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May 28, 2014

From JAMA’s Daily News Site

JAMA. 2014;311(20):2055. doi:10.1001/jama.2014.5557

States should expect use of emergency departments to increase after the Affordable Care Act is fully implemented, say the authors of a study reporting on emergency care visits in Massachusetts during and after the state’s similar reforms went into effect.

Compared with the 2-year period before reforms, visits increased by up to 1.2% during the 1-year implementation and by up to 2.2% during the 2-year period after reforms were fully in effect. Overall, the data showed that use increased among several insured groups. “This study should further weaken the long-held notion that high use of the [emergency department] is being driven mainly by the uninsured,” the authors wrote.

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