{"id":"https://openalex.org/W4293088484","doi":"https://doi.org/10.1145/3548692","title":"Predicting Divertible Medicaid Emergency Department Costs","display_name":"Predicting Divertible Medicaid Emergency Department Costs","publication_year":2022,"publication_date":"2022-07-31","ids":{"openalex":"https://openalex.org/W4293088484","doi":"https://doi.org/10.1145/3548692"},"language":"en","primary_location":{"id":"doi:10.1145/3548692","is_oa":true,"landing_page_url":"https://doi.org/10.1145/3548692","pdf_url":null,"source":{"id":"https://openalex.org/S4210232200","display_name":"Digital Government Research and Practice","issn_l":"2639-0175","issn":["2639-0175","2691-199X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319798","host_organization_name":"Association for Computing Machinery","host_organization_lineage":["https://openalex.org/P4310319798"],"host_organization_lineage_names":["Association for Computing Machinery"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Digital Government: Research and Practice","raw_type":"journal-article"},"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1145/3548692","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5041673325","display_name":"Justine Hastings","orcid":"https://orcid.org/0000-0002-8674-9498"},"institutions":[{"id":"https://openalex.org/I1321305853","display_name":"National Bureau of Economic Research","ror":"https://ror.org/04grmx538","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I1321305853"]},{"id":"https://openalex.org/I196272386","display_name":"Providence College","ror":"https://ror.org/00rxpqe74","country_code":"US","type":"education","lineage":["https://openalex.org/I196272386"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Justine S. Hastings","raw_affiliation_strings":["Department of Economics, University of Washington, Seattle, WA, and Research Improving People's Lives, Providence RI, and National Bureau of Economic Research, Cambridge, MA"],"raw_orcid":"https://orcid.org/0000-0002-8674-9498","affiliations":[{"raw_affiliation_string":"Department of Economics, University of Washington, Seattle, WA, and Research Improving People's Lives, Providence RI, and National Bureau of Economic Research, Cambridge, MA","institution_ids":["https://openalex.org/I1321305853","https://openalex.org/I196272386"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5036886045","display_name":"Mark Howison","orcid":"https://orcid.org/0000-0002-0764-4090"},"institutions":[{"id":"https://openalex.org/I196272386","display_name":"Providence College","ror":"https://ror.org/00rxpqe74","country_code":"US","type":"education","lineage":["https://openalex.org/I196272386"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mark Howison","raw_affiliation_strings":["Research Improving People's Lives, Providence, RI"],"raw_orcid":"https://orcid.org/0000-0002-0764-4090","affiliations":[{"raw_affiliation_string":"Research Improving People's Lives, Providence, RI","institution_ids":["https://openalex.org/I196272386"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.21013363,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"3","issue":"3","first_page":"1","last_page":"19"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9991999864578247,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9991999864578247,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.9983000159263611,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11610","display_name":"Food Security and Health in Diverse Populations","score":0.9927999973297119,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/medicaid","display_name":"Medicaid","score":0.9551326036453247},{"id":"https://openalex.org/keywords/outreach","display_name":"Outreach","score":0.8378353118896484},{"id":"https://openalex.org/keywords/emergency-department","display_name":"Emergency department","score":0.6849929094314575},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.5530532002449036},{"id":"https://openalex.org/keywords/government","display_name":"Government (linguistics)","score":0.5278636813163757},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.4880765676498413},{"id":"https://openalex.org/keywords/actuarial-science","display_name":"Actuarial science","score":0.44949907064437866},{"id":"https://openalex.org/keywords/identification","display_name":"Identification (biology)","score":0.43827566504478455},{"id":"https://openalex.org/keywords/health-insurance","display_name":"Health insurance","score":0.4121879041194916},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.3405325412750244},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.2816839814186096},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.17496547102928162},{"id":"https://openalex.org/keywords/economics","display_name":"Economics","score":0.10377749800682068},{"id":"https://openalex.org/keywords/economic-growth","display_name":"Economic growth","score":0.08902528882026672}],"concepts":[{"id":"https://openalex.org/C2776534028","wikidata":"https://www.wikidata.org/wiki/Q1141363","display_name":"Medicaid","level":3,"score":0.9551326036453247},{"id":"https://openalex.org/C2781400479","wikidata":"https://www.wikidata.org/wiki/Q11640","display_name":"Outreach","level":2,"score":0.8378353118896484},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.6849929094314575},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.5530532002449036},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.5278636813163757},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4880765676498413},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.44949907064437866},{"id":"https://openalex.org/C116834253","wikidata":"https://www.wikidata.org/wiki/Q2039217","display_name":"Identification (biology)","level":2,"score":0.43827566504478455},{"id":"https://openalex.org/C2983635472","wikidata":"https://www.wikidata.org/wiki/Q334911","display_name":"Health insurance","level":3,"score":0.4121879041194916},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3405325412750244},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.2816839814186096},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.17496547102928162},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.10377749800682068},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.08902528882026672},{"id":"https://openalex.org/C59822182","wikidata":"https://www.wikidata.org/wiki/Q441","display_name":"Botany","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1145/3548692","is_oa":true,"landing_page_url":"https://doi.org/10.1145/3548692","pdf_url":null,"source":{"id":"https://openalex.org/S4210232200","display_name":"Digital Government Research and Practice","issn_l":"2639-0175","issn":["2639-0175","2691-199X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319798","host_organization_name":"Association for Computing Machinery","host_organization_lineage":["https://openalex.org/P4310319798"],"host_organization_lineage_names":["Association for Computing Machinery"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Digital Government: Research and Practice","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1145/3548692","is_oa":true,"landing_page_url":"https://doi.org/10.1145/3548692","pdf_url":null,"source":{"id":"https://openalex.org/S4210232200","display_name":"Digital Government Research and Practice","issn_l":"2639-0175","issn":["2639-0175","2691-199X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310319798","host_organization_name":"Association for Computing Machinery","host_organization_lineage":["https://openalex.org/P4310319798"],"host_organization_lineage_names":["Association for Computing Machinery"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Digital Government: Research and Practice","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.44999998807907104,"display_name":"Decent work and economic growth","id":"https://metadata.un.org/sdg/8"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320306491","display_name":"Smith Richardson Foundation","ror":"https://ror.org/01ma57r88"},{"id":"https://openalex.org/F4320311571","display_name":"Laura and John Arnold Foundation","ror":"https://ror.org/04hqxh742"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":22,"referenced_works":["https://openalex.org/W1532391023","https://openalex.org/W1968640360","https://openalex.org/W1984817155","https://openalex.org/W1986714427","https://openalex.org/W2042874767","https://openalex.org/W2053542141","https://openalex.org/W2102989444","https://openalex.org/W2135046866","https://openalex.org/W2160222246","https://openalex.org/W2165386561","https://openalex.org/W2218759667","https://openalex.org/W2407150227","https://openalex.org/W2413027554","https://openalex.org/W2512082099","https://openalex.org/W2559368440","https://openalex.org/W2577592800","https://openalex.org/W2734835861","https://openalex.org/W2795632941","https://openalex.org/W2942500503","https://openalex.org/W2976113432","https://openalex.org/W3100708573","https://openalex.org/W3124248000"],"related_works":["https://openalex.org/W2410491632","https://openalex.org/W2506070082","https://openalex.org/W2109742611","https://openalex.org/W3121998239","https://openalex.org/W3211295480","https://openalex.org/W3160701276","https://openalex.org/W2337676333","https://openalex.org/W2741109603","https://openalex.org/W2429987438","https://openalex.org/W645120852"],"abstract_inverted_index":{"Lowering":[0],"health":[1,10,25],"care":[2,19],"costs":[3],"is":[4],"a":[5,28],"policy":[6],"priority":[7],"for":[8,31,73,105,161],"public":[9],"insurance":[11,51,126],"programs.":[12,144,168],"Policies":[13],"that":[14,120],"divert":[15],"Emergency":[16],"Department":[17],"(ED)":[18],"to":[20,63,150],"less":[21],"costly,":[22],"more":[23,98],"effective":[24],"services":[26],"are":[27],"promising":[29],"avenue":[30],"cost":[32],"savings.":[33],"Using":[34],"comprehensive,":[35],"anonymized":[36],"administrative":[37,118],"data":[38,119],"from":[39,80],"the":[40,123,159],"State":[41],"of":[42,68,154],"Rhode":[43],"Island,":[44],"which":[45],"includes":[46,121],"Medicaid":[47,64,85],"and":[48,59,87,90,138,157,165],"other":[49],"social":[50,125],"programs,":[52,127],"we":[53,128],"demonstrate":[54],"how":[55],"government":[56],"can":[57,129],"identify":[58],"conduct":[60],"efficient":[61],"outreach":[62,164],"recipients":[65],"at":[66],"risk":[67],"becoming":[69],"high-cost":[70,135],"ED":[71,107,113,136],"users":[72,137],"potentially":[74],"divertible":[75,100,155],"care.":[76],"The":[77],"top":[78],"predictors":[79],"our":[81],"models":[82,96,149],"include":[83],"age,":[84],"enrollment":[86],"eligibility":[88],"factors,":[89],"prior":[91,112],"medical":[92],"procedures.":[93],"Our":[94],"predictive":[95],"capture":[97],"future":[99],"spending":[101,156],"than":[102],"existing":[103,139],"methods":[104],"identifying":[106],"\u201csuper-utilizers\u201d":[108],"based":[109],"on":[110],"multiple":[111],"visits.":[114],"By":[115],"using":[116],"comprehensive":[117],"all":[122],"state's":[124],"also":[130],"establish":[131],"connections":[132],"between":[133],"predicted":[134],"case":[140,166],"management":[141,167],"in":[142],"non-Medicaid":[143],"Policymakers":[145],"could":[146],"use":[147],"these":[148],"improve":[151],"their":[152],"identification":[153],"reduce":[158],"need":[160],"de":[162],"novo":[163]},"counts_by_year":[],"updated_date":"2026-05-21T06:26:12.895304","created_date":"2025-10-10T00:00:00"}