Navigation Links
GW researchers examine increased ER reimbursements after ACA insurance coverage expansions
Date:10/28/2013

WASHINGTON (Oct. 28, 2013) Researchers at the George Washington University School of Medicine and Health Sciences (SMHS) found that outpatient emergency department encounters could reimburse considerably more after implementation of the insurance coverage expansions of the Affordable Care Act (ACA).

The study, published in Annals of Emergency Medicine, examined data from 2005-2010 from the Medical Expenditure Panel Survey, a publicly available dataset from the Agency for Healthcare Research and Quality. Co-authors Jesse M. Pines, M.D.,M.B.A, director of the Office for Clinical Practice Innovation and professor of emergency medicine and health policy, and Jessica Galarraga, M.D., M.P.H., a third-year emergency medicine resident, both at SMHS, looked at how emergency department reimbursements may be impacted as uninsured patients gain new coverage through the Medicaid expansion or health insurance exchanges. Assuming historical reimbursement patterns prevail after the ACA implementation, they found that outpatient emergency department encounters could reimburse more for both previously uninsured patients who will obtain Medicaid insurance and for those who move into private insurance products through health insurance exchanges.

"The motivation for this project was to estimate how reimbursement patterns may change with the upcoming insurance expansion under the Affordable Care Act and to provide insight on its implications on the economic health of emergency departments after health reform," said Galarraga.

The authors estimated the amount of money that emergency departments might have collected for uninsured patients, had they possessed the insurance they will likely obtain post-reform for encounters where the patient is not admitted to the hospital. For the uninsured who will be eligible for Medicaid insurance, reimbursement would have been 17 percent higher on average per visit if they actually had Medicaid insurance. For uninsured patients who will be Medicaid-ineligible (i.e. those who will be expected to obtain insurance on the private market or through health insurance exchanges after reform is implemented), reimbursement would have been 39 percent higher per visit if they had private insurance.

According to Pines, whether the changes that come along with the ACA will impact the financial health of emergency departments and hospitals is the critical question everyone is asking. "Our study sheds some light on this by showing that payments may actually increase for outpatient emergency department visits. Yet, there are still many unanswered questions, such as how visit volumes will change, and how new payment models that move away from paying for every visit, might impact the business model of emergency departments," said Pines.


'/>"/>

Contact: Lisa Anderson
lisama2@gwu.edu
202-994-3121
George Washington University
Source:Eurekalert

Related medicine news :

1. U of M researchers identify key proteins influencing major immune strategies
2. Researchers detail possible resistance mechanisms of colorectal cancer to bevacizumab (Avastin)
3. Carnegie Mellon and University at Buffalo researchers improving transit for people with disabilities
4. Researchers discover a new protein fold with a transport tunnel
5. Mount Sinai Researchers Identify Mechanisms and Potential Biomarkers of Tumor Cell Dormancy
6. Study by researchers at Saarland University demonstrates preventive effect of sterols in Alzheimers
7. Neurotoxin effectively relieves bone cancer pain in dogs, Penn researchers find
8. Mount Sinai Researchers Find Value -- and Limitations -- of Patient Assistance Programs for Women with Breast Cancer
9. Researchers propose social network modeling to fight hospital infections
10. BUSM researchers make a case for free fatty acids
11. Researchers launch first-ever phase II safety study of rectal microbicide to prevent HIV
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:1/19/2017)... IL (PRWEB) , ... January 19, 2017 , ... ... N.A., announced it recently provided a new $11,250,000 senior credit facility to Sunrise, ... new MB credit facility were used to facilitate a recapitalization of MedPro led ...
(Date:1/19/2017)... Huntington Beach, CA (PRWEB) , ... January 19, ... ... for Oral Health, is now offering treatments for patients with sleep apnea and ... far-reaching consequences for dental and physical health. Dr. Rassouli provides personalized care to ...
(Date:1/19/2017)... , ... January 19, 2017 , ... Sam & Associates ... to commercial and residential clients in the California Bay Area, is launching a charity ... in the region. , Heart disease is the primary killer of adult men and ...
(Date:1/19/2017)... ... ... St. Catherine’s Village announced that a limited number of rooms have become available ... grounds of the St. Catherine’s Village campus in Madison, Mississippi that accommodates 120 residents ... Mississippi for the second year in a row by readers of the Clarion-Ledger. , ...
(Date:1/19/2017)... ... January 18, 2017 , ... The CHP suggests that California ... rain storm by slowing down and increasing the space between themselves and other vehicles, ... based car accident attorney Raymond R. Hassanlou notes that, rain or shine, drivers should ...
Breaking Medicine News(10 mins):
(Date:1/19/2017)... January 19, 2017 The global  pacemaker market  is expected ... Grand View Research, Inc. The heightening prevalence of cardiac conditions coupled with the ... Pacemaker globally. In addition, technological enhancements in these devices are supporting the expansion ... ... Grand View Research Logo ...
(Date:1/19/2017)... , Jan. 18, 2017   Synthetic Biologics, ... company developing therapeutics designed to preserve the microbiome ... today confirmed plans to initiate a Phase 2b/3 ... reformulation of lovastatin lactone designed to reduce methane ... in the gut to treat the underlying cause ...
(Date:1/18/2017)... -- Aprima Medical Software, a leading provider of innovative ... revenue cycle management (RCM) solutions for medical practices, ... Healthcare Data Solutions (HDS) of Coral Cables, FL. ... full support for HDS,s customers, which include approximately ... states. Financial terms were not disclosed. ...
Breaking Medicine Technology: