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ACEP Fights State Medicaid Cuts in WA
Cheryl Clark, for HealthLeaders Media, October 17, 2011
The problems can substantially abated with improvements in access, quality and case management, the group says. It has proposed the following measures:
Access:
- Timely (24-48 hour) follow-up care by the primary care provider
- Develop a working group for treatment of dental disorders in a cost effective setting
- Discontinue coverage of "cabulance" services for non-emergent conditions
Quality
- Implement a single state-wide, real time data feeds to track emergency department visits
- Impose a statewide prescription monitoring program
- Support generic drug use for certain patients
- Support enhancing the locked-in program
- Adopt opioid prescribing guidelines for emergency physicians to reduce prescription drug abuse
Case Management
- Notify patients after each unnecessary ED visit
- Notify primary care providers after each visit to the emergency department
- Ensure each high utilize patient has a primary care provider
- Enhance the care plan utilization with ED tracking system
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Comments are moderated. Please be patient.
Lou Ellen Horwitz (10/28/2011 at 11:42 AM)
The issues in Washington State are an excellent impetus for emergency departments and primary care physicians (of which there is an apparent shortage) and Medicaid to work with urgent care centers to help provide easy access to care for many of these patients. Lou Ellen Horwitz Executive Director Urgent Care Association of America