Author Interviews, Cost of Health Care, Emergency Care / 06.11.2013
Emergency Room Reimbursements: Potential Mixed Impact of ACA
MedicalResearch.com Interview with:
Jessica E. Galarraga, MD, MPH
Resident Physician
Department of Emergency Medicine
George Washington University Hospital
2120 L. St. N.W. Suite 475
Washington D.C.
MedicalResearch.com: What are the main findings of the study?
Dr. Galarraga: This study examined how emergency department (ED) reimbursements for outpatient visits may be impacted by the insurance coverage expansion of the Patient Protection and Affordable Care Act as newly eligible patients gain coverage either through the Medicaid expansion or through health insurance exchanges. We conducted our analyses using the Medical Expenditure Panel Survey, a nationally representative survey managed by the Agency for Healthcare Research and Quality. We found that ED reimbursements for outpatient encounters by the previously uninsured who gain Medicaid insurance may increase by 17 percent and moving Medicaid-expansion ineligible patients to the private insurance market through insurance exchanges may increase reimbursements as high as 39 percent after the act is implemented.
(more…)