Emergency Department Editorial| Volume 20, ISSUE 8, P927-928, August 2019

Increasing the Value of Emergency Visits for Long-term Care Patients: When Less is More and More is More

      Current models for reimbursement for healthcare in the United States (US) are a patchwork quilt, with some regions remaining largely in the fee-for-service paradigm whereas others have a significant proportion or even a majority of patients in alternative payment models broadly described as value-based care. But regardless of where one resides within the US, the trajectory is clear—there is a movement from fee-for service to value-based care. This change will have profound consequences for all patients, including patients in long-term care. One of the care settings that has the greatest potential for evolution under these payment models is emergency care. When emergency departments (EDs) are seen by insurers and healthcare systems as cost centers rather than profit centers, the essential question of interest to long-term care patients, payers, and the readers of this journal will be “What is the value of emergency care for individuals residing in long-term care?”
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