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The Impact of Certificate-of-Need Laws on Nursing Home and Home Health Care Expenditures.
- Source :
-
Medical Care Research & Review . Feb2016, Vol. 73 Issue 1, p85-105. 21p. - Publication Year :
- 2016
-
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. [ABSTRACT FROM AUTHOR]
- Subjects :
- *NURSING care facilities
*NURSING home care
*MEDICAL care
*MEDICAID
*NURSING home prospective payment
*HOME care services
*HOME care services laws
*MEDICAID law
*MEDICAL care cost laws
*ECONOMIC impact
*MEDICARE
*MEDICARE laws
*NURSING care facility laws
*LONG term health care -- Law & legislation
*LONG-term health care
*SENIOR housing
*MEDICAL care cost statistics
*COMPARATIVE studies
*RESEARCH methodology
*MEDICAL cooperation
*RESEARCH
*NEEDS assessment
*RESEARCH funding
*EVALUATION research
*ECONOMICS
*LAW
*HOUSING laws
Subjects
Details
- Language :
- English
- ISSN :
- 10775587
- Volume :
- 73
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Medical Care Research & Review
- Publication Type :
- Academic Journal
- Accession number :
- 112747694
- Full Text :
- https://doi.org/10.1177/1077558715597161