State Medicaid Programs Tear Holes in the Emergency Care Safety Net
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State governments have fallen into deep budget deficit holes, as we all know, and state legislators and policy makers are casting about for ways to dig themselves out. Many are climbing over the backs of those least able to fend … Continue reading

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Medicaid Managed Care Does Not Provide Better Access than FFS Medicaid for Non-emergency Care
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The folks who run Medicaid Managed Care Plans often gripe about their enrollees using emergency departments for non-emergency care. And of course, they do, and probably more so than commercially insured enrollees. Most state and federal government regulators and legislators … Continue reading

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Much Ado About Very Little – the Deferral of ED Care Boondoggle
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Boondoggle – a scheme that wastes time and money. Perhaps this is not the best way to describe the many efforts that are being made to try to keep patients with non-urgent problems from using the emergency department, but from … Continue reading

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Participation by Emergency Physicians in Compensation Driven Cost Containment Strategies
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It strikes me that in developing payment reform related, compensation driven cost-containment strategies aimed at constraining the cost of emergency care, policy makers, emergency physicians, and health insurers should adhere to certain principles. ACEP should be at the forefront when … Continue reading

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Attribution and Emergency Medicine, a Payment Reform Conundrum
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Several years ago, the medical director of the emergency department I was working in at the time decided to take a closer look at productivity amongst our physician and PA staff. In order to ensure that data on patients seen … Continue reading

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