Racial and Ethnic Differences in Insurer Classification of Nonemergent Pediatric Emergency Department Visits.

Alexander Pomerantz,Heidi G De Souza, Matthew Hall,Mark I Neuman,Monika K Goyal,Margaret E Samuels-Kalow,Paul L Aronson,Elizabeth R Alpern,Harold K Simon,Jennifer A Hoffmann,Jordee M Wells,Kristen H Shanahan,Colleen K Gutman,Alon Peltz

JAMA network open（2023）

Cited 0|Views13

No score

Abstract

In this simulation study of over 8 million unique ED visits, algorithmic approaches for classifying pediatric ED visits that used diagnosis codes identified proportionately more visits by Black and Hispanic children as nonemergent. Insurers applying financial adjustments based on these algorithmic outputs risk creating uneven reimbursement policies across racial and ethnic groups.

Translated text

Key words

emergency department visits,insurer classification,ethnic differences,emergency department

AI Read Science

Must-Reading Tree

Example

Generate MRT to find the research sequence of this paper

Chat Paper

Summary is being generated by the instructions you defined