Please use this identifier to cite or link to this item: http://hdl.handle.net/10419/170901
Authors: 
Averett, Susan L.
Terrizzi, Sabrina
Wang, Yang
Year of Publication: 
2017
Series/Report no.: 
IZA Discussion Papers 10917
Abstract: 
Policymakers and the general public have expressed increasing concern over rising health care costs. The Certificate-of-Need (CON) programs began at the federal level in 1974 to stem the increase in costs by limiting hospital expansion and acquisition of equipment. The federal requirement for CON programs ended in 1987; however, 37 states and DC still maintain various forms of CON programs. We examine the effect of the expiration of Pennsylvania's CON law on indicators of quality and cost of health care for patients undergoing hip and knee replacement surgery. We use the standard difference-in-differences method and the Synthetic Control method. Our preferred method indicates that the expiration had no statistically significant effect on our various measures of quality and cost.
Subjects: 
certificate of need
knee and hip replacement
health care
cost
quality
JEL: 
I18
I10
Document Type: 
Working Paper

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