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Spring 2020

ISSN 0890-913X

Volume 35, Number 1

The Impact of Certificate of Need Laws on Emergency Department Wait Times

Molly S. Myers, Creighton University

Kathleen M. Sheehan, Creighton University

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TheJournalofPrivateEnterprise35(1),2020,59–75TheImpactofCertificateofNeedLawsonEmergencyDepartmentWaitTimesMollyS.Myers∗CreightonUniversityKathleenM.SheehanCreightonUniversity______________________________________________________AbstractCertificateofneed(CON)lawsrestrictthesupplyofmedicalservices,fromnursinghomebedstothenumberofdialysismachinesperhospital.Theserestrictionshavethepotentialtolowerthestandardofcarepeoplereceive.ThispaperempiricallyinvestigateshowCONlawsaffectemergencydepartmentwaittimesandfindsthatCONlawshaveastatisticallysignificantimpactonincreasingthemedianwaittimeformedicalexamination,painmedicationadministration,hospitaladmittance,andhospitaldischarge.ThesefindingssupporttheideathatmovementtowardafreermarketforhealthcareservicesthroughareductioninCONlawscouldimprovepatientoutcomes.______________________________________________________JELCodes:I11,I18,D04Keywords:certificateofneed,regulation,healthcaremarketsI.IntroductionCertificateofNeed(CON)lawshavebeenrelevantinhealthcareandAmericanpoliticssincetheirnationalimplementationin1979.Theselaws’statedgoalistodecreasehealthcarespendingbyrequiringprospectivehealthcarefirmstopetitionforproofthatsubstantiveneedforafacilityexistswherethefacilityintendstoenter.UnderCONlaws,prospectivefirmsfacearigorousapprovalprocesstoenterthemarket,resultinginareducedsupplyoffacilitiesand,consequently,adecreaseinthehealthcaresupplied.TheCONlawregulationreducestheamountofhealthcareavailable.Lawmakersbelievedthatreducinghealthcaresupplywouldreduceextraneousspendingforhospitals,decreasinghealthcare∗WethanktheparticipantsinCreightonUniversity’sInstituteforEconomicInquiryResearchFellowsprogramforvaluablecomments.

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Metadata [hide]

Title	The Impact of Certificate of Need Laws on Emergency Department Wait Times
Authors/Creators:	Molly S. Myers, Creighton University Kathleen M. Sheehan, Creighton University
Year:	2020
Volume:	35
Number:	1
Pages:	59 - 75
Publisher:	The Association of Private Enterprise Education
ISSN:	0890-913X
Document Type:	Articles
Keywords:	certificate of need, regulation, health care markets

Citation:
Myers, Molly S.; Sheehan, Kathleen M. / 2020. "The Impact of Certificate of Need Laws on Emergency Department Wait Times." The Journal of Private Enterprise, 35(1): 59-75.