Cover: Emergency Departments, Medicaid Costs, and Access to Primary Care — Understanding the Link

Emergency Departments, Medicaid Costs, and Access to Primary Care — Understanding the Link

Published in: The New England Journal of Medicine, v. 366, no. 23, June 2012, p. 2141-2143

by Arthur L. Kellermann, Robin M. Weinick

Read More

Access further information on this document at Massachusetts Medical Society

This article was published outside of RAND. The full text of the article can be found at the link above.

Abstract

Attempts by states to save money by seeking to lock Medicaid enrollees out of the emergency department are likely to backfire. We take the recent example of Washington state, where a proposed change in reimbursements for emergency department care for patients covered under Medicaid would have paved the way to retroactive denials—a very troubling policy that could stick the poorest patients with bills they cannot afford to pay. We argue that a better solution is to reverse what for many years has been a trend of shrinking access to primary care for Medicaid beneficiaries.

Research conducted by

This report is part of the RAND Corporation external publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.