Taking the CON out of Pennsylvania: Did Hip and Knee Replacement Patients Benefit?

Susan Averett (), Sabrina Terrizzi () and Yang Wang ()
Additional contact information
Sabrina Terrizzi: Moravian College
Yang Wang: University of Wisconsin-Madison

No 10917, IZA Discussion Papers from Institute of Labor Economics (IZA)

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.

Keywords: health care; knee and hip replacement; certificate of need; cost; quality (search for similar items in EconPapers)
JEL-codes: I10 I18 (search for similar items in EconPapers)
Pages: 34 pages
Date: 2017-07
New Economics Papers: this item is included in nep-hea and nep-ias
References: View references in EconPapers View complete reference list from CitEc
Citations:

Published - published as 'Taking the CON out of Pennsylvania: Did hip/knee replacement patients benefit? A retrospective analysis' in: Health Policy and Technology, 2019, 8 (4), 349 - 355

Downloads: (external link)
https://docs.iza.org/dp10917.pdf (application/pdf)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:iza:izadps:dp10917

Ordering information: This working paper can be ordered from
IZA, Margard Ody, P.O. Box 7240, D-53072 Bonn, Germany

Access Statistics for this paper

More papers in IZA Discussion Papers from Institute of Labor Economics (IZA) IZA, P.O. Box 7240, D-53072 Bonn, Germany. Contact information at EDIRC.
Bibliographic data for series maintained by Holger Hinte ().