ArticleMedical care research and review : MCRR2016
The Impact of Certificate-of-Need Laws on Nursing Home and Home Health Care Expenditures.
Article in Medical care research and review : MCRR, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 34 citations in OpenAlex.
- Home health care, e-health, and telemedicine policies in selected middle and high-income countries: a rapid policy review.npj health systems · 2026Article
- State Medicaid Bed-Hold Policies and Hospitalizations and ED Visits Among Long-Stay Nursing Home Residents.JAMA health forum · 2026Article
- Technology regulation reconsidered: The effects of certificate of need policies on the quantity and quality of diagnostic imaging.Journal of health economics · 2025Article
- Examining the Impact of Certificate of Need Laws on the Utilization and Reimbursement of Cataract Surgeries Among Medicare Beneficiaries.Journal of health economics and outcomes research · 2024Article
- Skilled Nursing Facility Organizational Characteristics Are More Strongly Associated With Multiparticipant Therapy Provision Than Patient Characteristics.Physical therapy · 2022Article
- Putting the Nursing and Home in Nursing Homes.Innovation in aging · 2022Article
- Connecting policy to licensed assisted living communities, introducing health services regulatory analysis.Health services research · 2021Article
- Developments in the Market for Assisted Living: Residential Care Availability in 2017.Journal of the American Medical Directors Association · 2020Article
- Certificate-Of-Need Regulation and Healthcare Service Quality: Evidence from the Nursing Home Industry.Healthcare (Basel, Switzerland) · 2020Article
- Evolution of the Nursing Home Industry in States With Different Certificate of Need Policies.Journal of the American Medical Directors Association · 2020Article
- Defining and Measuring Nursing Home Placement.Journal of the American Geriatrics Society · 2018Article
- Are coresidence and nursing homes substitutes? Evidence from Medicaid spend-down provisions.Journal of health economics · 2018Article
- Certificate of need and the cost of competition in home healthcare markets.Home health care services quarterlyArticle
- Nursing Home Certificate of Need Moratoria During the COVID-19 Pandemic Had Little Impact on Access.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
Over the past two decades, nursing homes and home health care agencies have been influenced by several Medicare and Medicaid policy changes including the adoption of prospective payment for Medicare-paid postacute care and Medicaid-paid long-term home and community-based care reforms. This article examines how spending growth in these sectors was affected by state certificate-of-need (CON) laws, which were designed to limit the growth of providers and have remained unchanged for several decades. Compared with states without CON laws, Medicare and Medicaid spending in states with CON laws grew faster for nursing home care and more slowly for home health care. In particular, we observed the slowest growth in community-based care in states with CON for both the nursing home and home health industries. Thus, controlling for other factors, public postacute and long-term care expenditures in CON states have become dominated by nursing homes.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.