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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