Costs of ED episodes of care in the United States

The American Journal of Emergency Medicine
Jessica E Galarraga, Jesse M Pines

Abstract

Emergency department (ED) care is a focus of cost reduction efforts. Costs for acute care originating in the ED, including outpatient and inpatient encounters (i.e. ED episodes), have not been estimated. We estimate total US costs of ED episodes, potentially avoidable costs, and proportional costs of national health expenditures (NHEs). We conducted a secondary analysis of 2010 data from the Medical Expenditure Panel Survey, National Hospital Ambulatory Medical Care Survey, and the Healthcare Cost and Utilization Project's Nationwide Inpatient Sample. Outpatient ED encounters were categorized based on the New York University algorithm and admissions by ambulatory care-sensitive condition (ACSC) vs non-ACSC. Potentially avoidable encounters were nonemergent ED visits and ACSC hospital admissions. Using the Medical Expenditure Panel Survey, we determined mean per-visit payments for each visit type. Using the National Hospital Ambulatory Medical Care Survey and Nationwide Inpatient Sample, we estimated aggregate expenditures and proportional costs of NHE by visit category. Emergency department episodes of care accounted for $328.1 billion in payments in 2010. This represented 12.5% of NHE; ED admissions were 8.3% and outpatient ED...Continue Reading

References

Apr 17, 1991·JAMA : the Journal of the American Medical Association·R A CaplanF W Cheney
Jan 1, 1994·American Indian and Alaska Native Mental Health Research : the Journal of the National Center·L WrightA J Harned
Apr 28, 2005·Annals of Emergency Medicine·Anil BamezaiAmar Nawathe
Nov 14, 2006·Medical Care Research and Review : MCRR·Zahid AnsariSarah B Laditka
Mar 16, 2007·JAMA : the Journal of the American Medical Association·J Frank WharamDennis Ross-Degnan
Jul 3, 2007·American Indian and Alaska Native Mental Health Research : the Journal of the National Center·Dorothy A Rhoades
Jul 10, 2007·Journal of the American College of Surgeons·UNKNOWN American College Of Radiology
Feb 29, 2008·Health Care Analysis : HCA : Journal of Health Philosophy and Policy·Daniel Simonet
Jul 12, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Robert A Lowe, Rongwei Fu
Aug 12, 2008·Clinics in Dermatology·Pierfrancesco Morganti, Gianluca Morganti
Aug 19, 2009·Health Services Research·Glen P Mays, Sharla A Smith
Jan 16, 2010·Annals of Emergency Medicine·Pamela L OwensRyan L Mutter
Sep 10, 2010·The American Journal of Emergency Medicine·Anne-Claire DurandRoland Sambuc
Feb 22, 2011·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·UNKNOWN U.S. Department of Health and Human Services
Jun 17, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jeremiah D SchuurBrent R Asplin
Jan 1, 2008·Journal of Pain & Palliative Care Pharmacotherapy· National Quality Measures Clearinghouse, Agency For Healthcare Research And Quality
Jan 1, 2010·ClinicoEconomics and Outcomes Research : CEOR·Jim E BantaAbdullah Sherzai
Jul 17, 2012·Annals of Emergency Medicine·Peter B SmulowitzBruce E Landon
Jan 9, 2013·Medical Care Research and Review : MCRR·Jesse M PinesMark S Zocchi
Feb 19, 2013·Annals of Emergency Medicine·Jameel AbualenainJesse M Pines
Apr 30, 2013·Annals of Emergency Medicine·Michael H LeeBrian J Zink
Jun 26, 2013·JAMA : the Journal of the American Medical Association·Karen E JoyntAshish K Jha
Oct 17, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Sofie Rahman MorganJesse M Pines
Oct 29, 2013·Annals of Emergency Medicine·Andrew Sama
Aug 13, 2014·Pediatrics·Florence T BourgeoisMark I Neuman
Feb 3, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jessica E GalarragaJesse M Pines

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Citations

Sep 20, 2016·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jillian K GorskiBrian W Patterson
Feb 7, 2017·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Michelle P LinJeremiah D Schuur
Jan 31, 2018·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jesse M PinesBernard S Black
Nov 9, 2017·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Brendan P LovasikRachel E Patzer
Mar 11, 2018·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Christopher W BaughJesse M Pines
Dec 6, 2017·International Journal of Emergency Medicine·Chris DelcherElizabeth Shenkman
Jul 19, 2018·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Michael A PuskarichPhillip D Levy
Jan 26, 2017·Clinical Journal of the American Society of Nephrology : CJASN·Rachel E PatzerStephen O Pastan
Jan 11, 2019·Clinical Spine Surgery : a Spine Publication·Nikhil JainSafdar N Khan
May 3, 2019·Journal of Evaluation in Clinical Practice·Theodoros V GiannouchosRobert L Ohsfeldt
Nov 7, 2019·Sexually Transmitted Diseases·Eleanor Peters BergquistHilary Reno
Dec 13, 2019·Journal of General Internal Medicine·Hiroshi GotandaYusuke Tsugawa
Aug 18, 2020·Surgical Endoscopy·Derek D BerglundAnthony Petrick
Aug 1, 2020·Medical Care·Sebastian A Alvarez AvendañoGabriel Zayas-Cabán
Jun 23, 2018·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jessica E GalarragaJesse M Pines
Jul 14, 2019·BMC Medical Informatics and Decision Making·Chengliang YangSanjay Ranka
Jul 28, 2020·Journal of Community Health·Iad AlhallakMelissa Clark
May 3, 2020·Advanced Emergency Nursing Journal·Darcia Green, Jennifer Ruel
Oct 30, 2020·PloS One·Mohammad Usama ToseefWassim Tarraf
Jan 27, 2017·World Journal of Emergency Medicine·Stefanie K GilbertJesse M Pines
Jan 7, 2021·The American Journal of Emergency Medicine·Jessica E GalarragaJesse M Pines
Feb 1, 2021·Healthcare : the Journal of Delivery Science and Innovation·Krisda H ChaiyachatiDavid A Asch
Jun 2, 2020·Patient Education and Counseling·Heather P WhitleyJason M Parton
Nov 18, 2019·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Brendan P LovasikDavid A Kooby
Jun 20, 2021·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Alessandro ParoTimothy M Pawlik
Oct 28, 2021·PloS One·Kirstin Woody ScottJoseph L Dieleman
Nov 30, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Christian A PeanKenneth A Egol
Dec 1, 2016·Neurology. Clinical Practice·Jamie L AdamsE Ray Dorsey

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