Journal of Urgent Care Medicine

California Looks at $400 Billion (with a B) Single-Payer Bill

Some California legislators are hoping to push through a single-payer healthcare bill that would cost the state an estimated $400 billion—more than the entire national budget of Honduras (and 116 more countries across the globe). If passed, the bill would in effect eliminate health insurance companies there and provide government-funded health coverage for all residents. If it needs to be said, funding the plan would require “significant tax increases,” according to legislative analysts. On the …

Texas is Finally on Board with Telemedicine

After stutters and starts, Texas became the last state in the U.S. to enact legislation allowing doctors to treat patients virtually. Proponents argue that it was sorely needed, as Texas ranks 46th in the country in the number of primary care physicians per capita—71.4 PCPs for every 100,000 residents, according to telehealth provider Teledoc; 35 counties don’t have a family physician at all. Teladoc actually started operating in Texas in 2005, but the state medical …

Georgia Blues Put Pressure on Patients to Choose Between Urgent Care and the ED

Going to the emergency room for a simple sore throat will cost Georgians who get their insurance through Blue Cross Blue Shield of Georgia as of July 1, when a new rule designed to cut unnecessary healthcare costs goes into effect. In a nutshell, it demands that patients choose another care setting unless they have a true emergency—urgent care being the most likely source, given the difficulty many find when trying to make timely appointments …

Study: Risk of Cyberattacks is Growing—But Readiness Isn’t

Most device makers and over half of providers surveyed say a virtual attack on devices is “likely” in the next year. Unfortunately, the new study by the Ponemon Institute, working on behalf of Synopsys, also reveals that medical device manufacturers and healthcare providers are simply not prepared to defend themselves—and the patient data they’re entrusted with. Around 80% of respondents find developing secure devices to be a “major challenge” thanks to coding errors, deficient expertise …

Healthcare Systems Shifting Capital Away from Hospitals to Ambulatory Care, Telemedicine

Tenet Healthcare Corp. is reducing capital spending for hospitals by $150 million in its 2017 budget in order to add urgent care centers in key markets, and to open freestanding emergency departments and microhospitals over the next 18–24 months. The idea is to shore up the facilities’ ability to meet growing volume in those settings. Kaiser Permanente is also building up its spending on emerging practice trends; in recognition of the fact that more than …

Los Angelinos Can Go to Urgent Care to See If They Have an STD—for Free

An urgent care center in Los Angeles is offering to check qualified patients for sexually transmitted disease at no cost. The plan is part of Vermont Urgent Care’s goal to expand their offerings to include sexual health services—but it’s also a great way to introduce themselves to patients who may not have visited the clinic before. Urgent care centers, in general, have become popular among patients who think they may need to get checked for …

Bill Would Help Pay ‘Reasonable Costs’ for Veterans to Visit Urgent Care

With an eye toward reducing the heavy economic burden stemming from patients visiting emergency rooms needlessly, U.S. Senator Bill Cassidy, MD (R-LA) is pitching legislation that would require the Department of Veteran’s Affairs to pay for care provided to veterans in urgent care centers. Representative Clay Higgins (R-LA) plans to introduce companion legislation in the House of Representatives. As written, the Veterans Emergency Room Relief Act of 2017 seeks to: Pave the way for veterans to receive …

Massachusetts HHS Head: Let Specialized Urgent Care Help Clear ED Logjams

Massachusetts’ secretary of Health and Human Services is on record as saying urgent care is ideally suited to help reduce overcrowding emergency rooms, at least in Boston. As a guest on Herald Radio’s Morning Meeting program, Marylou Sudders referenced a recent report that patients are waiting nearly an hour to be seen, on average, in the EDs at Boston Medical Center and Brigham and Women’s Hospital. Her proposed solution would be to have more urgent …

VA Telemedicine Plans Are at Odds with Some Licensing Laws

Despite being ahead of the curve on telemedicine, the Department of Veterans Affairs is finding its progress hindered by licensing laws in some states. The “problem” is that sometimes virtual visits take place between a provider who is on federal government property and a patient who isn’t; this is especially dicey if the provider isn’t licensed in the state the patient is in. The VA says federal legislation would clear the path for providers to …

Would Your Staff Turn Away a Patient in Need 10 Minutes Before Opening?

Here’s the scenario: Your clinic opens at 8. A nonclinical staff member arrives at 7:50, only to find a woman in distress waiting at the locked front door, complaining of chest pains and shortness of breath and heading toward a full-blown panic. You hope your staffer would: Let the patient in immediately, then call the first clinician scheduled to work to see how close they are to arriving Let the patient in immediately and call …