Emergency Department Visits and Hospitalizations for the Uninsured in Illinois Before and After Affordable Care Act Insurance Expansion

@article{Sharma2016EmergencyDV,
  title={Emergency Department Visits and Hospitalizations for the Uninsured in Illinois Before and After Affordable Care Act Insurance Expansion},
  author={Aabha I Sharma and Scott M. Dresden and Emilie Powell and Raymond H. Kang and Joe M Feinglass},
  journal={Journal of Community Health},
  year={2016},
  volume={42},
  pages={591-597}
}
We describe changes in emergency department (ED) visits and the proportion of patients with hospitalizations through the ED classified as Ambulatory Care Sensitive Hospitalization (ACSH) for the uninsured before (2011–2013) and after (2014–2015) Affordable Care Act (ACA) health insurance expansion in Illinois. Hospital administrative data from 201 non-federal Illinois hospitals for patients age 18–64 were used to analyze ED visits and hospitalizations through the ED. ACSH was defined using… 
Emergency Department Use across 88 Small Areas after Affordable Care Act Implementation in Illinois
TLDR
It remains to be seen whether providing better access to primary and preventive care to the formerly uninsured will reduce ED use over time, or whether ACA insurance expansion is a part of continued, long-term growth.
Examining the Effect of the Affordable Care Act on Two Illinois Emergency Departments
TLDR
While Medicaid visits for children < 18 years declined in the post-ACA period, it increased for ages 21 to 65 years of age, and similar to other Medicaid expansion states, ED utilization for uninsured patients decreased at both the AMC and the CH in the following period.
Trends in Pediatric Emergency Department Use After the Affordable Care Act
TLDR
It is found that pediatric ED visits did not fall after the 2014 implementation of the ACA, and the rate of change from 2014 to 2016 was significantly higher than previous rate trends.
Office Visits Preventing Emergency Room Visits: Evidence from the Flint Water Switch
TLDR
It is suggested that children were more likely to receive care from the same clinic following lead tests and that establishing care reduced the likelihood parents would take their children to emergency rooms for conditions treatable in an office setting.
Association of Affordable Care Act Implementation With Ambulance Utilization for Asthma Emergencies in New York City, 2008-2018
TLDR
The findings of this study suggest that insurance expansion may lead to improved outpatient management of ambulatory care–sensitive conditions like asthma, resulting in decreased utilization of EMS.
The Affordable Care Act: policy predictors of integrated care between Hispanic-serving and mainstream mental health organizations
TLDR
Assessing whether the ACA policies related to integrated care increased the provision of integrated addictions treatment and primary care at mental health Hispanic-Serving Organizations, relative to Mainstream Organizations showed that Hispanic- Serving Organizations were less likely to provide integrated health services after the ACA.
Financial Implications of Physician Specialty Choice.
TLDR
In this study, mean Step 1 scores for each medical specialty were positively correlated with compensation, including absolute salary, hourly wage and estimated net worth at retirement.
The Effects of Medicaid Expansion under the ACA: Updated Findings from a Literature Review
TLDR
The tables below support the Kaiser Family Foundation February 2017 brief and provide additional details on the focus of and major findings from each individual Medicaid expansion study.
...
...

References

SHOWING 1-10 OF 21 REFERENCES
Trends and characteristics of US emergency department visits, 1997-2007.
TLDR
Findings indicate that ED visit rates have increased from 1997 to 2007 and that EDs are increasingly serving as the safety net for medically underserved patients, particularly adults with Medicaid.
Validation of an Algorithm for Categorizing the Severity of Hospital Emergency Department Visits
TLDR
The evidence presented supports the validity of the NYU ED visit severity algorithm for differentiating ED visits based on need for hospitalization and/or mortality risk; therefore, it can contribute to evidence-based policies aimed at reducing the use of the ED for nonemergencies.
Emergency department use in New York City: a substitute for primary care?
For the uninsured and many low-income people, hospital emergency departments (EDs) are a crucial entryway to the health care system. New York City's uninsured-27 percent of the nonelderly population
Mortality and access to care among adults after state Medicaid expansions.
TLDR
State Medicaid expansions to cover low-income adults were significantly associated with reduced mortality as well as improved coverage, access to care, and self-reported health.
Access and Quality of Care by Insurance Type for Low-Income Adults Before the Affordable Care Act.
TLDR
The results suggest that access to quality health care will improve under the Affordable Care Act's coverage expansions, regardless of the type of coverage.
Health insurance coverage : early release of estimates from the National Health Interview Survey, 2015
This report from the National Center for Health Statistics (NCHS) presents selected estimates of health insurance coverage for the civilian noninstitutionalized U.S. population based on data from the
The Emergency Medical Treatment and Active Labor Act (Emtala): What It Is and What It Means for Physicians
The Emergency Medical Treatment and Active Labor Act (EMTALA) was passed by the US Congress in 1986 as part of the Consolidated Omnibus Reconciliation Act (COBRA), much of which dealt with Medicare
The Oregon experiment--effects of Medicaid on clinical outcomes.
TLDR
This randomized, controlled study showed that Medicaid coverage generated no significant improvements in measured physical health outcomes in the first 2 years, but it did increase use of health care services, raise rates of diabetes detection and management, lower rates of depression, and reduce financial strain.
...
...