JLD Policy SolutionsPrinciples come with proof.
Built from the record, not the talking points.
Research & Writing
An analysis of West Virginia’s Certificate of Need law, documenting how the regulatory framework protects incumbent hospital systems from competition at the expense of patients and providers.
Convicting CON: Certificate of Need
Who’s Caring for West Virginia?: Charity Care
An examination of charity care delivery across West Virginia’s hospital systems, revealing the gap between what hospitals claim to provide and what patients actually receive.
Payer Mix Narrative: Hospital Finance
A challenge to the West Virginia hospital industry’s standard defense of consolidation and service cuts using hospital financial data to test the claim.
Policy Briefs
An examination of West Virginia's Public Employees Insurance Agency, documenting how market-based reforms could reduce costs and expand options for the state's public employees and their families.
Read here.
Free Market Reforms for PEIA
Lessons from West Virginia’s PBM Experiment
An analysis of West Virginia's 2024 pharmacy benefit manager regulations, examining how state intervention in complex federal markets produces unintended consequences for pharmacies, patients, and payers.
Read here.
Certificate of Need and Post-Acute Care
A look at how West Virginia's Certificate of Need framework restricts the development of post-acute care services — skilled nursing, rehabilitation, and home health — leaving patients with fewer options after hospitalization.
Read here.
340B Drug Pricing Program in West Virginia
An examination of the federal 340B program, which requires drug manufacturers to provide discounted medications to qualifying hospitals, and how West Virginia's consolidated hospital systems have leveraged the program with limited benefit to patients.
Read here.
Public Comment
Ensuring Lawful Governance and Implementing the President’s “Department of Government Efficiency” Deregulatory Initiative
The public comment, supports the repeal of West Virginia’s Certificate of Need (CON) laws. In response to Executive Order 14219, which seeks to reduce regulatory overreach, the comment argues that eliminating CON laws would enhance healthcare access and foster greater competition across the state.
Read here.
Op-Eds
West Virginia’s Certificate of Need law isn’t protecting hospice patients. It’s protecting turf.
What West Virginia hospitals don't celebrate during Hospital Week
West Virginia’s Certificate of Need law prioritizes institutional interests over patient welfare
West Virginia’s hospital debate is missing a key piece of the financial picture
In wake of cuts, West Virginia must repeal certificate of need
Healthcare
Education
Commentary
Antisemitism: The canary in the coal mine, The Washington Times
West Virginia’s path forward is conservatism, The Herald-Dispatch
Democrat? Independent? Manchin may be finished either way, The Spectator
Trump is still king in West Virginia, The Spectator
America should be more like West Virginia, The Spectator
Reporting
Jessica spent two years as a Health Policy Reporter for the Washington Examiner, writing a bi-weekly health policy column and breaking national stories on the Build Back Better Act, COVID-19 policy, telehealth, advancement in disease care, drug pricing, and FDA approvals.