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Effectiveness of certificate of need policy at controlling utilization and healthcare expenditures in an unhealthy and rural population: a case study for the state of Kentucky

Smith, Karalyn (2014) Effectiveness of certificate of need policy at controlling utilization and healthcare expenditures in an unhealthy and rural population: a case study for the state of Kentucky. Master Essay, University of Pittsburgh.

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Abstract

Controlling healthcare spending and utilization is of significant importance in today’s healthcare industry and has public health relevance as the country moves from a system aimed at treating the sick to a system of population health. This goal is only achieved through effective healthcare policy that aligns the needs of a population with the reality of today’s healthcare system. Without proper federal and state healthcare policy that can effectively control utilization and thus healthcare spending, our nation faces both budgetary and public health risks, especially in existing unhealthy and rural populations. In order to achieve this goal, lawmakers must evaluate existing policies for effectiveness in controlling healthcare utilization. One of these policies is Certificate of Need; a policy that gained momentum in the 1970’s and aims to controls the supply of various healthcare facilities. This essay with examine the effectiveness of Certificate of Need policy in controlling healthcare utilization and spending in an unhealthy and rural population by using the Commonwealth of Kentucky as a case study. I conclude with suggesting alternative methods to Certificate of Need that focus on a health systems approach through utilizing and incentivizing outpatient services.


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Details

Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Smith, Karalyn
Contributors:
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairCastle, Nicholascastlen@pitt.eduCASTLENUNSPECIFIED
Committee Co-ChairSalguero, Ottoots1@pitt.eduOTS1UNSPECIFIED
Date: April 2014
Date Type: Publication
Defense Date: 2014
Submission Date: 7 April 2014
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Publisher: University of Pittsburgh
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Health Policy & Management
Degree: MHA - Master of Health Administration
Thesis Type: Master Essay
Refereed: Yes
Uncontrolled Keywords: Certificate, of, Need
Date Deposited: 22 May 2015 17:54
Last Modified: 31 Jul 2020 19:06
URI: http://d-scholarship.pitt.edu/id/eprint/21077

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