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.
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Adults Under 65 with Disabilities
People with Advanced Illness
Frail Older Adults
People with Multiple Chronic Conditions
People with Behavioral Health and Social Needs
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?
Level of Evidence
PromisingWhat does this mean?