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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© 2019 Published by Elsevier Inc. on behalf of AMDA - The Society for Post-Acute and Long-Term Care Medicine.
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