title: Value-Based Approaches for Emergency Care in a New Era.
abstract: Although emergency departments (EDs) play an integral role in the delivery of acute unscheduled care, they have not been fully integrated into broader health care reform efforts. Communication and coordination with the ambulatory environment remain limited, leaving ED care disconnected from patients' longitudinal care. In a value-based environment focused on improving quality, decreasing costs, enhancing population health, and improving the patient experience, this oversight represents a missed opportunity for emergency care. When integrated with primary and subspecialty care, emergency care might meet the needs of patients, providers, and payers more efficiently than yet realized. This article uses the Merit-Based Incentive Payment System from the Medicare Access and CHIP Reauthorization Act as a framework to outline a strategy for improving the value of emergency care, including integrating quality and resource use measures across health care delivery settings and populations, encouraging care coordination from the ED, and implementing robust health information exchange systems.
authors.affiliation: Baylor College of Medicine, Houston, TX; Centers for Medicare & Medicaid Services Center for Medicare and Medicaid Innovation, Baltimore, MD. Electronic address: medford.davis@gmail.com.
authors.forename: Laura
authors.initials: L
authors.lastname: Medford-Davis
authors.affiliation: Department of Emergency Medicine, University of Maryland, Baltimore, MD.
authors.forename: David
authors.initials: D
authors.lastname: Marcozzi
authors.affiliation: Centers for Medicare & Medicaid Services Center for Program Integrity, Baltimore, MD.
authors.forename: Shantanu
authors.initials: S
authors.lastname: Agrawal
authors.affiliation: Department of Emergency Medicine, Jefferson University, Philadelphia, PA and the Emergency Care Coordination Center, Assistant Secretary for Preparedness and Response, Washington, DC.
authors.forename: Brendan G
authors.initials: BG
authors.lastname: Carr
authors.affiliation: Centers for Medicare & Medicaid Services Center for Medicare and Medicaid Innovation, Baltimore, MD.
authors.forename: Emily
authors.initials: E
authors.lastname: Carrier
mesh_terms: D004632:Emergency Medical Services / Q000191:economics / Q000458:organization & administration; D018166:Health Care Reform / Q000191:economics; D005102:Health Expenditures; D006801:Humans; D006278:Medicare / Q000191:economics / Q000458:organization & administration; D009936:Organizational Innovation; D058996:Quality Improvement / Q000191:economics / Q000458:organization & administration*; D011787:Quality of Health Care / Q000592:standards*; D014481:United States