Association Between States' Certificate of Need Laws and Home Health Care Access in the US. J Appl Gerontol 2024 Jun;43(6):670-677
Date
12/13/2023Pubmed ID
38091503DOI
10.1177/07334648231218079Scopus ID
2-s2.0-85179731328 (requires institutional sign-in at Scopus site)Abstract
Home health care has a significant role in the care of Medicare beneficiaries. Certificate of Need (CON) laws for home health agencies limit their number in affected states. This study's objective was to evaluate the association of CON laws with the availability and service utilization of urban and rural home health agencies in CON states and non-CON states using the generalized estimating equations (GEE) method. The results from this study indicated that CON states have fewer home health agencies for their Medicare population than non-CON states, regardless of urbanicity or rurality. Home health agencies in CON states also have less service utilization in terms of care episodes and visits per patient. This study provides an understanding of the effects of CON laws on Medicare beneficiaries' home health access and experiences.
Author List
Nataliansyah MM, Ward MM, Zhu XAuthor
Mochamad M. Nataliansyah MD, PhD Assistant Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Certificate of NeedHealth Services Accessibility
Home Care Agencies
Home Care Services
Humans
Medicare
Rural Population
United States
