What does this research mean for the field?

Navigating uninsured adults to community-based integrated primary care clinics reduces emergency department visits by 29%, inpatient hospitalizations by 44%, and associated direct healthcare costs by over 40%. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

This study aims to evaluate the impact of community-based primary care on emergency health care use among uninsured adults.

April 1, 2026Medical Care

Community-Based Proactive Primary Care Reduces Emergency Health Care Use for Adults Without Insurance

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Authors

HKHeather KitzmanSouthwestern Medical Center AMAbdullah MamunBaylor Scott & White Health NFNeil FlemingBaylor University

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Implication

Retrospective study evaluates reduced emergency care costs in uninsured adults through community-based clinics, suggesting effective health navigation.

Key Points

This study aims to evaluate the impact of community-based primary care on emergency health care use among uninsured adults.
Conducted retrospective analysis of emergency department and inpatient hospitalization costs and visits.
Compared patients receiving community-based integrated primary care (BCC) with those receiving usual care (non-BCC).
Included 16,069 patients in both BCC and non-BCC groups, with exclusions for certain age and health conditions.
BCC patients had 48% lower inpatient hospitalization costs compared to non-BCC (P < .001).
Direct emergency department costs were 43% lower for BCC patients than non-BCC patients (P < .0001).
BCC patients experienced approximately 44% fewer inpatient visits and 29% fewer emergency department visits than non-BCC at 1-2 years of follow-up.
Diabetes patients in BCC had 28% less inpatient costs and 27% less emergency costs than non-BCC over 4 years (P = .03, P = .01).

Cite This Study

Kitzman et al. (2026) studied this question.

synapsesocial.com/papers/69cd7a1b5652765b073a6ea3 https://doi.org/10.1097/mlr.0000000000002311

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Implication

Retrospective study evaluates reduced emergency care costs in uninsured adults through community-based clinics, suggesting effective health navigation.

Community-Based Proactive Primary Care Reduces Emergency Health Care Use for Adults Without Insurance

Discussion

Member takes

Implication

Key Points

Cite This Study

Community-Based Proactive Primary Care Reduces Emergency Health Care Use for Adults Without Insurance

Discussion

Member takes

Implication

Key Points

Cite This Study

Also Consider

Also Consider