Association Between Certificate of Need Legislation and Radiation Therapy Use Among Elderly Patients With Early Cancers

Falchook, Aaron D.; Chen, Ronald C.

doi:10.1016/j.ijrobp.2014.10.033

International Journal of Radiation Oncology*Biology*Physics

2015

DOI: 10.1016/j.ijrobp.2014.10.033

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Association Between Certificate of Need Legislation and Radiation Therapy Use Among Elderly Patients With Early Cancers

Aaron D. Falchook

Ronald C. Chen

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Certificate‐of‐Need laws in healthcare: A comprehensive review of the literature

Mitchell

2024

Southern Economic Journal

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Certificate‐of‐Need (CON) laws limit the supply of healthcare services in about two‐thirds of U.S. states. The regulations require those who wish to open or expand their facilities to first prove that their services are needed. Once encouraged by the federal government, Congress eliminated the inducement in the 1980s and since then several states have either pared their CON programs back or eliminated them altogether. To date, there have been 128 academic assessments of CON laws and together these papers contain over 450 tests. In this paper, I review this literature, organizing the results around the most common rationales for CON laws. The accumulated evidence is overwhelming that CON laws do not achieve their purpose. Instead, the balance of evidence suggests that these regulations increase spending, reduce access to care, undermine quality, and fail to ensure care for underserved populations.

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Certificate‐of‐Need laws in healthcare: A comprehensive review of the literature

Mitchell

2024

Southern Economic Journal

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Certificate-of-Need State Laws and Total Knee Arthroplasty

Browne

Cancienne

Casp

et al. 2018

The Journal of Arthroplasty

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CON programs appear to have influenced the delivery of care for TKA. Although our data suggest that these laws are associated with lower per capita utilization of TKA and the use of higher-volume facilities, we were unable to detect any strong evidence that CON regulations have been associated with improved quality of care or have limited growth in the utilization of this procedure over time. Confounding population and geographic factors may influence these findings and further study is needed to determine whether or not these programs have served their purpose and should be retained.

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Certificate-of-Need State Laws and Total Hip Arthroplasty

Casp

Durig

Cancienne

et al. 2019

The Journal of Arthroplasty

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Association Between Certificate of Need Legislation and Radiation Therapy Use Among Elderly Patients With Early Cancers

Cited by 5 publications

References 6 publications

Certificate‐of‐Need laws in healthcare: A comprehensive review of the literature

Certificate‐of‐Need laws in healthcare: A comprehensive review of the literature

Certificate-of-Need State Laws and Total Knee Arthroplasty

Certificate-of-Need State Laws and Total Hip Arthroplasty

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