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The Impact of the Evolving Health Care System on Pediatric Emergency Care

Lalit Bajaj1

  • 1Clinical Effectiveness, University of Colorado School of Medicine, Children's Hospital Colorado, 13123 East 16th Avenue B400, Aurora, CO 80045, USA.

Pediatric Clinics of North America
|November 18, 2018
PubMed

Insights

Health care reform impacts pediatric emergency departments (EDs) by changing insurance coverage and patient costs. New payment models present challenges and opportunities for pediatric EDs navigating these reforms.

Area of Science:

  • Health Policy
  • Pediatric Emergency Medicine
  • Health Economics

Background:

  • Healthcare costs and outcomes in the US are compared to other developed nations.
  • The Affordable Care Act and insurance expansion have influenced healthcare access.
  • Increasing patient financial responsibility affects healthcare utilization patterns.

Purpose of the Study:

  • To analyze the implications of healthcare reform on pediatric emergency departments (EDs).
  • To examine the impact of evolving payment mechanisms and accountable care organizations on pediatric EDs.

Main Methods:

  • Literature review and policy analysis.
  • Comparative analysis of healthcare systems.
  • Discussion of emerging trends in healthcare payment and delivery.

Main Results:

  • Insurance expansion under the ACA has altered pediatric ED usage.
  • Growing patient financial responsibility influences ED visits.
  • Development of pediatric accountable care organizations introduces new payment strategies.

Conclusions:

  • Pediatric EDs face challenges adapting to new payment models and healthcare reform.
  • Understanding these shifts is crucial for the future of pediatric emergency care.
  • Policy changes necessitate strategic adjustments within pediatric ED operations.

Keywords:
Accountable care organizationsAffordable Care ActHealth care reformHigh-deductible health plansPediatric emergency medicineValue-based care

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