require a healthcare facility go through before they start construction on a new facility, or start expanding an existing facility. The idea behind CON is that overbuilding facilities leads to higher healthcare costs, so the demand must exist to support all facilities before they're built. The fear is that having empty beds in a hospital makes the filled beds more expensive.

The Health Planning Resources Development Act from 1974, passed on a federal level, prompted this act for many states. In 1987, it was repealed, and some states just quit mandating the process. 34 states still followed it the program in 2016.

You might be thinking this limits choice; just because someone lives in a less populated area doesn’t mean they should have limited choices if a hospital wants to build there, right? Another complaint is that this allows for unfair manipulation. What if the biggest hospital in the area has a politician on their side...won’t they get more favorable treatment from the state? Ideally not...but that’s "ideally."

Another complaint is that each state is not administered the same way (in fact, some don’t do this at all) so it could drive healthcare providers to favor building in some states more than others, again leading to disproportionate access. On the other hand, CON is intended to distribute resources evenly and to to control costs, so when it works, it benefits everyone.

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Finance: What is Life Insurance (Term v....45 Views

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Finance allah shmoop What is life insurance Term versus variable

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The smackdown and there's A reason that warren buffett is

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one of the wealthiest men in the world He sells

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insurance great industry great profits usually And great record of

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no complaints from the dead Let's Start with term life

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insurance The easiest kind of insurance on the planet tau

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understand Meet don vannucci He has a wife and two

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new kids Twins babies Same hairstyle is their dad Don

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is a contract assassin with the nsa as a big

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client And he knows that one day there probably is

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a bullet with his name on it Or worse So

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he buys for fifty bucks a month Term life insurance

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which pays his wife three hundred grand if he dies

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pretty much for any reason Unless she is the one

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who kills him and that can be proved in a

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court of law And well you know with his snoring

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and you never know You know i've been there So

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a month goes by He pays the fifty bucks term

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life insurance and does not die So what happens Well

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the insurance company keeps all the money and yes there

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Were brokerage fees in here but they're relatively small for

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this very competitive easy to understand kind of insurance Well

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the year goes by in twelve payments of fifty bucks

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or six hundred dollars He's not dead yet and the

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insurance company keeps all the dough Yeah huge profit margins

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And in fact with don at thirty two years old

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well in any normal career like you know being a

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dia trist or a stockbroker realtor something like that his

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life expectancy would be for some fifty more years or

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more than that of paying that term life policy So

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if he lives that fifty years while that would be

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six hundred payments at fifty bucks a month for a

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very long time with then escalating payments as he gets

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older and you know more likely to die that month

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Well the key determining feature in term life however is

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that should don ever stop paying his monthly premiums because

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he chose not to not because he is dead Then

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the policy is just cancelled all of those previous payments

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which he could have invested in the stock market and

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let compound away growing it in his percent a year

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Well they're all owned by the insurance company which took

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his six hundred dollars a year each year for decades

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and grew it to be worth hundreds of thousands of

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dollars by investing it But since don didn't do that

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in all fairness at thirty two it didn't seem like

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he'd last all that long especially having been given the

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afghanistan well then he loses all his back payments when

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he cancels at age seventy two just in time for

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the assassin who's been contract id to take him out

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you know finds him so that's term life terminal life

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All right well then what's variable life Well variable life

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views that fifty bucks a month in payment as a

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kind of sort of investment albeit not necessarily a great

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one Had don gotten a variable life policy instead of

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a term life policy and then paid into it for

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forty or fifty years and then stopped Well he might

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have accumulated cash surrender value of some forty fifty sixty

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grand or so that is he would have assumed some

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market risk as the insurance company invested the money and

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he would have at least gotten back some of his

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hard earned after tax dough that he invested for so

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many years between you know assignments A shame Never heard 00:03:33.47 --> [endTime] the big guy coming

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