Privately Insured Use Emergency Room Less

A recently issued brief from the Henry J. Kaiser Family Foundation seeks to characterize and analyze persons who frequently, or infrequently, use hospital emergency departments (EDs). The report, titled “Characteristics of Frequent Emergency Department Users,” found that frequent users, those who had four or more visits over two years, often belong to groups with greater need for health care services: the elderly, the poor, and persons living with chronic conditions, all of whom are likely to be in poor health.

High ED users are far more likely to have Medicare (28 percent) or Medicaid (23 percent) coverage than low ED users (18 percent and 12 percent, respectively) and non-ED users (12 percent and 8 percent, respectively).

In contrast, a majority of both low ED users (54 percent) and non-ED users (64 percent) have private health insurance coverage.

In addition, there is little variation between ED user groups in terms of the proportion without insurance, with 14 percent of low ED users, 15 percent of non-ED users, and 17 percent of high ED users lacking insurance.

When comparing the ED visits of different health insurance groups, Eric Becker and Bianca DiJulio, researchers at Kaiser, found that the uninsured are no more likely to use the ED frequently than are others.

They report a consistently different pattern of ED use. Medicaid and Medicare beneficiaries are typically ED users at rates exceeding the group average, the privately insured are consistently below average, and the uninsured are near the average.

The uninsured, while making up roughly 15 percent of the sample population, account for about 14 percent of total ED visits and less than 12 percent of aggregate ED expenses.

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HAP, a subsidiary of Henry Ford Health System, is a nonprofit health plan providing coverage to individuals, companies and organizations. This executive develops strategies to meet membership and revenue targets through products, pricing, market segmentation and advertising.  Aligns business among Business Development, Commercial Sales, Medicare and Public Sector Programs and Product Development. Seeks to enhance and be responsible for business development and expansion through the development of an effective product portfolio, strong interpersonal relationships and service excellence.

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