title: The Affordable Care Act and emergency care.
abstract: The Affordable Care Act (ACA) will have far-reaching effects on the way health care is designed and delivered. Several elements of the ACA will directly affect both demand for ED care and expectations for its role in providing coordinated care. Hospitals will need to employ strategies to reduce ED crowding as the ACA expands insurance coverage. Discussions between EDs and primary care physicians about their respective roles providing acute unscheduled care would promote the goals of the ACA.
authors.affiliation: Mark McClelland is with the Office of Nursing Research and Innovation, Cleveland Clinic Health System, Cleveland, OH. Brent Asplin is with Catholic Health Partners, Cincinnati, OH. Stephen K. Epstein is with the Harvard Medical School Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA. Keith Eric Kocher is with the University of Michigan Department Of Emergency Medicine, Ann Arbor. Randy Pilgrim is with the Schumacher Group, Lafayette, LA. Jesse Pines is with the Departments of Emergency Medicine and Health Policy, George Washington University, Washington, DC. Elaine Rabin is with the Department of Emergency, Medicine Icahn School of Medicine at Mount Sinai, New York, NY. Niels Kumar Rathlev is with Tufts University School of Medicine, Baystate Medical Center, Boston.
authors.forename: Mark
authors.initials: M
authors.lastname: McClelland
authors.forename: Brent
authors.initials: B
authors.lastname: Asplin
authors.forename: Stephen K
authors.initials: SK
authors.lastname: Epstein
authors.forename: Keith Eric
authors.initials: KE
authors.lastname: Kocher
authors.forename: Randy
authors.initials: R
authors.lastname: Pilgrim
authors.forename: Jesse
authors.initials: J
authors.lastname: Pines
authors.forename: Elaine Judith
authors.initials: EJ
authors.lastname: Rabin
authors.forename: Niels Kumar
authors.initials: NK
authors.lastname: Rathlev
mesh_terms: D003441:Crowding; D004636:Emergency Service, Hospital / Q000458:organization & administration* / Q000706:statistics & numerical data*; D006301:Health Services Needs and Demand; D006801:Humans; D008484:Medicaid / Q000331:legislation & jurisprudence; D058991:Patient Protection and Affordable Care Act / Q000331:legislation & jurisprudence*; D011320:Primary Health Care / Q000458:organization & administration*; D018511:Systems Integration; D014481:United States