Navigation Links
Medicaid beneficiaries use emergency services due to lack of alternatives

AURORA, Colo. (Dec. 30, 2013) A study from the University of Colorado School of Medicine shows patients with Medicaid insurance seeking care in an emergency department may be driven by lack of alternatives instead of the severity of their illness. The study is published in the Journal of General Internal Medicine (JGIM).

Researchers, led by Roberta Capp, MD, used the 2011 National Health Interview Survey (NHIS) to study 4,606 patients and their reasons for seeking emergency care. Researchers classified the patient's reasons into two categories - those who used the emergency department because they felt they needed to get immediate medical care and those who used the emergency department because they had trouble accessing care elsewhere.

They found:

  • Relative to those with private insurance, adults with Medicaid and Medicare were similarly likely to seek emergency care due to an acuity issue.
  • Adults with Medicaid and those with Medicaid and Medicare (i.e., dual eligible) were more likely than those with private insurance to seek emergency care because of access issues.
  • Reasons for seeking care in an emergency department by health insurance type may be driven more by lack of access to alternate care, rather than by differences in patient-perceived acuity for patients covered by Medicaid insurance.

The study suggests policy makers should focus on increasing timely access to primary care, especially for Medicaid beneficiaries. Improved care coordination between patients and emergency providers is also necessary to reduce emergency department utilization. With the implementation of the Affordable Care Act, millions of new patients will be enrolled in Medicaid and added to an already overburdened primary care system.

"There is a misconception that patients with Medicaid insurance are more likely to use emergency rooms for a non-urgent issue when compared with those who have private insurance," said Capp. "Medicine is complex and patients, no matter what insurance they have, are not always able to determine what is urgent or not urgent."

Capp goes on to say Medicaid beneficiaries often mention the inability to get a hold of their primary care providers, get a return phone call or a same day appointment when needed


Contact: Erika Matich
University of Colorado Denver

Related medicine news :

1. Internal medicine physician specialists release policy paper on reforming Medicaid
2. Safer kidney cancer surgery under-used for poorer, sicker Medicare, Medicaid patients
3. Many Kids on Medicaid Dont See Dentist: Study
4. Feinstein Institute to Receive Grant from Centers for Medicare & Medicaid Services to Improve Schizophrenia Treatment
5. Many Medicaid Patients Skip Drugs That Could Prevent Heart Trouble
6. Expanding Access to Medicaid Would Save Lives: Study
7. Expanding Medicaid to low-income adults leads to improved health, fewer deaths
8. Poorest Americans at risk if states opt out of Medicaid expansion
9. Health Reform 2.0: Governors Pushing Back on Medicaid Expansion
10. Assessing the cost of the Affordable Care Act and expanding Medicaid
11. New analysis examines stakes for Medicaid in upcoming fiscal cliff negotiations on Capitol Hill
Post Your Comments:
(Date:10/12/2017)... ... 12, 2017 , ... First Healthcare Compliance (FHC), an industry ... a range of technology and learning solutions at the 68th Annual American Healthcare ... be held October 14–18, 2017 at the Mandalay Bay Resort in Las Vegas, ...
(Date:10/12/2017)... ... October 12, 2017 , ... The company has ... today’s consumer and regulatory authorities worldwide. From Children’s to Adults 50+, every formula ... the highest standard. , These products are also: Gluten Free, Non-GMO, Vegan, ...
(Date:10/12/2017)... ... , ... Asante, a nationally recognized health system in southern ... home health joint venture through an agreement, effective October 1, 2017, to create ... health company with Asante, delivering clinically integrated care, for the past eight years. ...
(Date:10/12/2017)... ... 12, 2017 , ... HMP , a leader in healthcare events and ... Eddie Digital Award for ‘Best B-to-B Healthcare Website.’ Winners were announced during the Eddie ... annual award competition recognizes editorial and design excellence across a range of sectors. This ...
(Date:10/12/2017)... GRAND RAPIDS, Mich. (PRWEB) , ... October 12, ... ... OnSite Wellness, has been named one of Michigan’s 2017 Best and Brightest in ... Best and Brightest in Wellness® awards program on Friday, Oct. 20 from 7:30 ...
Breaking Medicine News(10 mins):
(Date:9/28/2017)... Sept. 28, 2017 Cohen Veterans Bioscience and ... use of wearable and home sensors for real-time monitoring ... Signal Foundation, a nonprofit organization focused on disruptive health ... an affordable analytical system to record and integrate behavioral, ... ...
(Date:9/25/2017)... --  Montrium , an industry leader in powerful ... Trial Master Files & Inspection Readiness Conference ( ... Services has selected eTMF Connect to ... a leading European contract research organization (CRO), will ... enable greater collaboration with sponsors, improve compliance and ...
(Date:9/22/2017)... , Sept. 22, 2017  As the latest Obamacare ... Bill Cassidy (R-LA) and Lindsey Graham ... that the medical device industry is in an odd ... tax, the 2.3% excise tax on medical device sales ... also want covered patients, increased visits and hospital customers ...
Breaking Medicine Technology: