Ashley Blachford, Author at Journal of Urgent Care Medicine

How Useful Is Ultrasound in Acute Female Pelvic Pain?

Andrew Alaya, MD, MSc Urgent Message: For time-sensitive diagnoses related to acute pelvic pain, ultrasound is generally the recommended initial diagnostic imaging study. While not universally available in urgent care, it can often be completed more rapidly than computed tomography or magnet resonance imaging. Citation: Alaya A. How Useful Is Ultrasound In Acute Female Pelvic Pain? J Urgent Care Med. 2024;18(7):35-40 Introduction Acute pain in the pelvic or lower abdominal region among women of reproductive …

Urgent Care Evaluation and Management Of Proximal 5th Metatarsal Fractures

Urgent Message: It’s important to recognize the difference between a proximal 5th metatarsal fracture of the tuberosity alone and a proximal metaphyseal fracture, commonly referred to as a “Jones fracture.” A Jones fracture requires full immobilization with urgent surgical referral. Michael B. Weinstock, MD; Kelly Moore, BS Citation: Weinstock M, Moore K. Urgent Care Evaluation and Management Of Proximal 5th Metatarsal Fractures. J Urgent Care Med. 2024 18(7):25-28 Editors’ Note: While the images presented here …

Urgent Care Billing Matters for Personal Injury Presentations

Alan A. Ayers, MBA, MAcc Urgent Message: The uncertain and extended payment cycle for treating personal injuries caused by third parties, which may be subject to litigation or settlement, can be managed using tools such as letters of protection and medical liens. It’s not uncommon for an individual seriously injured in an accident or by medical negligence to bring a personal injury lawsuit against the at-fault party. If found liable, the at-fault party is held …

Private Equity Ownership in Urgent Care By Number of Centers, 2024

Citation: Ayers A. Private Equity Ownership in Urgent Care By Number of Centers, 2024. J Urgent Care Med. 2024; 18(7):33-34 Although private equity started nibbling on urgent care as far back as 2007, its full investment push kicked off with the 2010 acquisitions and scaling of NextCare, MedExpress, and FastMed. Since that time, some regional platforms like Physicians Immediate Care, MD Now, and PhysicianOne have completed the entire private equity investment lifecycle of acquisition, scaling, and final …

Why Does Start-Up Contracting Take So Long?

Heather Rothermel Consider this scenario: You’ve decided to open an urgent care center. You’ve secured funding, found the perfect location, hired amazing providers, created build-out plans to make it your own, and set a go-live date to open your doors to your community. Then you realize you haven’t started contracting and credentialing. In many markets, contracting and credentialing for a start-up can take 9 to 12 months or longer, and operators must consider this timeline …

Change Cyberattack: How to Get Your Advance Payment From Insurers

The Department of Health and Human Services (HHS) earlier this week posted a letter to healthcare providers acknowledging their cash flow disruptions resulting from the Change Healthcare cyberattack that crippled mission-critical eligibility and claims processes nationwide. Providers were collectively losing as much as $1 billion a day for several weeks while they waited for Change to rebuild and relaunch its systems, according to a report from Axios. HHS officials also offered a practical resource guide …

Primary Care Operator Buys 11 VillageMD Sites

Walgreens recently completed the sale of 11 VillageMD clinics in Rhode Island to Arches Medical Partners (AMP), based in Boston. The sale is part of Walgreens’ broader initiative to boost profitability by divesting VillageMD primary care locations, following a period of weak fourth-quarter earnings in 2023. This week, the company announced 160 VillageMD clinics have been slated for closure—100 more than previously announced. The company recently exited the Florida market entirely and this week announced …

Why Long COVID is Hard to Pinpoint

A new study out of France published in Clinical Microbiology and Infection estimates the prevalence of long COVID while considering the fact that there is no universal definition of the condition. Researchers looked at several variations of long COVID characteristics to determine its prevalence. Of 10,615 adults sampled from August-November 2022, 54.5% reported SARS-CoV-2 infection with as many as 13.4% having long COVID, depending on which definition was used. When using the World Health Organization …

Mild Winters Keep Ticks Biting

The potential for greater spread of harmful pathogens is yet another negative aspect of climate change that should be examined closely, according to infectious diseases experts in a recent JAMA article. Atmospheric changes are driving alterations in pathogens and parasites as temperatures rise and weather extremes persist, including severe heat, droughts, and wildfires. Authors found recent rises in vector-borne, zoonotic, fungal, and waterborne diseases they believe are the result of climate change. Conditions such as …

Should the ACEs Screening Tool Consider Gun Violence?

A common screening tool used to evaluate health and adversity is in need of a modern makeover, according to a perspective in STAT News written by a graduate student at George Washington University. The screening questionnaire—the adverse childhood experience (ACE) tool that quantifies early experiences related to abuse, violence, and neglect—can indicate risk for long-term health effects throughout life. The higher an individual’s ACE score, the greater the risk of negative health outcomes. According to …