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    Four things to know: Payers’ biggest ACA repeal concerns


    If the percentage of the uninsured rises across the United States or preventative care provisions are reduced, primary care delivered through emergency rooms will likely become the norm once again for the uninsured or underinsured.

    “When access to affordable healthcare is not available, people tend to postpone getting care until their illness or health problem needs immediate attention,” Schwieters says. “At this point, care typically requires more intensive services—subsequently increasing costs and forcing hospitals to shift resources to this broken model again. This is a concern for managed healthcare executives because this use of emergency rooms drives up costs of care and puts additional stress on the healthcare system.”

    Karen Appold is a medical writer in Lehigh Valley, Pennsylvania.



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