No Place to Call Home — Policies to Reduce ED Use in Medicaid  

Oleh:

Friedman, Ari B. ; Saloner, Brendan ; Hsia, Renee Y.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The New England Journal of Medicine (keterangan: ada di Proquest) vol. 372 no. 25 (Jun. 2015), page 2382-2385.

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Perpustakaan FK Nomor Panggil: N08.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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One goal of Medicaid expansion under the Affordable Care Act (ACA) is to provide low-income, medically vulnerable adults with a source of care outside the emergency department (ED) and the means to pay for that care. Yet Medicaid expansion alone may not reduce ED use among new enrollees. Although some research suggests that Medicaid coverage is associated with reduced ED use, a lottery-based, controlled study from Oregon found that newly enrolled beneficiaries actually increased their ED use, at least temporarily.1 This finding is not surprising, since health insurance reduces financial barriers to being seen promptly, and the newly enrolled Medicaid population has pent-up demand for care and a high burden of chronic disease. Although the contribution of ED use to cost growth is sometimes exaggerated, it remains a substantial source of health care costs, representing at least 5 to 6% of U.S. health expenditures.2 Medicaid alone spends $23 billion to $47 billion annually on ED care,2 and some of the sickest Medicaid enrollees are seen in the ED.

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