Expanded health insurance coverage for poor people may place a bigger burden on hospital emergency rooms--
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The study’s authors report that in 2008, Oregon initiated a limited expansion of a Medicaid program for uninsured, low-income adults, drawing names from a waiting list by lottery. According to the report, “This lottery created a rare opportunity to study the effects of Medicaid coverage using a randomized controlled design. Using the randomization provided by the lottery and emergency-department records from Portland-area hospitals, we study the emergency-department use of about 25,000 lottery participants over approximately 18 months after the lottery. “We find that Medicaid coverage significantly increases overall emergency use by 0.41 visits per person, or 40 percent relative to an average of 1.02 visits per person in the control group. We find increases in emergency-department visits across a broad range of types of visits, conditions, and subgroups, including increases in visits for conditions that may be most readily treatable in primary care settings.” The
New York Times reports that the study contradicts what President Obama said during a town hall meeting in Albuquerque in 2009..." source:
ACA may increase emergency room use - South Florida Business Journal
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