Characteristics of Emergency Department Visits for Super-Utilizers by Payer, 2014

Brief
Key Questions Answered
  • What are the characteristics of emergency department (ED) visits for high-need, high-cost patients compared with national benchmarks?
  • How do these characteristics vary by payer?
Key Themes and Takeaways

This resource analyzes nationwide 2014 ED data across 13 geographically dispersed US states. Findings include:

  • For ED visits covered by Medicaid, high-need, high-cost patients were on average older than other patients.
  • For patients under age 65 years, a greater share of ED visits among high-needs, high-cost patients were discharged against medical advice compared with ED visits among other patients.
  • Mental health visits constituted a greater share of ED visits among high-need, high-cost patients than among other patients, regardless of payer.
  • Nonspecific chest pain was the most common first-listed diagnosis for ED visits among Medicare high-need, high-cost patients aged 65 years and older.
  • Urinary tract infection was the fourth most common first-listed diagnosis for ED visits among Medicare high-need, high-cost patients aged 65 years and older.
Authors
J. Joanna Jiang
Audrey J. Weiss
Marguerite L. Barnett
Population Addressed
Adults Under 65 with Disabilities
People with Advanced Illness
Frail Older Adults
People with Multiple Chronic Conditions
People with Behavioral Health and Social Needs
Level of Evidence
Promising Evidence
Uploaded to The Playbook

Key Questions

Find curated resources about promising approaches to improving care for people with complex needs.