In a fee-for-service world, the emergency department (ED) brings value to hospitals and their communities in a couple of different ways. First, they provide a rapid response to urgent needs. They are skilled in trauma, triage and rapid diagnostics to get really sick and injured people the right care, right away. Second, EDs are the welcome mat for inpatient care. Hospitals get value from the volume that comes to them through the ED – both medical and especially surgical admissions, which typically have higher margins. What will happen to EDs when fee-for-value takes hold, when hospitals will not necessarily derive value from more volume? To answer that question, we must understand what is valued in a fee-for-value world. The rising value may be in its ability to keep patients from being admitted and to reconnect them with their accountable care […]
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