Comments on: Certificate of Need Laws and Cardiac Surgery http://healthcare-economist.com/2009/10/04/certificate-of-need-laws-and-cardiac-surgery/ Thu, 09 Feb 2012 08:10:30 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Health Care Degrees Programs http://healthcare-economist.com/2009/10/04/certificate-of-need-laws-and-cardiac-surgery/comment-page-1/#comment-4918 Health Care Degrees Programs Wed, 14 Oct 2009 09:50:42 +0000 http://healthcare-economist.com/?p=2952#comment-4918 Hi, nice post. Thanks for your post on topic - Healthcare Economist. I always like such type of informative post and look forward to read more article from you in future. Hi, nice post. Thanks for your post on topic – Healthcare Economist. I always like such type of informative post and look forward to read more article from you in future.

]]> By: Jason Shafrin http://healthcare-economist.com/2009/10/04/certificate-of-need-laws-and-cardiac-surgery/comment-page-1/#comment-4861 Jason Shafrin Mon, 05 Oct 2009 17:34:44 +0000 http://healthcare-economist.com/?p=2952#comment-4861 The "plagued with supplier-induced demand" was my own editorial and not that of the study authors. The authors state that the repeal of CON laws SHIFTED CABG surgeries from incumbents to new entrants and from low-quality to high quality sites (on average). However, this efficiency gain was somewhat offset by the large fixed costs to establish a CABG center of care. The “plagued with supplier-induced demand” was my own editorial and not that of the study authors. The authors state that the repeal of CON laws SHIFTED CABG surgeries from incumbents to new entrants and from low-quality to high quality sites (on average). However, this efficiency gain was somewhat offset by the large fixed costs to establish a CABG center of care.

]]> By: Robert James Cimasi http://healthcare-economist.com/2009/10/04/certificate-of-need-laws-and-cardiac-surgery/comment-page-1/#comment-4859 Robert James Cimasi Mon, 05 Oct 2009 11:59:21 +0000 http://healthcare-economist.com/?p=2952#comment-4859 "In general, prohibiting entry into a market would seem to be welfare destroying. In a health care system plagued with supplier-induced demand, however, this need not be the case.....However, in a world with Medicare fee-for-service–and Medicare pays for 54% of all CABG procedures–CON laws may be a necessary evil to stem the tide of rising healthcare costs." Perhaps I missed it. Did the working paper establish the existence and degree of "supplier-induced demand" for CABG surgeries? Or was this just a surmise, based on the acceptance of "conventional wisdom"? Respectfully, Bob Robert James Cimasi, MHA, ASA, CBA, AVA, CM&AA President HEALTH CAPITAL CONSULTANTS, LLC 1143 Olivette Executive Parkway St. Louis, MO 63132-3205 “In general, prohibiting entry into a market would seem to be welfare destroying. In a health care system plagued with supplier-induced demand, however, this need not be the case…..However, in a world with Medicare fee-for-service–and Medicare pays for 54% of all CABG procedures–CON laws may be a necessary evil to stem the tide of rising healthcare costs.”

Perhaps I missed it. Did the working paper establish the existence and degree of “supplier-induced demand” for CABG surgeries? Or was this just a surmise, based on the acceptance of “conventional wisdom”?

Respectfully,

Bob

Robert James Cimasi, MHA, ASA, CBA, AVA, CM&AA
President
HEALTH CAPITAL CONSULTANTS, LLC
1143 Olivette Executive Parkway
St. Louis, MO 63132-3205

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