Better primary care had a need to reduce unnecessary ED appointments by Medicaid patients Although an objective of Medicaid expansion beneath the Affordable Care Act was to supply Medicaid individuals with a way to obtain nonemergency care beyond hospital emergency departments , researchers claim that these recently enrolled patients will probably continue to turn to EDs for treatment of chronic diseases and various other non-emergency issues, despite state attempts to impose fees on ED visits. Health plan experts at the Perelman College of Medication at the University of Pennsylvania, the Johns Hopkins Bloomberg College of Public Wellness, and the Institute of Wellness Policy Research at the University of California, SAN FRANCISCO BAY AREA, suggest in a fresh Perspective released in the brand new England Journal of Medication that patient-centered medical homes could be far better in reducing the amount of Medicare sufferers seeking nonemergency treatment in EDs than raising the expense of the visits silagra vs suhagra .