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Medicaid Expansion Resulted in Decreased Odds of Frequent Emergency Department Use Among Medicaid Beneficiaries and the Uninsured in New York

机译:医疗补助扩张导致Medicatod受益者和纽约的无保险的频繁急诊部门使用的可能性下降

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摘要

Frequent emergency department (ED) use has been often cited as a marker of fragmented health care provision and is an indicator of poor quality of care. The Affordable Care Act (ACA) attempted to address the rising costs related to the utilization of ED services, among others, by expanding insurance coverage, by fortifying primary care, by supporting the development of integrated health care delivery models, and by introducing alternative quality‐adjusted payment models. The objective of this study is to describe and to compare frequent ED users before and after the Medicaid expansion under the ACA and to estimate the policy’s effect on the likelihood of frequent ED utilization in New York.
机译:频繁的急诊部门(ED)使用通常被引用为分散的医疗保健提供的标志,是护理质量差的指标。经济实惠的护理法案(ACA)试图通过强化初级保健,通过支持综合医疗保健送货方式的发展,并通过推出替代品质,通过扩大保险范围,并通过支持初级保健,并通过推出替代品质来解决与ED服务的利用率相关的成本上涨。 - 调整的付款模式。本研究的目的是描述并在ACA下的医疗补助商扩张之前和之后进行比较频繁的ED用户,并估计政策对纽约频繁ED利用可能性的影响。

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