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Related Experiment Videos

Regulating the bed supply in nursing homes

J Feder, W Scanlon

    The Milbank Memorial Fund Quarterly. Health and Society
    |January 1, 1980
    PubMed
    Summary
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    Certificate of Need (CON) regulations for nursing homes, intended to control costs, may unfairly limit access for patients needing care. Reforming eligibility, quality, and reimbursement policies is crucial for equitable healthcare resource allocation.

    Area of Science:

    • Health Services Research
    • Healthcare Policy
    • Economics

    Background:

    • Federal and state regulations aim to control healthcare capital expenditures and ensure resource allocation.
    • Nursing home bed limitations, often through Certificate of Need (CON) laws, are a key regulatory tool.

    Purpose of the Study:

    • To evaluate the impact of Certificate of Need (CON) regulations on nursing home resource allocation and patient access.
    • To identify potential inequities in healthcare access caused by current regulatory frameworks.

    Main Methods:

    • Analysis of data from eight states examining Certificate of Need (CON) regulations.
    • Review of eligibility standards, quality control measures, and reimbursement policies (Medicaid, rate-setting).

    Main Results:

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    • Limiting nursing home beds via CON, without addressing other policy areas, disproportionately affects patients with the greatest medical needs.
    • Conflicting standards in eligibility, quality control, and reimbursement exacerbate access issues.

    Conclusions:

    • Certificate of Need (CON) regulations require significant refinement to avoid discriminating against vulnerable patient populations.
    • Alternative strategies are needed to achieve economy, equity, and efficiency in nursing home care provision.