Logo image
Association Between States' Certificate of Need Laws and Home Health Care Access in the US
Journal article   Peer reviewed

Association Between States' Certificate of Need Laws and Home Health Care Access in the US

M Muska Nataliansyah, Marcia M Ward and Xi Zhu
Journal of applied gerontology, Vol.43(6), pp.670-677
06/2024
DOI: 10.1177/07334648231218079
PMID: 38091503

View Online

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.
disparities access home care quantitative methods policy

Details

Metrics

Logo image