Putting the brakes on inappropriate ER utilization.
It's a common problem--particularly in Medicaid populations, but it can be dealt with creatively. Two health plans share their successful strategies for directing frequent users of the ER to more appropriate utilization of primary care.
D003159:Community-Institutional Relations; D017046:Cost Savings; D019468:Disease Management; D004636:Emergency Service, Hospital / Q000458:organization & administration / Q000706:statistics & numerical data*; D006300:Health Services Misuse; D006801:Humans; D008329:Managed Care Programs / Q000458:organization & administration*; D008484:Medicaid / Q000458:organization & administration*; D009515:New Jersey; D010865:Pilot Projects; D017064:Process Assessment, Health Care; D012947:Social Work; D013781:Texas