Practice Management
The United States is a transient society, with approximately 12% of Americans changing residences each year. The rates are much higher for those living in apartments (24%) vs owner-occupied homes (5%) and for young people under age 34 (34%) than those more established in their homes, families, and careers. Data also indicate a continued out-migration from dense urban areas to the suburbs and exurbs and from the “rust belt” to the “sunbelt.” When a family …
Read More
URGENT MESSAGE: America’s undocumented immigrant population—those who are ineligible for Medicaid, Medicare, or private insurance via a state or federal exchange—are increasingly served by storefront “bodega clinics” that offer a range of services on a walk-in, cash-pay basis. While these “clinicas” provide much-needed access to the communities they serve, there are also concerns about the quality and oversight of their operations. Nonetheless, they could also teach many urgent care centers a thing or two about …
Read More
A 37-year-old woman without a significant past medical history presents after 3 days of a cough that produces yellow sputum with some streaks of blood. She has not checked her temperature but says she has “felt warm” and has some chills. She does have associated shortness of breath, but she reports that she has not had chest pain, leg pain or swelling, sweating, or headache. She has a history of hypertension, and she takes an …
Read More
If it seems like freestanding emergency rooms are popping up everywhere, try driving through a less-tony zip code. Researchers from Boston’s Brigham and Women’s Hospital found growth of the ERs is concentrated in high-income areas with growing populations, more traditional ERs, a higher proportion of privately insured patients and a lower proportion of Medicaid beneficiaries. That leaves lower-income patients who need immediate care stuck waiting in the hospital emergency room, even if their complaints are …
Read More
Recently we told you more than 300 people were charged with healthcare fraud involving some $900 million in false billings. Surely some were out to juke the system, but others were probably guilty of nothing more than poor compliance practices. Either way, the government is likely to continue cracking down on this multibillion dollar waste, making it a prudent time to shore up your own compliance program (as required under the Affordable Care Act [ACA, …
Read More
The American College of Physicians (ACP) says cost sharing—deductibles, in particular—may be leading patients to delay even medically necessary services, leaving the door open for urgent care to make its case to cash-paying customers seeking a middle ground. In “Addressing the Increasing Burden of Health Insurance Cost Sharing,” ACP makes five recommendations for making cost sharing more “equitable” in the private market, mainly by reducing overall health care spending, designing insurance plans that allow access …
Read More
The aging population—clearly not a controllable factor—is high on the list of factors that will continue to drive up healthcare spending over the next decade, according to the just-released 2016 National Health Expenditures Report from the Centers for Medicare & Medicaid Services (CMS). National healthcare spending is projected to grow at a 5.8% annual rate, starting last year through 2025. If accurate, that means healthcare spending will rise from 17.5% in 2014 to 20.1% as …
Read More
The Urgent Care Association (UCA) has filed comments with the Federal Motor Carrier Safety Administration (FMCSA), supporting annual screening of transportation workers diagnosed with obstructive sleep apnea (OSA). UCA’s position is in agreement with the FMCSA’s and the Medical Review Board’s contention that a driver with OSA should be recertified annually, regardless of whether he or she is undergoing treatment for the condition. Drivers who do say they’re being treated would have to demonstrate compliance …
Read More
Yet another study indicates that “millennials”—individuals between 18 and 36 years of age—have a tough time affording basic healthcare costs (including insurance, in many cases). One out of five says they can’t afford routine health costs, while an additional 26% say they can afford routine healthcare costs, but with difficulty. The Harris Poll found that 70% consider cost to be a “very important” factor when looking for healthcare, and that 16% do not intend to …
Read More
William Rodney, MD couldn’t jump fast enough when he found out the Affordable Care Act (ACA, or “Obamacare”) would be raising Medicaid primary care payments to Medicare levels. His urgent care practice (featured here previously; see One Year In, Latino-focused Clinic Doubles in Size) took in enough additional fees to create an outreach clinic for bilingual uninsured patients and to provide x-rays, ultrasound, and other services for underserved communities in Tennessee. Now he’s worried about …
Read More