How much effect do you think state’s CoN regulations have reduced capacity to respond to COVID-19? Not my area of expertise so genuinely asking people knowledgeable in the process.

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None...overbuilding of hospitals would have just resulted in more closed hospitals.

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P1 - assuming that you say is true wouldn’t that shift the geographic dispersion of capacity but the overall capacity would remain roughly the same?

I mean the premise of CoN is to prevent excess capacity. Considering that in a pandemic having excess capacity to bring to bear, or to being online, seems like exactly what we need.

Local to me we have a shortage of services but hospitals have not been able to increase their capacity due to exceedingly complex CoN rules. This has resulted in surgical suites operating on an almost 24hr schedule. This may be limited to my state (NC) but was looking for other opinions or views.

You asked if it would reduce, I said no since the larger systems with more capital would just run the smaller players out of business which would keep bed counts more or less the same. I would say the current payment environment has pushed providers to focus more on OP procedures and reducing length of stay for IP procedures....the massive hospitals with huge bed counts are not the business model now...smaller facilities (ASCs, 24 hour ERs, etc...) are where the money is. Elective surgeries done on an OP basis, that is a money maker. If you want to focus on reduced bed capacity I would follow the money first before I focused on CON issues.

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