ACEP: Emergency care benefits with health insurance exchange

ACEP: emergency care benefits with health insurance exchange

(HealthDay)—Use of a health insurance exchange (HIE) can reduce costs of care and improve quality of care in an emergency setting, according to a study presented at the annual meeting of the American College of Emergency Physicians, held from Oct. 14 to 17 in Seattle.

Steven H. Saef, M.D., from the Medical University of South Carolina in Charleston, and colleagues estimated the impact of an HIE on emergency department care in four major hospital systems. Emergency department clinicians from 11 emergency departments were surveyed to examine whether information obtained from an HIE avoided resource use while caring for patients.

During the 12-month study period, there were 325,740 patient encounters and 7,525 logons to the HIE by 231 physicians. Based on 532 surveys, the researchers found that various services and charges were avoided, including laboratory/microbiology, radiology, consultations, and hospital admissions. The total charges avoided were $1,035,654, representing an average of $1,947 per patient. About one-third of participants (32.2 percent) reported changes in management other than avoidance of service. For most patients (89 percent) with information in the HIE, the quality of care was improved, and 82 percent reported that time was saved (mean, 105 minutes).

"As physicians, we are dedicated to improving care for our patients and also to reducing . This study shows we can do both," Saef said in a statement.

More information: Abstract (subscription or payment may be required)
More Information

add to favorites email to friend print save as pdf

Related Stories

Most unscheduled hospital admissions now come through the ER

Jun 20, 2013

More than three-quarters (81.8 percent) of unscheduled admissions to the hospital now come through the emergency department, which is a sharp increase from the previous decade when only 64.5 percent of unscheduled admissions ...

Recommended for you

What doctors say to LGBT teens matters

21 minutes ago

When doctors speak to teens about sex and LGBT issues, only about 3 percent of them are doing so in a way that encourages LGBT teens to discuss their sexuality, and Purdue University researchers say other doctors can learn ...

Even without kids, couples eat frequent family meals

2 hours ago

Couples and other adult family members living without minors in the house are just as likely as adults living with young children or adolescents to eat family meals at home on most days of the week, new research suggests.

Health law enrollment now 7.3M

16 hours ago

The Obama administration says 7.3 million people have signed up for subsidized private health insurance under the health care law—down from 8 million reported earlier this year.

ASTRO issues second list of 'Choosing wisely' guidelines

16 hours ago

(HealthDay)—The American Society for Radiation Oncology (ASTRO) has released a second list of five radiation oncology-specific treatments that should be discussed before being prescribed, as part of the ...

User comments