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Table 6 Summary of studies on effect of CON on health spending

From: Certificate of need laws: a systematic review and cost-effectiveness analysis

STUDY

YEARS

CONTROLS

KEY FINDINGS

Conover and Sloan [2]

HCFA; 1980–1998

State characteristics, State fixed effects

Dropping CON has a 0% effect on all expenditures

Lanning, Morrisey and Ohsfeldt [13]

HCFA; 1969, 1972, 1976–1982

2SLS accounts for endogeneity of CON

CON increases hospital spending 20.6%, overall spending 13.6%

Hellinger [63]

No source reported; 1985, 1990, 1995, 2000

State characteristics

CON decreases hospital beds by 10%, which in turn decreases spending by 1.8%

Rivers et al. [71]

AHA; 1999–2003

Hospital and state characteristics, state fixed effects

CON has a 0% effect on hospital spending; strict CON increases hospital spending 4.9%

Grabowski [72]

CMS; 1981–1998

State fixed effects

CON repeal increases Medicaid nursing home expenditures 0%