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

MD Mitchell - Southern Economic Journal, 2024 - Wiley Online Library
Abstract Certificate‐of‐Need (CON) laws limit the supply of healthcare services in about two‐
thirds of US states. The regulations require those who wish to open or expand their facilities …

Cost, quality, and utilization after hospital-physician and hospital-post acute care vertical integration: a systematic review

A Harris, S Philbin, B Post, N Jordan… - … Care Research and …, 2025 - journals.sagepub.com
Vertical integration of health systems—the common ownership of different aspects of the
health care system—continues to occur at increasing rates in the United States. This …

The relationship between regional growth in neonatal intensive care capacity and perinatal risk

R Davis, PM Stuchlik, DC Goodman - Medical Care, 2023 - journals.lww.com
Background: The supply of US neonatal intensive care unit (NICU) beds and neonatologists
is known to vary markedly across regions, but there have been no investigation of patterns of …

The economics of a bed shortage: certificate-of-need regulation and hospital bed utilization during the COVID-19 pandemic

M Mitchell, T Stratmann - Journal of Risk and Financial Management, 2021 - mdpi.com
Certificate-of-need (CON) laws are intended to restrain health care spending by limiting the
acquisition of duplicative capital and the initiation of unnecessary services. Critics contend …

The impact of certificate of need laws on heart attack mortality: Evidence from county borders

K Chiu - Journal of Health Economics, 2021 - Elsevier
Certificate of need (CON) regulations requires that health care providers obtain state
approval before offering a new service or expanding existing facilities. The purported goal of …

The impact of political partisanship, certificate of need, Medicaid expansion, and area deprivation index on total shoulder arthroplasty prices in the United States

KA Wu, KM Kutzer, TR Doyle, ET Hurley… - Journal of Shoulder and …, 2025 - Elsevier
Background Recent mandates from the Center for Medicare and Medicaid Services require
United States hospitals to disclose health care service pricing. Yet, there's a gap in …

Associations between certificate of need policies and hospice quality outcomes

AG Gaines, JG Cagle - American Journal of Hospice and …, 2024 - journals.sagepub.com
Background Certificate of need (CON) laws are state-based regulations requiring approval
of new healthcare entities and capital expenditures. Varying by state, these regulations …

The effect of substance use Certificate‐of‐Need laws on access to substance use disorder treatment facilities

S Shakya, C Bretschneider‐Fries - Southern Economic Journal, 2024 - Wiley Online Library
We investigate how substance use Certificate‐of‐Need (CON) laws influence access to
substance use disorder treatment facilities in the United States. We use the National …

Certificate of need laws and health care use during the COVID-19 pandemic

A Roy Choudhury, S Ghosh, A Plemmons - Journal of Risk and Financial …, 2022 - mdpi.com
This paper investigates the impact of state-level Certificate-of-Need (CON) laws on COVID
and non-COVID deaths in the United States during the SARS-CoV-2 pandemic. CON laws …

[HTML][HTML] Exploring the risks of fragmentation in health care markets–An analysis of inpatient care in Georgia

M Tvaliashvili, L Sulaberidze, C Goodman… - Social Science & …, 2024 - Elsevier
Private providers play an important role in health systems in low-and middle-income
countries. In many such contexts, markets are characterized by a high number of relatively …