States has one of the most expensive healthcare systems in the world (Conklin, 2002). Spending trillions of dollars on the healthcare system in 2012 (Rice, Unruh, Rosenau, Barnes, Saltman, & van Ginneken, 2014). However, overuse of emergency departments (ED), accounts for up to $38 billion in wasteful spending each year (McAllister, 2013). The increase in ED visits could result in excessive healthcare expenditures, labs, diagnostic test, and treatments. More importantly, it can weaken patient-primary care provider relationships (Uscher-Pines, Pines, Kellermann, Gillen, & Mehrotra, 2013). Because more individuals have insurance, they are improperly utilizing medical resources. Before patients having insurance, many hesitated to go to
