The Patient Protection and Affordable Care Act’s Effect on Emergency Medicine: A Synthesis of the Data

摘要: This review synthesizes the existing literature to provide evidence-based predictions for future of emergency care in United States as a result Patient Protection and Affordable Care Act, with focus on department (ED) visit volume, acuity, reimbursement. behavior will likely be quite different patients gaining Medicaid than those private insurance through Marketplaces. Despite threat individual mandate, not all uninsured enroll, who choose enroll population from remain uninsured. New enrollees sicker increase their number ED visits substantially. Their acuity higher at first but then revert traditionally high low-acuity made by patients. Most enrolling Marketplace are choosing high-deductible health plans, they initially avoid because out-of-pocket costs may present later after self-rationing care. coverage Act shifting either or insurance, both which reimburse more self-pay, so collections should increase. Because differences between there difference financial outcomes, depending states' current demographics, whether states expand Medicaid, how aggressively advertise new options state