Journal of Urgent Care Medicine

Why the Need for a Certificate of Need?

Despite progress in recognizing the need for cost-efficient, readily available care like that found in the urgent care setting—and data demonstrating that they don’t help mitigate healthcare costs anyway—certificates of need (CONs) continue to exist. Typically, states view urgent care centers as “physician offices” that would not be subject to a CON. As healthcare markets become more saturated (ie, competitive), however, there is growing concern that those threatened by the boom in urgent care could …

Report is a Wakeup Call to Beef Up Data Security

About a quarter of all healthcare consumers have been the victims of healthcare data breaches, according to a new study by Accenture—and nearly have of those people ended up victims of medical identity theft. The cost? On average, $2,500 in out-of-pocket costs per incident, paid by the victim. Breaches were most likely to occur in hospitals, though urgent care centers, pharmacies, physician offices, and health insurers were also fertile ground for hackers and identity thieves. …

Texan Business Leaders Call for Fewer Restrictions on Telemedicine

The Texas Association of Business—the state’s chamber of commerce, essentially—is pushing lawmakers to come up with a bill that would allow more patients to use telemedicine. The TAB says the move is necessary after a decade of rising healthcare premiums and deductibles, which has increased the burden both on its members and their employees. Loosening restrictions on telemedicine has seen opposition from the physician-led Texas Medical Board, whose efforts have seen to it that the …

Plan Ahead for Cost When Upgrading Systems

Progress—especially where technology is concerned—by definition should move your business forward; otherwise it would be called regress. One health system in Ohio is learning the hard way that failing to recognize the cost of moving to a new EHR system can put a serious dent in your annual earnings report. In fact, ProMedica says its $1.9 million first-half loss was “primarily driven by significant expenses due to the implementation of the Epic electronic health record …

Are Urgency Centers Becoming a ‘Thing?’

They’re popping up in Boulder, Vancouver, the Twin Cities, and a scant few other locations around the country, but the question for many people—certainly the patients who may (or may not) be inclined to visit them—remains, what is an “urgency” center? As the name implies, urgency centers are intended to be a hybrid of emergency rooms and urgent care centers, without getting caught up in the controversies surrounding freestanding emergency rooms (mainly as they pertain …

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 …

Healthcare Costs Will Continue to Squeeze the Economy; Can Urgent Care Help?

The aging population—clearly not a controllable factor—is high on the list of factors that will continue to drive up healthcare spending over the next decade, according to the just-released 2016 National Health Expenditures Report from the Centers for Medicare & Medicaid Services (CMS). National healthcare spending is projected to grow at a 5.8% annual rate, starting last year through 2025. If accurate, that means healthcare spending will rise from 17.5% in 2014 to 20.1% as …

Healthcare is Outpacing Inflation—Make Your Case on Cost Savings

Healthcare costs are growing at a slower pace than in years past, but they’re still rising faster than the overall inflation rate, according to new data from the PwC Health Research Institute. That means the pressure is still on insurers and employers (not to mention everyday people who pay out of pocket) to make sure their own costs are kept in check. Urgent care has the chance to play the hero in this scenario by …

Is America’s Uninsured Problem Being Replaced by America’s Underinsured Problem?

URGENT MESSAGE: Although the Affordable Care Act has made some progress in reducing the number of Americans without any health insurance, many of the newly insured are still unable to afford routine healthcare due to plan designs that include high deductibles, copays and coinsurance. Alan A. Ayers, MBA, MAcc is Practice Management Editor of JUCM—The Journal of Urgent Care Medicine, a former member of the Board of Directors of the Urgent Care Association of America, …

NC: Can’t Wait for Your PCP? ‘Go to the Urgent Care’

With a storm of protest from state workers still ringing in their ears, North Carolina legislators have backed off a plan to eliminate traditional “80/20” insurance (in which plan members pay 20% of healthcare costs until their deductible is met). Instead, they’ll incentivize preventive care by lowering copays for routine medical visits and some prescription drugs in 2017. That could mean higher traffic in primary care practices—and even longer waits to see PCPs in a …

« Previous