Journal of Urgent Care Medicine

New CMS Rule Hands Telemedicine Oversight to States

A new ruling from the Centers for Medicare & Medicaid Services (CMS) standardizes the responsibility of state Medicaid agencies when it comes to telemedicine, aiming to ensure that “proper access to particular healthcare services can be ensured.” Those assessments would include the needs of patients, as well as time, distance and access afforded by telemedicine. Each state will be responsibility for policing itself by evaluating performance of those services every three years. Once the rule …

Urgent Care Centers Stand to Gain and Lose When New ACA Rule Takes Effect

Come January 1, the latest provisions of the Affordable Care Act (ACA) to go into effect will require companies that employ 50–99 people to offer acceptable health coverage to at least 95% of their full-time workers. Since that would include many urgent care centers, it’s likely that some operators will see their healthcare spending go up. However, savvy marketers will seize on the opportunity to demonstrate the value of their occupational medicine services to local …

Dark Days for the Affordable Care Act

The United States Senate is the latest—and certainly the most prestigious—body to recommend pulling the plug on the Affordable Care Act (ACA, also known as Obamacare). The Senate followed the lead of the House of Representatives by passing a new bill on December 3 that essentially repeals ACA. Passage of the new bill may be a moot point, as President Obama is likely to veto it. Once heralded by proponents as the salvation of uninsured …

ICD-10 Update: Transition Hysteria Much Ado About Nothing for Most

Much like concerns that the Y2K crossover would wreak havoc on civilization as we know it, the transition to ICD-10 codes has been far less disruptive than was feared by many. A new survey by KPMG shows that 79 percent of organizations have made the transition without any major hiccups, with 28 percent calling it “smooth” and 51 percent reporting “a few technical issues, but overall successful.” Just 11 percent called their transition experience a …

The ‘Educate and Vaccinate’ Angle Could Boost Occ Med Business in Flu Season

Local business owners should be made aware that occupational medicine providers may be able to prevent more than the flu this season. With more than 11 million workdays—and $7 billion—lost annually to the flu according to the Centers for Disease Control and Prevention, healthy employees mean a healthy bottom line in very real terms. Small businesses, especially those engaged in manufacturing where having a worker down with the flu could significantly diminish production for days …

Will Medicare Change Make Urgent Care More Appealing?

The end of 2015 means the end of a 10 percent bonus paid to primary care physicians who care for Medicare patients. Depending on how they react, some practices could see more patients turn to urgent care for acute complaints. Essentially, primary care practices will have three options once their bonus disappears: eat the revenue loss, take in more patients to make up for it, or charge patients more. The bonus program was initiated in …

LITERATURE REVIEW: Early Administration of Azithromycin and Prevention of Severe Lower RTI

Citation: Bacharier LB, Guilbert TW, Maugeret DT, al. Early administration of azithromycin and prevention of severe lower respiratory tract illnesses in preschool children with a history of such illnesses. JAMA. 2015;314:2034-2044. Reviewed by: Michael B. Weinstock, MD Background/question: The authors wanted to know if antibiotics administered early in the course of a respiratory tract infection (RTI) in children with recurrent, severe RTIs decreased progression of disease. Study: This is a randomized, double-blind, placebo-controlled trial at …

WellSpan, MedExpress Strike Micro Partnership

WellSpan Health continues to broaden its reach into urgent care, this time striking a partnership with MedExpress—somewhat unusual in that it involves just a single clinic and reflects no change in ownership for either company. WellSpan has been slowly buying up healthcare properties in the area, having acquired Good Samaritan Health System in Lebanon, PA and brought a local orthopedic practice into its fold earlier this year. WellSpan Health is a large integrated healthcare system …

Urgent Care a ‘Disrupter’ of Traditional Primary Care

A new study concludes that the healthcare marketplace is dictating a major renovation of primary care—and urgent care is both one of the causes and a potential beneficiary of the dramatic changes in the landscape. The report from PwC Health Industries’ Health Research Institute says rising costs and increased demand for primary care practitioners are forcing stakeholders to rethink their business models to unlock value. Simon Samaha, MD of PwC says the solution lies in …