EDs getting ready to step into value-based payment waters
from Managed Care
The U.S. healthcare system remains very far from any utopian version of itself, and ED doctors find themselves seeing the same patients over and over, for any number of reasons: substance use or mental health issues, poorly controlled chronic illness, lack of access to primary care, or simple misunderstanding that the ED is meant for emergencies, not earaches. So emergency physicians are looking for better ways to serve frequent patients and use payment policies to support a new and different role: as stewards of patients not just during the few hours they are in the ED, but for days or weeks afterward to ensure a successful handoff to the next, most appropriate type of care.
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