Journal of Urgent Care Medicine

Clinica Mi Pueblo—Shedding Light on Urgent Care Solutions for America’s Uninsured Latino Population

URGENT MESSAGE: America’s undocumented immigrant population—those who are ineligible for Medicaid, Medicare, or private insurance via a state or federal exchange—are increasingly served by storefront “bodega clinics” that offer a range of services on a walk-in, cash-pay basis. While these “clinicas” provide much-needed access to the communities they serve, there are also concerns about the quality and oversight of their operations. Nonetheless, they could also teach many urgent care centers a thing or two about …

Are Insurers Punishing Providers for Being Out-of-Network?

A community hospital in California says Blue Cross and Blue Shield of Georgia is punishing it for being out-of-network by paying patients directly for emergency services received at the hospital, rather than reimbursing the hospital. Martin Luther King Jr. Community Hospital is taking the matter to court, charging that the Georgia BCBS plan is trying to pressure the hospital, unfairly, to accept its contract rates. The suit further claims that by paying patients directly, the …

New Data: Hospital Bills Don’t Discriminate Between Insured and Uninsured

New data from the National Bureau of Economic Research (NBER) indicate that while the Affordable Care Act (ACA, or “Obamacare”) has made sure more Americans have health insurance, it has done little to make care more affordable across the board. While nearly 90% of the country has coverage, NBER statistics show that more people than ever find basic healthcare unaffordable. A recent study of over 1 million patients from 2003 to 2007 illustrates just how …