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- Title
Certificate of Need Laws in Health Care: Past, Present, and Future.
- Authors
Mitchell, Matthew D.
- Abstract
Certificate of need (CON) laws limit the supply of health care services in about two-thirds of U.S. states. The regulations require those who wish to offer new services or expand existing services to first prove to a regulator that the care is needed. While advocates for the regulation have offered several rationales for its continuance, the balance of evidence suggests that the rules protect incumbent providers from competition at the expense of patients, payors, and would-be competitors. In this article, I review the history of CON laws in health care, summarize the large literature evaluating them, and briefly sketch options for reform. JEL Classification: I11, I18, H75
- Subjects
MEDICAL care laws; POLICY sciences; HEALTH services accessibility; GOVERNMENT policy; HEALTH policy; LEGAL liability; AT-risk people; CERTIFICATION; HEALTH care reform; NEEDS assessment; HEALTH care industry; MEDICAL needs assessment; GOVERNMENT regulation
- Publication
Inquiry (00469580), 2024, p1
- ISSN
0046-9580
- Publication type
Article
- DOI
10.1177/00469580241251937