Patterns of Care in Michigan Emergency Departments as Insurance Coverage Expands | Zendy

Fatema Mamou | Zendy; Matthew Davis | Zendy; Jim Collins | Zendy; Jay Fiedler | Zendy; Tiffany Henderson | Zendy; Kiera Wickliffe Berger | Zendy

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Patterns of Care in Michigan Emergency Departments as Insurance Coverage Expands

Author(s) -

Fatema Mamou,

Matthew Davis,

Jim Collins,

Jay Fiedler,

Tiffany Henderson,

Kiera Wickliffe Berger

Publication year - 2015

Publication title -

online journal of public health informatics

Language(s) - English

Resource type - Journals

ISSN - 1947-2579

DOI - 10.5210/ojphi.v7i1.5703

Subject(s) - emergency department , health insurance , primary care , health care , medicine , environmental health , business , health plan , medical emergency , family medicine , nursing , economic growth , economics

Using the Michigan Syndromic Surveillance System changes in emergency department (ED) volume are being monitored as health insurance coverage expands through the Healthy Michigan Plan (HMP), which provides healthcare coverage to low-income adults. Seasonally adjusted monthly ED visits prior to and after the HMP implementation on April 1, 2014 are being compared. Preliminary data show increasing trends in ED utilization among populations with previously low levels of health insurance coverage. Increased health insurance coverage may expand healthcare service options beyond EDs. Alternatively, the demand for primary care services may exceed the level of access leading to increased ED utilization for primary care.

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