Annals of Emergency Medicine

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Presentation transcript:

Annals of Emergency Medicine Comparing Utilization and Costs of Care in Freestanding Emergency Departments, Hospital Emergency Departments, and Urgent Care Centers Vivian Ho, PhD, Leanne Metcalfe, PhD, Cedric Dark, MD, MPH, Lan Vu, BS, Ellerie Weber, PhD, George Shelton, MD, MPP, Howard R. Underwood, MD, FSA Annals of Emergency Medicine DOI: 10.1016/j.annemergmed.2016.12.006 Copyright © 2016 American College of Emergency Physicians Terms and Conditions

Figure 1 Visits by Blue Cross Blue Shield customers in Texas by provider type and year. The plotted values reflect increases of 10%, 24%, and 236% in visits between 2012 and 2015 respectively, for hospital-based emergency departments, urgent care centers and freestanding emergency departments. Annals of Emergency Medicine DOI: (10.1016/j.annemergmed.2016.12.006) Copyright © 2016 American College of Emergency Physicians Terms and Conditions

Figure 2 Mean total price per visit and mean amounts paid by insurance versus out of pocket by provider type and year.* *Number of visits in 2012 versus 2015 equals 54,696 versus 183,971 for freestanding EDs, 954,548 versus 1,046,545 for hospital-based EDs, and 748,213 versus 926,933 for urgent care centers. †At urgent care centers, the insurer-paid amount was $106 in 2012 and $104 in 2015. The amount paid out of pocket was $58 in 2012 and $63 in 2015. Annals of Emergency Medicine DOI: (10.1016/j.annemergmed.2016.12.006) Copyright © 2016 American College of Emergency Physicians Terms and Conditions

Figure 3 Mean price per visit and by facility and professional components for EDs.* *Number of visits for 2012 versus 2015 equals 54,696 versus 183,971 for freestanding EDs and 954,548 versus 1,046,545 for hospital-based EDs. Annals of Emergency Medicine DOI: (10.1016/j.annemergmed.2016.12.006) Copyright © 2016 American College of Emergency Physicians Terms and Conditions

Figure 4 ED visits by severity level and facility type. Annals of Emergency Medicine DOI: (10.1016/j.annemergmed.2016.12.006) Copyright © 2016 American College of Emergency Physicians Terms and Conditions