TY  - RPRT
        AU  - Averett, Susan L.
AU  - Terrizzi, Sabrina
AU  - Wang, Yang
        TI  - Taking the CON out of Pennsylvania: Did Hip and Knee Replacement Patients Benefit?
        PY  - 2017/Jul/
        PB  - Institute of Labor Economics (IZA)
        CY  - Bonn
        T2  - IZA Discussion Paper
        IS  - 10917
        UR  - https://www.iza.org/publications/dp10917
        AB  - 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.
        KW  - health care
KW  - knee and hip replacement
KW  - certificate of need
KW  - cost
KW  - quality
        ER  -