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dc.contributor.authorWilson, Michael
dc.contributor.authorCutler, David M.
dc.date.accessioned2017-07-20T21:02:39Z
dc.date.issued2014
dc.identifier.citationWilson, M., and D. Cutler. 2014. “Emergency Department Profits Are Likely To Continue As The Affordable Care Act Expands Coverage.” Health Affairs 33 (5) (May 1): 792–799. doi:10.1377/hlthaff.2013.0754.en_US
dc.identifier.issn0092-8577en_US
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:33471113
dc.description.abstractTo better understand the financial viability of hospital emergency departments (EDs), we created national estimates of the cost to hospitals of providing ED care and the associated hospital revenue using hospital financial reports and patient claims data from 2009. We then estimated the effect the Affordable Care Act (ACA) will have on the future profitability of providing ED care. We estimated that hospital revenue from ED care exceeded costs for that care by $6.1 billion in 2009, representing a profit margin of 7.8 percent (net revenue expressed as a percentage of total revenue). However, this is primarily because hospitals make enough profit on the privately insured ($17 billion) to cover underpayment from all other payer groups, such as Medicare, Medicaid, and unreimbursed care. Assuming current payer reimbursement rates, ACA reforms could result in an additional 4.4-percentage-point increase in profit margins for hospital-based EDs compared to what could be the case without the reforms.en_US
dc.description.sponsorshipEconomicsen_US
dc.language.isoen_USen_US
dc.publisherHealth Affairs (Project Hope)en_US
dc.relation.isversionofdoi:10.1377/hlthaff.2013.0754en_US
dc.relation.hasversionhttp://scholar.harvard.edu/files/cutler/files/cutler_2014_health_affairs_33_5_pp702_to_799_with_wilson_1.pdfen_US
dash.licenseMETA_ONLY
dc.subjectCost of Health Careen_US
dc.subjectEmergency Department Careen_US
dc.titleEmergency Department Profits Are Likely To Continue As The Affordable Care Act Expands Coverageen_US
dc.typeJournal Articleen_US
dc.date.updated2014-05-16T19:12:24Z
dc.description.versionVersion of Recorden_US
dc.relation.journalHealth Affairsen_US
dash.depositing.authorCutler, David M.
dash.embargo.until10000-01-01
dash.affiliation.otherHarvard Medical Schoolen_US
dc.identifier.doi10.1377/hlthaff.2013.0754*
workflow.legacycommentsrequest manuscript version to post OAP (Cutler emailed 5/22/2014) Cutler emailed 2016-05-18 AD Cutler emailed 2017-02-26 MM meta.darken_US
dash.contributor.affiliatedWilson, Michael
dash.contributor.affiliatedCutler, David


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