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e. Our results suggest that efforts to expand health insurance coverage only will be unlikely to reverse the increase in ED use. Net ED visits by adults 18 to 64 years of age increased in New York after the implementation of the ACA. Large increases in ED use by Medicaid beneficiaries were partially offset by reductions among the uninsured and those with private coverage. Our results suggest that efforts to expand health insurance coverage only will be unlikely to reverse the increase in ED use. To develop a novel predictive model for e