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The Medicaid and CHIP Payment and Access Commission (MACPAC) attempts to answer some of these questions.  In a new issue brief, MACPAC provides what it calls a “fact check” of five commonly held beliefs about Medicaid emergency department use.
While use of the emergency department (ED) by Medicaid enrollees accounts for only 4 percent of total Medicaid spending, Medicaid enrollees use hospital emergency rooms more often than uninsured and privately insured patients.  Due to the high cost of treatment in the ED, the emphasis from state Medicaid agencies and Medicaid health plans has always been to mitigate this by educating patients about the proper use of the ED, in addition to providing expeditious access to primary and non-urgent care in other settings, ideally patient-centered medical homes. MACPAC found that increased use of the ED by Medicaid enrollees is due to the higher rates and severity of chronic disease and disability that enrollees experience in comparison to those who are uninsured and privately insured. Belief: Use of the ED will surge as Medicaid enrollment continues to significantly expand under the Affordable Care Act and waiver-based expansions. ED use may be the outcome of several factors, including a perception by the patient and their medical provider of the need for prompt care, which may be based on the severity of the condition, the accessibility and availability of both the ED and alternative sites, and physician referrals to the ED. MACPAC notes that many state Medicaid programs have taken steps to reduce the use of the ED through approaches that include the diversion of patients with complaints determined to be non-urgent to lower-cost settings, and the charging of co-payments for non-emergency ED use.
An expert on Medicaid, Medicare, and health reform, Kip Piper, MA, FACHE, is a consultant, speaker, and author. About thePiper Report The Piper Report is Kip Piper’s health care blog on business and policy issues in Medicaid, Medicare, and the Affordable Care Act, with articles, interviews, resources, primers, book reviews, and more. Mission StatementOur mission is founded on developing long term relationships, achieved by listening to our customer’s objectives and being dedicated to their focus. The Emergency Department at Corona Regional Medical Center is available 24 hours a day, seven days a week. Because the emergency physician is not familiar with your medical history, time will be needed to review your medical record or to speak with your family doctor. When you need to find a doctor for yourself or your family, our FREE Direct Doctors Plus physician referral service can help.
Note:The information on this Web site is provided as general health guidelines and may not be applicable to your particular health condition. The information, content and artwork provided by this Web site is intended for non-commercial use by the reader.

Corona Regional Medical Center offers a wide range of high quality medical services to residents of Corona and surrounding communities.
Whether you are getting ready for a procedure at Corona Regional Medical Center or planning to visit a patient, get the information you'll need to make your trip more pleasant.
Stay up to date with the latest news and events at Corona Regional Medical Center, including health fairs, classes and seminars. Read the latest issue of Corona Regional Medical Center's Health News magazine online. Another presumed reason for the high use of the ED could be lack of access to primary, specialty, dental, and outpatient mental health care in other settings. Most ED visits by Medicaid enrollees under age 65 are actually for urgent and serious medical problems.
Frequent use of the ED is a result of a combination of psychological and medical needs that cannot be addressed only through primary care.  Evidence points to weaker ties to regular physicians among Medicaid enrollees with 10 or more ED visits a year, and at least half of this number did not receive any outpatient care of any kind in the 30 days after their discharge from the ED. A variety of other factors, such as drug-seeking behavior, higher rates of behavioral health and physical health co-morbidities, and social-economic issues, particularly low education, also likely fuel higher emergency room use among Medicaid enrollees.  Low Medicaid physician reimbursement and reluctance of some physicians to take on more Medicaid patients may further drive enrollees to emergency departments. Kip Piper advises health plans, hospitals and health systems, states, and pharma, biotech, medical device, HIT, and investment firms.
We take an engineered approach, based on fiscal responsibility, to achieve a mechanical system that will provide the greatest value and optimum performance to our customers. With our strong background in significant medical-surgical projects, we were responsible for plans review, treatment room interiors, headwalls, equipment coordination and layout, medical specialties in cardiac and trauma rooms and nurses station equipment and monitors.
This specialized department is designed for patients with acute or traumatic illnesses or injuries and is staffed by board-certified physicians and nurses who are trained in cardiac life support. He or she will ask the reason for your visit and record important medical history, as well as medication and allergy information. Critically ill patients who require intensive care are always seen before patients with less serious problems.

Your individual health status and any required medical treatments can only be properly addressed by a professional healthcare provider of your choice. With 30 years’ experience, Kip is a senior consultant with Sellers Dorsey, top specialists in Medicaid and health reform. Process management, empowering our staff of managers and skilled tradesmen, in addition to our focus on safety, provides the foundation for complete customer satisfaction. 3D design sketches were valuable to the users’ understanding of the proposed spaces and equipment layout. While you are waiting, you may want to make a list of your medications and keep it handy for future visits. If you are admitted to the hospital from the emergency room, staff may need time to prepare your room and bed.
Our staff will look to make your stay comfortable and to provide the best medical care possible.
Remember: There is no adequate substitution for a personal consultation with your physician. In our Rapid Medical Evaluation Area we deal with less emergent conditions, quickly and efficiently.
We will take and record your vital sign measurements and a clerk will obtain information necessary to begin creating your Emergency Department records.
When the Emergency Department is busy, delays are common for patients with problems that are not life-or-limb threatening. While it is our goal to see every patient as soon as possible, delays are sometimes unavoidable.

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