Practice Management
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 …
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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 …
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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 …
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Growing investment by service providers, occupational medicine companies, and entrepreneurs, along with wider acceptance by health plans, seems to confirm that telemedicine is no longer the Next Big Thing, but a newly essential service that urgent care operators need to consider offering. Most recently, U.S. HealthWorks announced that it’s launching a comprehensive telemedicine program called USHW CareConnectNOW, which will link patients to state-licensed medical providers 24 hours a day, 7 days a week. So far, …
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Less than 3 years ago, barely more than half of healthcare providers used telemedicine and related services. Today, however, that proportion sits ag 71%, according to two new HIMSS Analytics studies that analyzed inpatient and outpatient telemedicine. The data indicate that “hub-and-spoke” models, in which the flow of care draws patients from lower acuity outpatient settings to larger, more comprehensive facilities, are the most popular, accounting for 59.6% of provider use. (These are more common …
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Blue Cross Blue Shield (BCBS) of Michigan and Blue Care Network have apparently seen the light when it comes to the benefits of telemedicine. They’re working with physician groups on creating new financial incentives to expand member utilization. Seventeen groups, in fact, have already submitted telemedicine plans that could reap additional payments. Others are strategizing the best way to incorporate or expand telehealth offerings. BCBS says urgent care will figure prominently in its own efforts. …
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Urgent care has continued to grow based on its attributes of improving patients’ care experience at a lower cost than the emergency room, and by contributing to healthier populations—a triad of goals referred to as “triple aim.” Maintaining that growth may depend on outpacing other settings’ ability to change with the times. Twenty years since its inception—coinciding with urgent care’s own growth trajectory—telehealth may prove to be an invaluable tool in accomplishing that. One operator …
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Telemedicine has been shown to provide valuable access for patients who otherwise might not be able to see a physician in person. Unfortunately, not all patients have gotten the message that it’s best used as an alternative to heading to the doctor’s office; instead, they follow a virtual visit with a face-to-face encounter, thereby costing themselves and/or their insurers money unnecessarily. When RAND crunched data on CalPERS Blue Shield members who used Teledoc virtual visit …
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A telemedicine ambulance triage system is helping to keep nonemergent cases out of the emergency room in Houston—perhaps indicating one more way urgent care could contribute to improving access to affordable, quality care for patients with non–life-threatening concerns. A briefing on Advisory Board notes that the city’s ED wait times were among the worst in the country 10 years ago, thanks to up to 50% of patients, in effect, seeking primary care in their local …
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Carena, a virtual urgent care center in Seattle, has gained a healthy following among brick-and-mortar urgent care clinics around the country by “seeing” patients with fairly typical complaints like rashes and symptoms of bladder infections. The company reports that their lines are really jumping now that flu season is in full force. They, and other e-medicine providers, can’t offer flu shots, of course, but they can help patients who don’t have the flu avoid exposure …
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