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AAEM Podcasts: Emergency Physician Advocates

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2 papers 0 to 25 followers Articles discussed (past and future) for the Policy Prescriptions edition of the AAEM Emergency Physicians Advocates podcast
Laura N Medford-Davis, Vidya Eswaran, Rohan M Shah, Cedric Dark
This review synthesizes the existing literature to provide evidence-based predictions for the future of emergency care in the United States as a result of the Patient Protection and Affordable Care Act, with a focus on emergency department (ED) visit volume, acuity, and reimbursement. Patient behavior will likely be quite different for patients gaining Medicaid than for those gaining private insurance through the Marketplaces. Despite the threat of the individual mandate, not all uninsured patients will enroll, and those who choose to enroll will likely be a different population from those who remain uninsured...
November 2015: Annals of Emergency Medicine
Charles Liu, Tanja Srebotnjak, Renee Y Hsia
Between 1996 and 2009 the annual number of emergency department (ED) visits in the United States increased by 51 percent while the number of EDs nationwide decreased by 6 percent, which placed unprecedented strain on the nation's EDs. To investigate the effects of an ED's closing on surrounding communities, we identified all ED closures in California during the period 1999-2010 and examined their association with inpatient mortality rates at nearby hospitals. We found that one-quarter of hospital admissions in this period occurred near an ED closure and that these admissions had 5 percent higher odds of inpatient mortality than admissions not occurring near a closure...
August 2014: Health Affairs
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