Journal of Urgent Care Medicine

Health Systems Break Ties With UnitedHealthcare

Several major health systems are struggling to reach contract agreements with UnitedHealthcare (UHC) to provide care services for members covered by the insurer. Recently, Duke Health posted in a blog that its UHC reimbursement is below the 25th percentile among similar hospitals in North Carolina, which it calls “unacceptable” as it continues contracting talks with UHC. If no agreement is achieved, Duke will be out-of-network as of November 1 for several health plan products, including …

High Dose Stimulants Present Elevated Risk for Mania

A recent study of adult emergency department (ED) admissions published in Psychiatry Online found that patients taking high doses of prescription amphetamine drugs such as Adderall (>30 mg dextroamphetamine equivalents) have a 5.28-fold increased risk for developing psychosis or mania. Researchers compared 1,374 cases of individuals presenting with first-episode psychosis or mania to 2,748 control patients with a psychiatric hospitalization for other conditions. Data analysis suggests that 81% of cases of psychosis or mania potentially …

Arm Position Matters In Blood Pressure Measurement

A randomized clinical trial of 133 adults published in JAMA Internal Medicine showed that arm position can have an effect on blood pressure (BP) readings. When subjects supported their arm on their lap, it resulted in systolic BP readings overestimated by 3.9 mm Hg and diastolic BP readings overestimated by 4.0 mm Hg. Additionally, an unsupported arm at the subject’s side overestimated systolic BP by 6.5 mm Hg and diastolic BP by 4.4 mm Hg. …

Oral Antibiotic Prescriptions Trending Down

From 2011 to 2019, the rate of oral antibiotic prescriptions filled at U.S. outpatient pharmacies declined by 13%. The number of prescriptions dropped from 877 per 1,000 people in 2011 to 765 per 1,000 people in 2018 and 2019. According to a Centers for Disease Control and Prevention (CDC) study published in the American Journal of Epidemiology, a total of 2.4 billion oral antibiotic prescriptions were dispensed over this time period. The most significant reduction (-25%) …

GLP-1 Drugs May Have Potential For Addiction Treatment

Patients taking glucagon-like peptide-1 (GLP-1) drugs like semaglutide for diabetes may have a lower risk of opioid drug overdose, according to a new study led by National Institute on Drug Abuse Director Nora Volkow, MD, published in JAMA Network Open. Previous empirical studies and anecdotal reports of fewer drug cravings among individuals with type 2 diabetes and comorbid opioid use disorder who use semaglutide inspired the study. Because the GLP-1 drugs are relatively new, there …

Iron Deficiency Affects Many American Adults

A cross-sectional study of data from the National Health and Nutritional Examination Survey from 2017 to 2020 of 8,021 adults found that 14% of U.S. adults experience absolute iron deficiency (defined as serum ferritin less than 30 ng/mL regardless of transferrin saturation), while 15% have functional iron deficiency (defined as serum ferritin greater than or equal to 30 ng/mL with transferrin saturation less than 20%). Absolute iron deficiency is more prevalent among younger women, however, …

COVID Vaccination Provides Cardiovascular Protection

Vaccination may protect people from serious cardiovascular disease associated with COVID-19. As published in the European Heart Journal, researchers in Sweden studied risk windows in the time immediately after each of 3 doses of the COVID vaccine and assessed several outcomes. The risk of cardiovascular events for patients vaccinated with 3 doses was generally 20–30% lower than for those with no vaccinations. Additionally, stroke risk was lower after vaccination than without, while the risk of …

Pertussis Surge Puts Public Health on Alert

Cases of whooping cough have surged in 2024, with the Centers for Disease Control and Prevention (CDC) reporting at least 15,661 cases in the United States through September 21, marking a return to pre-pandemic levels. Preliminary data shows that about 5 times as many cases have been reported compared to last year, according to CDC. Pennsylvania recorded the highest number of cases at 2,087, followed by New York with 1,781. Public health experts are concerned …

Veto Stops Bill to Review Healthcare Dealmaking in California

California Gov. Gavin Newsom has vetoed a bill that was designed to require state approval for healthcare merger and acquisition deals involving private investors. The scrutiny was meant to increase oversight of private equity and hedge fund ownership transactions that have the potential to lead to consolidations and closures of healthcare provider operations. However, it’s important to note the reason behind the veto. Newsom reasoned that California has an existing Office of Health Care Affordability …

No Obvious Source Found for Avian Influenza Case in Missouri

The Centers for Disease Control and Prevention (CDC) is actively looking at multiple indicators to monitor for avian influenza A(H5N1) viruses, including looking for spread of the virus to or among humans. It’s especially concerning since Missouri reported its first human case of H5N1 avian influenza in a patient who had significant underlying medical conditions but reported no exposure to animals—the typical source of such virus cases. The Missouri patient is the 14th human case …