Practice Management
A compilation of 2022 and 2023 de novo urgent care center data shows a 7% decline in new locations: from 1,651 de novo centers in 2022 to 1,540 in 2023. A “de novo” center is a new urgent care location where services were not offered previously. The unit of measure is the physical site, meaning if an existing location already in operation happened to change ownership, such change is not counted as de novo growth. …
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Rehabilitation in Post-Acute Anterior Shoulder Dislocation Take Home Point: This study suggests that routinely referring patients to a program of physical therapy is not superior to a single session of advice, supporting materials, and option to self-refer to physical therapy. Citation: Kearney R, Ellard D, Parsons H, et. al. Acute rehabilitation following traumatic anterior shoulder dislocation (ARTISAN): pragmatic, multicentre, randomised controlled trial. BMJ. 2024 Jan 17:384: e076925. doi: 10.1136/bmj-2023-076925. Relevance: Shoulder dislocations commonly present to …
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Jeanne Marconi, MD Over the past 20 years, and more recently throughout the pandemic, suicide rates in the United States have generally been increasing; this has been especially true among adolescents and young adults.1 Despite improvements in recognition and appreciation of the impact of mental health issues, suicide rates continue to climb in America. Healthcare centers, whether inpatient or outpatient, have the unique opportunity to identify patients at-risk for self-harm and to intervene. These opportunities …
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Andrew Alaya, MD, MSc Urgent Message: For time-sensitive diagnoses related to acute pelvic pain, ultrasound is generally the recommended initial diagnostic imaging study. While not universally available in urgent care, it can often be completed more rapidly than computed tomography or magnet resonance imaging. Citation: Alaya A. How Useful Is Ultrasound In Acute Female Pelvic Pain? J Urgent Care Med. 2024;18(7):35-40 Introduction Acute pain in the pelvic or lower abdominal region among women of reproductive …
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Urgent Message: It’s important to recognize the difference between a proximal 5th metatarsal fracture of the tuberosity alone and a proximal metaphyseal fracture, commonly referred to as a “Jones fracture.” A Jones fracture requires full immobilization with urgent surgical referral. Michael B. Weinstock, MD; Kelly Moore, BS Citation: Weinstock M, Moore K. Urgent Care Evaluation and Management Of Proximal 5th Metatarsal Fractures. J Urgent Care Med. 2024 18(7):25-28 Editors’ Note: While the images presented here …
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Alan A. Ayers, MBA, MAcc Urgent Message: The uncertain and extended payment cycle for treating personal injuries caused by third parties, which may be subject to litigation or settlement, can be managed using tools such as letters of protection and medical liens. It’s not uncommon for an individual seriously injured in an accident or by medical negligence to bring a personal injury lawsuit against the at-fault party. If found liable, the at-fault party is held …
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Citation: Ayers A. Private Equity Ownership in Urgent Care By Number of Centers, 2024. J Urgent Care Med. 2024; 18(7):33-34 Although private equity started nibbling on urgent care as far back as 2007, its full investment push kicked off with the 2010 acquisitions and scaling of NextCare, MedExpress, and FastMed. Since that time, some regional platforms like Physicians Immediate Care, MD Now, and PhysicianOne have completed the entire private equity investment lifecycle of acquisition, scaling, and final …
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Heather Rothermel Consider this scenario: You’ve decided to open an urgent care center. You’ve secured funding, found the perfect location, hired amazing providers, created build-out plans to make it your own, and set a go-live date to open your doors to your community. Then you realize you haven’t started contracting and credentialing. In many markets, contracting and credentialing for a start-up can take 9 to 12 months or longer, and operators must consider this timeline …
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The Department of Health and Human Services (HHS) earlier this week posted a letter to healthcare providers acknowledging their cash flow disruptions resulting from the Change Healthcare cyberattack that crippled mission-critical eligibility and claims processes nationwide. Providers were collectively losing as much as $1 billion a day for several weeks while they waited for Change to rebuild and relaunch its systems, according to a report from Axios. HHS officials also offered a practical resource guide …
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Walgreens recently completed the sale of 11 VillageMD clinics in Rhode Island to Arches Medical Partners (AMP), based in Boston. The sale is part of Walgreens’ broader initiative to boost profitability by divesting VillageMD primary care locations, following a period of weak fourth-quarter earnings in 2023. This week, the company announced 160 VillageMD clinics have been slated for closure—100 more than previously announced. The company recently exited the Florida market entirely and this week announced …
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