Practice Management
An 8-year-old previously healthy boy with no history of skin disease presents with painful defecation and blood-streaked stools. He says that the perianal area does not itch. Physical examination findings are significant for well-defined perianal erythema and an anal fissure. View the image taken (Figure 1) and consider what your diagnosis would be.
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In a relatively down year in the single-tenant net lease medical sector, urgent care centers continue to pique more interest than other healthcare properties. (A net lease is one in which the tenant pays all expenses of the property—property taxes, common areas, building maintenance, and utilities—as if they owned it.) The Boulder Group, an investment real estate services firm, reports that in the third quarter of 2015 cap rates in the medical sector compressed, while …
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The national mainstream media are starting to take up the debate over when patients really need to go to the emergency room vs other settings like urgent care. US News & World Report just published a story by Elaine Cox, MD, that draws a parallel between the Twitter age, where people have gotten used to expressing themselves in 140 characters and feel they need immediate care for whatever ails them, and data showing that ED …
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It’s no surprise that patients prefer doctors who pay attention to them—but new data show that patients can feel they’re competing with computer screens for the physician’s focus, which can lead to concerns about the quality of care they’re receiving. A study by medical sociologist Richard Frankel, PhD of the Indiana University School of Medicine found that some doctors spend more than 80 percent of their time in exam rooms interacting with their computer instead …
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URGENT MESSAGE: Five years after the passage of the Patient Protection and Affordable Care Act (PPACA)—also known as the “Affordable Care Act,” or “Obamacare”—many independent urgent care practices are still uncertain of their obligations. In addition to legal mandates, a competitive job market can make a compelling case for offering or subsidizing employee health benefits. Alan A. Ayers, MBA, MAcc is Practice Manager Editor of The Journal of Urgent Care Medicine, a member of the …
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If improving your urgent care center’s financial management is one of your New Year resolutions, consider signing up for Financial Forecasting: Learn How to Use Key Financial Tools, a live webinar to be hosted by the Urgent Care Association (UCA) on Thursday, December 17 at 1 pm, Central. Speaker Luke Hart, a former urgent care CEO, will discuss tools to help increase cash flow, better assess your debts and risks, and leverage strong relationships with …
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Family medicine has a long way to go in supporting the U.S. Department of Health and Human Services’ goal of tying fully half of traditional fee-for-service Medicare payments to value-based payment models by 2018, if a new survey from the American Academy of Family Medicine is any indication. Urgent care typically operates on a parallel, fee-for-service model, but the evolution of how other practice environments come to terms with the changing dynamics of the healthcare …
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A new ruling from the Centers for Medicare & Medicaid Services (CMS) standardizes the responsibility of state Medicaid agencies when it comes to telemedicine, aiming to ensure that “proper access to particular healthcare services can be ensured.” Those assessments would include the needs of patients, as well as time, distance and access afforded by telemedicine. Each state will be responsibility for policing itself by evaluating performance of those services every three years. Once the rule …
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Come January 1, the latest provisions of the Affordable Care Act (ACA) to go into effect will require companies that employ 50–99 people to offer acceptable health coverage to at least 95% of their full-time workers. Since that would include many urgent care centers, it’s likely that some operators will see their healthcare spending go up. However, savvy marketers will seize on the opportunity to demonstrate the value of their occupational medicine services to local …
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The United States Senate is the latest—and certainly the most prestigious—body to recommend pulling the plug on the Affordable Care Act (ACA, also known as Obamacare). The Senate followed the lead of the House of Representatives by passing a new bill on December 3 that essentially repeals ACA. Passage of the new bill may be a moot point, as President Obama is likely to veto it. Once heralded by proponents as the salvation of uninsured …
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