Journal of Urgent Care Medicine

Washington Suit Alleges Obstacles to ‘Charity Care’ by Hospital

Washington’s attorney general has filed suit against St. Joseph Medical Center, charging that the hospital has illegally withheld “charity care” from tens of thousands of low-income Tacoma-area residents for years. Specifically, AG Bob Ferguson says St. Joseph has erected “obstacles” that inhibit providing care to patients who may have trouble affording it. State laws in Washington require hospitals to verify the income of prospective charity patients, but allegedly St. Joseph staff were directed to ask …

Follow-up: AMA Cries Foul over New Anthem ED Policy

We’ve told you recently about plans some insurers have to stick patients with the bill for emergency room visits that are retrospectively determined to have been nonemergent in nature. In essence, if patients go to the ED with an illness or injury that could have been handled in a lower-acuity setting (such as an urgent care center), as determined by the insurer, the patient’s claim will be denied. Now the American Medical Association is demanding …

Hospital Systems Make Their Urgent Care Presence Known Around Town

Urgent care operators have been making a splash by revamping existing retail spaces and restaurants into urgent care centers. Now hospital systems seeking to make inroads in the industry are doing the same. Around Indiana, for example, Indiana University Health is opening up centers in old bank branches; Community Health Network is setting up shop in a strip mall; and Franciscan ExpressCare is actually clearing some space for a clinic in an apartment-and-retail complex, hoping …

Could Telehealth Usher in Treatment of Broader Complaints in Urgent Care?

Infectious disease is not an area one would expect urgent care to play an important role, typically. If a patient in a rural county needed to “see” an ID at an urban teaching hospital, though, a virtual visit facilitated by the local urgent care center might be the patient’s best shot at getting the care they need in a timely manner. That kind of value has been demonstrated in a new study of infectious disease …

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 …

Colorado Hospital Sees Higher Pot-Related Visits Since Legalization

The number of marijuana-related visits to the emergency room and urgent care center at Children’s Hospital Colorado has more than quadrupled since Colorado legalized recreational use, according to a new study. Researchers at the University of Colorado Anschutz Medical Campus reviewed ED and urgent care records for 13- to 21-year-olds, looking for visits where the patient either had a diagnostic code related to marijuana use or a positive urine screen; that number rose from 146 …

HCA Looks to Expand Urgent Care Presence in 2017

HCA Holdings has a lot of money to shop with—a $2.9 billion capital budget, to be exact—and is planning on using a good chunk of it to buy a bigger portion of the urgent care marketplace. Known more as a hospital company, it expects to grow its urgent care business by 67% this year, from its current 72 clinics to 120 between now and December. It will also invest more heavily in the freestanding emergency …

SSM Health Goes Deeper into Retail

Hybrid health provider SSM Health Medical Group, which does business in the urgent care, hospital, primary care, and retail arenas, has signed an agreement to take over operation of 27 retail clinics housed in Walgreens drugstores in the St. Louis area. When the transition is complete next fall, the locations will be renamed SSM Health Express Clinic at Walgreens. Until then, it will be business as usual for those walk-in locations. Walgreens and SSM Health …