Certificate of need laws: a systematic review and cost-effectiveness analysis.

ABSTRACT:

Background

Certificate of Need (CON) laws, currently in place in 35 US states, require certain health care providers to obtain a certification of their economic necessity from a state board before opening or undertaking a major expansion. We conduct the first systematic review and cost-effectiveness analysis of these laws.

Methods

We review 90 articles to summarize the evidence on how certificate of need laws affect regulatory costs, health expenditures, health outcomes, and access to care. We use the findings from the systematic review to conduct a cost-effectiveness analysis of CON.

Results

The literature provides mixed results, on average finding that CON increases health expenditures and overall elderly mortality while reducing heart surgery mortality. Our cost-ef

SUBMITTER: Conover CJ 

PROVIDER: S-EPMC7427974 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature