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Published on: August 9, 2024
The Affordable Care Act and emergency care
Mark McClelland1, Brent Asplin, Stephen K Epstein
1Mark McClelland is with the Office of Nursing Research and Innovation, Cleveland Clinic Health System, Cleveland, OH. Brent Asplin is with Catholic Health Partners, Cincinnati, OH. Stephen K. Epstein is with the Harvard Medical School Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA. Keith Eric Kocher is with the University of Michigan Department Of Emergency Medicine, Ann Arbor. Randy Pilgrim is with the Schumacher Group, Lafayette, LA. Jesse Pines is with the Departments of Emergency Medicine and Health Policy, George Washington University, Washington, DC. Elaine Rabin is with the Department of Emergency, Medicine Icahn School of Medicine at Mount Sinai, New York, NY. Niels Kumar Rathlev is with Tufts University School of Medicine, Baystate Medical Center, Boston.
Abstract:
The Affordable Care Act (ACA) will have far-reaching effects on the way health care is designed and delivered. Several elements of the ACA will directly affect both demand for ED care and expectations for its role in providing coordinated care. Hospitals will need to employ strategies to reduce ED crowding as the ACA expands insurance coverage. Discussions between EDs and primary care physicians about their respective roles providing acute unscheduled care would promote the goals of the ACA.
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