Findings from Yale University School of Medicine in the Area of Managed Care Reported (Association Between Usual Clinician Presence and Emergency Department Revisitation): Managed Care

2025 SEP 26 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Research findings on Managed Care are discussed in a new report. According to news originating from New Haven, Connecticut, by NewsRx correspondents, research stated, “Emergency department (ED) visit rates among older adults are increasing, often due to ambulatory care sensitive conditions (ACSCs) that may have been managed through access to a usual clinician-a provider who offers regular outpatient care. We sought to characterize ACSC-related ED visits and all-cause 30-day ED revisits among ED visits of older adults with and without a usual clinician.”

Funders for this research include National Institute on Aging, National Institute on Minority Health and Health Disparities, Agency for Healthcare Research and Quality, National Center for Advancing Translational Sciences, Center of Excellence in Regulatory Science and Innovation.

Our news journalists obtained a quote from the research from the Yale University School of Medicine, “We conducted a pooled cross-sectional analysis of 2015-2020 Medicare Current Beneficiary Survey (MCBS) data linked to traditional Medicare claims of adults 65 and older. We compared ED visits that did and did not have a usual clinician with 3:1 propensity score matching on age, gender, race, chronic condition number (2+ vs. < 2), and geographical area. Our primary outcome was the proportion of ACSC-related Medicare beneficiary ED visits that were and were not associated with a usual clinician. Our secondary outcome was the presence of an all-cause ED revisit in the 30 days following the initial ED visit. We examined 22,484 ED visits between 2015 and 2020, representing over 86 million ED visits nationally. Among ED visits by older adults, 20,849 (92.7%) were among those with a usual clinician. The proportion of ACSC-related ED visits by older adults with and without a usual clinician did not differ (14.8% vs. 14.7%, adjusted marginal difference [AMD] -0.20%, 95% CI: -2.17-1.78, p = 0.97). However, the proportion of all-cause 30-day ED revisits with a usual clinician among older adults was lower when compared with those without a usual clinician (25.6% vs. 35.9%, AMD 7.55%, 95% CI: 4.97-10.13, p< 0.001).”

According to the news editors, the research concluded: “Emergency visits by older adults for ACSCs were similar regardless of the presence of a usual clinician; however, ED visits among older adults with a usual clinician were less likely to be followed by an ED revisit within 30 days.”

This research has been peer-reviewed.

For more information on this research see: Association Between Usual Clinician Presence and Emergency Department Revisitation. Journal of the American Geriatrics Society, 2025. Journal of the American Geriatrics Society can be contacted at: Wiley, 111 River St, Hoboken 07030-5774, NJ, USA. (Wiley-Blackwell - http://www.wiley.com/; Journal of the American Geriatrics Society - http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1532-5415)

The news correspondents report that additional information may be obtained from Arjun K. Venkatesh, Dept. of Emergency Medicine, Yale University School of Medicine, New Haven, Connecticut, United States. Additional authors for this research include Doreen S. Agboh, Yixuan Liang, Wafa Salah, Craig Rothenberg, Joseph S. Ross, Ishani Ganguli and Cameron J. Gettel.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1111/jgs.70085. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

The publisher’s contact information for the Journal of the American Geriatrics Society is: Wiley, 111 River St, Hoboken 07030-5774, NJ, USA.

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