StuWilli, Author at Journal of Urgent Care Medicine

ED ‘Superusers’ Have Unmet Needs Beyond Their Symptoms

Urgent care has taken root, among other reasons, based on its capability to treat patients who otherwise would be sitting (and waiting) in local hospital emergency rooms with nonemergent illness and injury. This benefits not only our industry and the patients who need urgent care, but also those patients who will find a less-crowded ED than they might find in a world without urgent care. And some of them—particularly those covered by Medicare and Medicaid, …

Physicians Make More Money in Rural, Low-Cost Areas

There may be a certain amount of prestige to be aligned with major teaching hospitals in Boston, New York, Chicago, and Los Angeles, but physicians on the outskirts of medium-size cities are fetching higher pay these days, according to data just released by Doximity, a social network for clinicians. Researchers found salaries to be highest in rural, low-cost areas within medium-sized metropolitan areas. Doctors and advanced practice providers in the Charlotte, NC metro area are …

CDC Steps Up C auris Warnings as Cases—and Deaths—Climb

Just a month ago, we told you the number of current cases of Candida auris had more than doubled (from 13 to 35) in the United States. Now the Centers for Disease Control and Prevention has revealed that at least 61 people have been diagnosed with C auris in recent years, and called the current situation a “catastrophic threat” to public health. The mortality rate for C auris infection is about 60%. The greatest concern …

UCA Suggests Initiatives for Urgent Care Awareness Month in May

Having declared May to be Urgent Care Awareness Month, the Urgent Care Association has some ideas you can implement to highlight the value your urgent care center brings to the community. Benchmark Urgent & Family Care in Austin, TX, for one, is inviting its neighbors to come in for free blood pressure and blood sugar checks—a low-cost assessment for the operator that could have a high return once patients who’ve never visited before see the …

How to Hire Your Next Urgent Care Manager

Urgent message: Urgent care centers need engaged and effective operations leadership, which entails clearly defining managerial roles, individual skillsets and personality characteristics and also having a process for attracting, interviewing, and qualifying managerial candidates. Alan A. Ayers, MBA, MAcc is Vice President of Strategic Initiatives for Experity and is Practice Management Editor of The Journal of Urgent Care Medicine. Jim Clifton, the highly respected CEO of global performance and research leader Gallup, has often stated …

Patient Satisfaction: The Redirection Game

In my previous column, I discussed the challenging issue of patient satisfaction and the provider behaviors that can contribute to poor service experiences. In this month’s editorial, I will pivot the discussion to the patient profiles and behaviors that can trigger negative interactions and poor service reviews. While most of us understand the importance of “customer service” in healthcare, we do not always dedicate ourselves to understanding the common traps and landmines that lead to …

When to Fight a Claim for Unemployment

Urgent message: While unemployment insurance claims can cost an urgent care center through higher future premiums, there are multiple considerations for when a center should contest or approve an unemployment claim. Urgent care centers, as service businesses, frequently experience a high rate of turnover among their less skilled, frontline staff—eg, receptionists, clerks, and medical assistants. Whether an employee quits or is terminated for cause or performance, a common issue for urgent care center owners is …

Why the Need for a Certificate of Need?

Despite progress in recognizing the need for cost-efficient, readily available care like that found in the urgent care setting—and data demonstrating that they don’t help mitigate healthcare costs anyway—certificates of need (CONs) continue to exist. Typically, states view urgent care centers as “physician offices” that would not be subject to a CON. As healthcare markets become more saturated (ie, competitive), however, there is growing concern that those threatened by the boom in urgent care could …

Over Half of Kaiser Permanente Member–Physician Encounters Are Now Virtual

Kaiser Permanente’s heavy investment in information technology seems to be paying off, as more than half of the insurer’s 100 million-plus member–physician interactions now take place virtually. Members have said they appreciate the convenience of being able to “see” a doctor outside the office, reflecting broader trends toward healthcare consumerism (especially among young adults). The fact that 95% of Kaiser Permanente members are covered on a capitated basis frees network physicians from worries other clinicians …

Urgent Care Should ‘Watch and Learn’ as Illinois Deals with Medicaid Headaches

Illinois is not unique in wrestling with Medicaid managed care plan problems, but the situation there seems to have reached a boiling point and can serve as a cautionary tale for urgent care stakeholders across the country. Health system officials there complain that getting providers approved by Medicaid managed care plans has taken anywhere from 6 months up to a whole year. Prior authorizations and reimbursements have been similarly slow in coming, making it so …