Journal of Urgent Care Medicine

Urgent Care Rises to Improve Rural Access to Care

Longstanding financial and logistical challenges seem to be intensifying for rural-area providers, as evidenced by new data from consulting firm Chartis, which highlights that 46% of rural hospitals currently have negative operating margins and many of those are in danger of closing. In the past year, 18 rural hospitals closed or transitioned to provide only outpatient care. Of the 48 states that are home to rural hospitals, 38 have at least one hospital that is …

Mobile Urgent Care Aims to Relieve ED Utilization

The Louisiana Medicaid program has created an emergency department (ED) utilization-reduction pilot that will run for the next 6 months, according to the Louisiana Department of Health. The program will identify ED “super-utilizers” in an effort to better align their access points with their health needs as appropriate. Acadian Health, a home-health provider, will deliver care to patients at home with urgent care mobile units, reimbursed by 6 local Medicaid managed care organizations—specifically encompassing 5 …

Exemplar Care Acquisition Furthers Hy-Vee Foothold in Healthcare

Grocery chain Hy-Vee has become a joint owner of Exemplar Care, and the business line is now rebranded as Hy-Vee Health Exemplar Care, according to a press release. Existing centers will be renamed to Hy-Vee Health Exemplar Care, offering direct primary care and 24/7 urgent care where available. The model is targeted to employer groups who provide their employees prepaid access to unlimited primary and urgent care through memberships. There are 4 existing clinics in …

Hospital UC Deals Point to Shifting Market Dynamics

Hospitals and health systems are increasingly acquiring urgent care (UC) centers to further their brand presence in select markets and draw patients from UC into the systems’ many other service offerings. New competition from retail clinics and ongoing financial issues seem to be the motivators behind the deals, according to an analysis in Becker’s. A number of recent acquisitions are highlighted, including, for example, Community Health Systems’ purchase of 10 Carbon Health urgent care centers …

Unproven Lyme Disease Treatments Pose Potentially Dangerous Appeal to Patients

Many states with a high prevalence of Lyme disease are home to non-traditional clinics that often provide unproven treatments, potentially creating significant health and safety risks. Researchers examined treatments offered on the websites of 117 independent clinics across 14 high-prevalence states between February 2024 and April 2024, finding that less than half (53 clinics) had an MD or DO physician on staff, as published in Open Forum Infectious Diseases. Approximately 20% employed a naturopathic doctor, …

Fresh Flu Numbers Show Upward Trend — Possibly Still Short of the Seasonal Peak

Flu activity surged in the United States during the final week of January with healthcare visits for respiratory virus symptoms reaching a notably high level, according to the Centers for Disease Control and Prevention (CDC). Flu test positivity rose to 31.6%, and outpatient visits for flu-like illness climbed to 7.8%, staying above the national baseline for the 10th consecutive week. Flu activity remains high or very high across most of the country. The CDC estimates …

Catapult Health Deal Paves More Inroads For Teladoc

Teladoc Health has agreed to acquire virtual preventive care provider Catapult Health for $65 million, including an additional $5 million in potential earnout payments, according to a press release. Originally launched as an on-site health checkup service for employers, Catapult shifted to virtual care in 2020, offering at-home diagnostic kits for blood tests, blood pressure readings, and other health and wellness screenings. The company serves hundreds of employers and reaches more than 3 million individuals. …

Evidence Favors NSAIDs For Pediatric Acute Pain

A meta-analysis of 41 randomized clinical trials found that nonsteroidal anti-inflammatory drugs (NSAIDs) were as effective as ketamine and high-potency opioids for treating pediatric acute pain, while having fewer risks (N=4,935; median age 9.7 years). Researchers found all 3 drug categories outperformed placebo in treating that pain with at least moderate certainty. In the study, presented in JAMA Pediatrics, the reduction in pain severity was “modest” overall. Only NSAIDs reduced the need for rescue medication …

HCA Breaking Ground on 3 Freestanding ED Centers in Florida

HCA Healthcare this week announced plans to build 3 new freestanding emergency departments (EDs) across western Florida this year, according to a company press release. Officials say that recent population growth has inspired the need for more emergency care. HCA operates 17 hospitals in the region and a total of 186 hospitals across the United States and the United Kingdom. New EDs could draw business away from urgent care centers, so local operators have an …

Oseltamivir Can Reduce Flu Deaths Even With a Late Start

Seniors age 65 years and older can experience a significant reduction in mortality risk when treated with the antiviral drug oseltamivir during influenza hospitalizations, even if they were not vaccinated for flu, according to research involving 8,135 influenza patients that was published in Open Forum Infectious Diseases. Patients who were given oseltamivir had an 18% lower risk of 30-day mortality (hazard ratio [HR], 0.82; 95% confidence interval [CI], 0.69 to 0.98). The overall mortality ratio …