New Data Exchange Models Serve Urgent Care’s and Payers’ Interests

New Data Exchange Models Serve Urgent Care’s and Payers’ Interests

Patient population data rooted in urgent care visits could be invaluable to healthcare systems, especially with patients who don’t have a primary care physician. And, of course, urgent care operators want to be included in local provider networks. Current and emerging technologies, as well as growing emphasis on value-based care, make this the perfect time to strike formal partnerships to exchange electronic patient data, providing a path for both parties toward their goals. It’s incumbent …

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‘Micro-Hospitals’—Some with Urgent Care Centers—Are on the Rise

‘Micro-Hospitals’—Some with Urgent Care Centers—Are on the Rise

St Vincent Health in Indiana is the latest system to join a growing trend in the U.S.: opening small “footprint” hospitals—multispecialty facilities with an emergency room or an urgent care center to lower volume and offer easier access in conjunction with their main campuses. In St Vincent’s case, that amounts to four new 24-hour emergency micro-hospitals and three ambulatory care centers in the Indianapolis area. Each will have seven outpatient beds and eight in-patient beds. …

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Freestanding ERs Criticized for Billing—and Cherry-Picking Wealthy Patients

Freestanding ERs Criticized for Billing—and Cherry-Picking Wealthy Patients

The rapid growth of freestanding emergency rooms—as well as consumer outrage over controversial billing practices—continues to draw the attention of researchers and legislators around the country. Most typically found in affluent neighborhoods, some freestanding emergency centers can be hard to distinguish from lower cost urgent care centers, setting expectations for some patients that they’ll receive an urgent care-size bill. When the cost more closely resembles the cost of a trip to the ED, patients cry …

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AFC: Fastest Growing Health Company in the U.S., Per Inc. 5000

AFC: Fastest Growing Health Company in the U.S., Per Inc. 5000

For the second year in a row (and third time in 4 years), American Family Care (AFC) has earned a place on the Inc. 5000 list, which ranks the fastest-growing private companies in the U.S. The company was #1,298 on the list year, but rose to 1,010 this year. AFC also ranked as the fastest growing health-related company in the U.S., based on revenue growth of >300% for the second straight year. AFC was an …

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Study Shows Attributes of Telemedicine and Urgent Care Are Well Aligned

Study Shows Attributes of Telemedicine and Urgent Care Are Well Aligned

Name a rapidly expanding healthcare industry offering care that’s convenient, fast, and relatively low cost. “Urgent care” is the easy answer, so if you said “telemedicine” you get bonus points. National Business Group (NBG) predicted months ago that employers would continue warming to the idea and that many more would start offering telemedicine benefits; now it’s confirmed that 74% are doing so, up from 48% just last year. NBG also broke down what employers value …

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Report Cites Cost Effectiveness, Speed of Service as Keys to Urgent Care Growth

Report Cites Cost Effectiveness, Speed of Service as Keys to Urgent Care Growth

Offering cost savings vs higher-acuity settings and getting patients in and out the door quickly are primarily responsible for the ongoing rapid growth of the urgent care market, according to a new market report from Transparency Market Research (TMR). “The service time…[is] better than in an emergency department. Additionally, the fee per visit paid by a patient, whether with health insurance or not, in urgent care centers is much lower than the fee paid in …

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Oops! ACA Architect Says Small Practices Make ‘Better’ Improvements Than ACOs

Oops! ACA Architect Says Small Practices Make ‘Better’ Improvements Than ACOs

Industry insiders have watched accountable care organizations (ACOs) thrive at the expense of smaller practices—including more than a few urgent care centers. Now one of the architects of the Affordable Care Act (ACA, also known as “Obamacare”), which laid the foundation for the ACOs, is having second thoughts. Bob Kocher, MD, who as a special assistant to President Obama helped shape the ACA, writes in a Wall Street Journal op-ed piece that in spite of …

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Freestanding ERs Leave Lower-Income Patients in Need of Other Options

Freestanding ERs Leave Lower-Income Patients in Need of Other Options

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 …

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ACP: Deductibles May Be Discouraging Patients from Getting Care

ACP: Deductibles May Be Discouraging Patients from Getting Care

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 …

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Inaccurate Provider Lists a Major Barrier to Care, Study Finds

Inaccurate Provider Lists a Major Barrier to Care, Study Finds

The first stop for many patients in search of a physician is their health plan’s provider directory. If a new study published in Health Affairs is any indication, though, they might be better off consulting Google—or even the yellow pages—to find their closes urgent care center for prompt attention. The problem is that directories are often inaccurate, with roughly 30% of callers discovering the physician has a specialty other than the one listed in the …

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