Practice Management
We all know emergency room waiting areas are choked with patients who could be treated just as well—and in less time for less money—in an urgent care center. That makes it all the more difficult for patients who really need to be there to be seen in a reasonable amount of time. Now Thomas Health System in Charleston, WV, thinks it has found a way to make people think twice about heading to the ED …
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We told you recently that the Centers for Medicare and Medicaid Services lowered the threshold for physicians to be exempt from MACRA’s reporting requirements in 2018. It’s a good thing, too: 75% of physicians involved in practice decision-making say they do not feel well prepared to participate in MACRA’s Quality Payment Program (QPP). The data were just released by the American Medical Association and KPMG. The QPP pushes eligible providers to choose between the Advanced Alternative …
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Protecting patients against the suspect billing practices—especially “surprise billing”—of freestanding emergency rooms seems to be a high priority in the Texas legislature. Most recently, a bill that offers patients more ways to contest bills was signed into law; Senate Bill 507 expands the use of mediation to contest surprise medical bills. This problem is perceived as especially great in Texas, which is home to more than half of the freestanding ERs in the country. Further, …
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The Centers for Medicare and Medicaid Services (CMS) may have doled out more than $729 million in incentive payments for use of electronic health record systems that didn’t actually comply with federal standards, according to the Office of the Inspector General (OIG) at Health and Human Services. The OIG has already uncovered instances where providers who received payments could not document that they were using electronic health records in “meaningful” ways—a key requirement to reap …
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A contingent from the Urgent Care Association (UCA) descended on Congressional offices to school lawmakers and their staffs on the important role urgent care plays in the healthcare continuum. Coinciding with the UCA Urgent Care Convention & Expo at nearby National Harbor, the visit put 15 UCA representatives face-to-face with 75 congressional staffers, including those who work on committees with jurisdiction over Medicaid and veteran’s healthcare. In addition to giving lawmakers a better idea of …
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There are more physician-employees than physician-owners across the practice landscape, according to new data from the American Medical Association—the first time under 50% of patient care physicians have an ownership stake in their medical practice since the AMA started keeping track. While the data do not reflect urgent care specifically (including this market as “other”), they do show the share of physicians with ownership stake in a medical practice fell to 47% in 2016. That’s …
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It’s tough out there for retailers—which means it’s at least as tough for the building managers and owners that do business with them. While urgent care centers used to be considered a “bad fit” (along with all medical facilities), they’re now becoming the darlings of retail space developers. National UC Realty puts the number of active urgent care locations at 9,600 and climbing, making the industry a presence that cannot be ignored on the real …
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Direct primary care—in which practices bill patients recurring fees (often monthly) that cover many services without additional charges—is faltering, with the closure of two pioneers of the model recently. Qliance Medical Management and Turntable Health have both decided to close up shop, citing difficulties in securing funding to update services (eg, by offering a more urgent care-like level of care) and invest in technologies that would facilitate virtual care. Nonetheless, direct primary care continues to …
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Some urgent care providers have expressed concern that they could be the next subjects of Department of Justice scrutiny in the wake of eClinicalWorks agreement to settle federal charges. Those fears stem from the idea that incentive payments they received from eClinicalWorks could be viewed as ill-gotten gains. (As we told you just days ago, the company had been sued over charges it falsely certified that its EHR met all government criteria and that it …
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Electronic health record vendor eClinicalWorks’ has been fined $155 million for violating the False Claims Act. The company’s misfortune could be the urgent care industry’s (and patients’) gain, however, by making it easier for healthcare providers to switch from one EHR system to another. eClinicalWorks was sued over claims that it falsely certified that its EHR met all government criteria and that it failed to adequately test its software before release; to adequately debug systems …
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