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We calculated the proportion of ED visits/beneficiary for each chronic disease category and the proportion of category-specific in-patient hospitalizations per the number of beneficiaries with that diagnosis. As the NP/beneficiary proportion increased, ED visits for dual and nondual eligible beneficiaries decreased (p = .007; β = -2.218; 95% confidence interval [CI] -3.79 to -0.644 and p = .04; β = -2.698; 95% CI -5.268 to -0.127, respectively). Counties with a higher proportion of NPs and PAs had significantly lower numbers of ED visits

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