Evidence map›Paper›PMID 32058854›Full record

ArticleHome health care services quarterly

Certificate of need and the cost of competition in home healthcare markets.

Susan L Ettner, Jacqueline S Zinn, Haiyong Xu, Heather Ladd, Eugene Nuccio, Dara H Sorkin, Dana B Mukamel

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Home health care services quarterly. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Certificate of Need Laws in Health Care: Past, Present, and Future.Inquiry : a journal of medical care organization, provision and financing
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Susan L EttnerDepartment of Medicine, Division of General Internal Medicine and Health Services Research, University of California, Los Angeles, California, USA.
Jacqueline S ZinnFox School of Business, Temple University, Philadelphia, Philadelphia, USA.
Haiyong XuDepartment of Medicine, Division of General Internal Medicine and Health Services Research, University of California, Los Angeles, California, USA.
Heather LaddDepartment of Medicine, Division of General Internal Medicine, iTEQC Research Program, University of California, Irvine, California, USA.
Eugene NuccioSchool of Medicine, Division of Health Care Policy & Research, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Dara H SorkinDepartment of Medicine, Division of General Internal Medicine, iTEQC Research Program, University of California, Irvine, California, USA.
Dana B MukamelPublic Health and Nursing, Department of Medicine, Division of General Internal Medicine, iTEQC Research Program, University of California, Irvine, California, USA.

Funding

The Costs of Home Health and Patient OutcomesR01AG051719 · NIA · UNIVERSITY OF CALIFORNIA-IRVINE · PI MUKAMEL, DANA B · 2016 to 2019
$2.1M
NIA NIH HHS R01 AG051719
6 · The paper itself

Abstract

We used 2010-16 Medicare Cost Reports for 10,737 freestanding home health agencies (HHAs) to examine the impact of home health (HH) and nursing home (NH) certificate-of-need (CON) laws on HHA caseload, total and per-patient variable costs. After adjusting for other HHA characteristics, total costs were higher in states with only HH CON laws ($2,975,698), only NH CON laws ($1,768,097), and both types of laws ($3,511,277), compared with no CON laws ($1,538,536). Higher costs were driven by caseloads, as CON reduced per-patient costs. Additional research is needed to distinguish whether this is due to skimping on quality vs. economies of scale.

Indexed as

Certificate of NeedCohort StudiesDelivery of Health CareEconomic CompetitionHome Care AgenciesHumansUnited Statescertificate-of-needcostHome healthnursing homeregulation

Identifiers

PMID32058854
PMCPMC7166169

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.