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March 19, 2014

From JAMA’s Daily News Site

Author Affiliations

Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA. 2014;311(11):1099. doi:10.1001/jama.2014.2552

Oregon’s limited Medicaid expansion didn’t steer adults away from expensive emergency department care. In fact, it did just the opposite.

In a recent study, researchers examined emergency department records for about 25 000 adults—nearly 10 000 of whom were picked randomly in the 2008 lottery and some 15 000 of whom weren’t chosen. During an 18-month period beginning in March 2008, the lottery winners were 7% more likely than those not chosen to visit an emergency department. The lottery winners made 0.41 more emergency visits per person, a 40% increase over the average 1.02 visits per person by the adults not picked in the lottery.

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