Practice Management
When a 6-year-old boy with a slight fever and thigh pain was brought to an urgent care center for evaluation, there were no red flags for anything ominous. The physician who saw the boy suspected nothing more than an infection, for which she prescribed an antibiotic. When the patient and his parents returned the next day to report that while the fever was gone the boy was still in pain, the physician ordered an x-ray. …
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Approval under the current Emergency Use Authorization for children ages 12 years and older to receive a COVID-19 vaccine was heralded as an important step forward in taming the pandemic. Some experts are now questioning the wisdom of doing so, however. An editorial in the British Medical Journal goes as far as to state that vaccinating children is “hard to justify right now for most children in most countries,” based mainly on the belief that …
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While the clinical team has had its hands full focusing on treating and trying to protect patients during the COVID-19 pandemic, the Occupational Safety and Health Administration has maintained its focus on urgent care centers and other medical facilities as worksites. Now, having had more than a year to assess things, the agency has issued an emergency temporary standard (ETS) designed to limit the risk of revitalizing the COVID-19 pandemic among healthcare workers. It requires …
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By now, most Americans who are eligible to receive the COVID-19 vaccine (which amounts to most Americans) have probably gotten it—unless they have opted not to. That can prove problematic from more than just a public health perspective when employers try to force the issue. Anecdotally, we’ve learned that a surprisingly high number of healthcare workers have refused to be immunized. So, it should be of interest that a federal judge in Texas just dismissed …
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Some individuals who are opting out of receiving the COVID-19 vaccine say they’re counting on yet-to-be-realized herd immunity to protect them from long-term risk of being infected with the virus. One of the emerging ironies of the pandemic is that so many of those people reside together in states with low rates that herd immunity is unlikely to occur. This may be especially concerning in light of data from the ZOE COVID Study in the …
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With many urgent care centers seeing net revenue of $120 per visit or less, case rate (flat fee) reimbursement disincentivizing a high level of care, and Medicaid reimbursement at less than $100 in most states, emerging changes in reimbursements for rural health clinics could be a powerful argument for looking at expansion in underserved “country” communities. The recently enacted Consolidated Appropriations Act includes updates to reimbursements for Rural Health Clinics (RHCs), defined by the Centers …
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Masks are coming off, restaurants, stadiums, and theaters are welcoming patrons back, and summer vacation plans are coming to fruition. Claiming victory over the pandemic would be both premature and concerning, however, according to public health officials as quoted in an article just published by The Guardian. For one thing, the aforementioned relaxing of preventive measures will be a test of just how effective COVID-19 vaccines are in the real world as people dive back …
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Readers of JUCM News are painfully aware of downturns in urgent care patient visits throughout much of the COVID-19 pandemic. As testing supplies and now vaccines have become more readily available, and patients feel safer venturing to healthcare facilities, a healthy rebound is in effect at urgent care centers across the country. According to an article just published online by Modern Healthcare, however, hospital emergency rooms are having a tough time recouping the patients who …
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When even the headline of one of Yahoo News’s rotating lead stories notes “backlash” against a decision made by a health insurer, it’s not a good week for the company’s image. However, UnitedHealthcare’s announcement that it’s going to start looking long and hard at emergency room visits—and denying or reducing payment on claims deemed to be nonemergent—could wind up benefiting the urgent care industry. In a network bulletin posted on its website, UHC announced it …
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Just weeks after the Food and Drug Administration extended the Emergency Use Authorization on COVID-19 immunization to include children ages 12 and up, rapidly accumulating data that should drive parents to get their kids vaccinated is just not having that effect. While the number of adults hospitalized with COVID-19 and its complications is still higher than it is for younger people, the rate of hospitalizations for adults has plateaued while it’s slowly increasing for adolescents—likely …
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