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Medicaid/Medicare Emergency vs Primary Care Gaps

Medicaid/Medicare Emergency vs Primary Care Gaps often leave patients using emergency rooms for primary medical care.


Medicaid/Medicare emergency vs Primary Care gaps are leading more patients right into the emergency room. Why? Because more often than not, primary care physicians are unable to handle patient loads. Patients who need care often wait weeks or months for appointments. This has led to overuse of the local emergency rooms for non-emergency concerns. Bridging the medicaid/medicare emergency vs primary care gaps are going to take some work.

Medicaid pays pennies on the dollar for medical services. Doctors and medical facilities are finding it hard to meet budgets. Medical costs are increasing. The added costs are passed on to others. Medical finance teams are working hard to find a solution to the issue. One answer is the opening of "urgent care" clinics that handle non-emergent illness. These clinics are open earlier and later than primary care offices which gives patients access to care. Walgreens is working to bridge the medicare/medicaid emergency vs primary care gap with urgent care clinics in over 400 stores in America.

Another solution is moving medicaid patients over to private health plans. A more attractive solution to physicians and clinics with higher payment. This helps medical facilities provide more doctors and staff to meet needs. The medicaid/medicare emergency vs primary care gap is an ongoing issue, but there is finally some light at the end of the tunnel. Yet, emergency rooms continue to see patients due to the law that they may not turn anyone away.

Patient education reduces emergency room visits. Using "nurse triage" lines, patients can call a nurse with symptoms to see if their condition warrants an emergency room visit. The medicaid/medicare emergency vs primary care gap closes when patients understand what is an actual emergency. Patient teaching should take place at every contact. This can be in the form of verbal and visual communication. Brochures and handouts work very well for patient teaching needs.

Medicaid/Medicare Emergency vs Primary Care Gaps are getting smaller. Patients are receiving more access to good care. There are less wait times at doctors offices. There are less people using emergency rooms. Slowly, this issue is getting better. It will take more work. As healthcare professionals, we need to be on alert. We need to teach patients about their health. With understanding, we can bridge that gap!