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 …

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 …

Rural healthcare access and supply constraints: A causal analysis

V Melo, L Sigaud, E Neilson… - Southern Economic …, 2024 - Wiley Online Library
Abstract Certificate‐of‐Need (CON) laws require that healthcare providers receive approval
from a state board before offering additional services in a given community. Proponents of …

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 …

Certificate of Need Laws in Health Care: Past, Present, and Future

MD Mitchell - INQUIRY: The Journal of Health Care …, 2024 - journals.sagepub.com
Certificate of need (CON) laws limit the supply of health care services in about two-thirds of
US states. The regulations require those who wish to offer new services or expand existing …

Competition and health‐care spending: Theory and application to Certificate of Need laws

J Bailey, T Hamami - Contemporary Economic Policy, 2023 - Wiley Online Library
Hospitals and other health‐care providers in 34 states must obtain a Certificate of Need
(CON) from a state board before opening or expanding, leading to reduced competition. We …

The Causal Effect of Repealing Certificate-of-Need Laws for Ambulatory Surgical Centers: Does Access to Medical Services Increase?

T Stratmann, M Bjoerkheim, C Koopman - arXiv preprint arXiv:2405.08160, 2024 - arxiv.org
In many states, certificate-of-need (CON) laws prevent ambulatory surgical centers (ASCs)
from entering the market or expanding their services. This paper estimates the causal effects …

Raising the Bar: ICU beds and certificates of need

MD Mitchell, T Stratmann, JB Bailey - Mercatus Special Edition …, 2020 - papers.ssrn.com
The nation is on a mission to “flatten the curve.” The goal is not so much to reduce the total
number of COVID-19 infections—though that would be ideal—but to reduce the number of …

Why Are Nursing Homes so Heavily Regulated? The Effects and Political Economy of Certificate-of-Need Laws

V Melo, E Neilson - The Effects and Political Economy of Certificate …, 2022 - papers.ssrn.com
Abstract Certificate-of-Need (CON) laws restrict the quantity of health services by requiring
providers to convince a government board that there is a “need” for a given service in their …

[PDF][PDF] Deregulation of Specialized Care: Causal Evidence from Long-Term Care Markets

M Bjoerkheim, A Melad - 2025 - researchgate.net
Demographic shifts are making healthcare access among the elderly increasingly critical,
but regulatory barriers such as Certificate of Need (CON) laws prevent the entry of new …