StuWilli, Author at Journal of Urgent Care Medicine

New CMS Rule Hands Telemedicine Oversight to States

A new ruling from the Centers for Medicare & Medicaid Services (CMS) standardizes the responsibility of state Medicaid agencies when it comes to telemedicine, aiming to ensure that “proper access to particular healthcare services can be ensured.” Those assessments would include the needs of patients, as well as time, distance and access afforded by telemedicine. Each state will be responsibility for policing itself by evaluating performance of those services every three years. Once the rule …

Urgent Care Centers Stand to Gain and Lose When New ACA Rule Takes Effect

Come January 1, the latest provisions of the Affordable Care Act (ACA) to go into effect will require companies that employ 50–99 people to offer acceptable health coverage to at least 95% of their full-time workers. Since that would include many urgent care centers, it’s likely that some operators will see their healthcare spending go up. However, savvy marketers will seize on the opportunity to demonstrate the value of their occupational medicine services to local …

Dark Days for the Affordable Care Act

The United States Senate is the latest—and certainly the most prestigious—body to recommend pulling the plug on the Affordable Care Act (ACA, also known as Obamacare). The Senate followed the lead of the House of Representatives by passing a new bill on December 3 that essentially repeals ACA. Passage of the new bill may be a moot point, as President Obama is likely to veto it. Once heralded by proponents as the salvation of uninsured …

ICD-10 Update: Transition Hysteria Much Ado About Nothing for Most

Much like concerns that the Y2K crossover would wreak havoc on civilization as we know it, the transition to ICD-10 codes has been far less disruptive than was feared by many. A new survey by KPMG shows that 79 percent of organizations have made the transition without any major hiccups, with 28 percent calling it “smooth” and 51 percent reporting “a few technical issues, but overall successful.” Just 11 percent called their transition experience a …

The ‘Educate and Vaccinate’ Angle Could Boost Occ Med Business in Flu Season

Local business owners should be made aware that occupational medicine providers may be able to prevent more than the flu this season. With more than 11 million workdays—and $7 billion—lost annually to the flu according to the Centers for Disease Control and Prevention, healthy employees mean a healthy bottom line in very real terms. Small businesses, especially those engaged in manufacturing where having a worker down with the flu could significantly diminish production for days …

Will Medicare Change Make Urgent Care More Appealing?

The end of 2015 means the end of a 10 percent bonus paid to primary care physicians who care for Medicare patients. Depending on how they react, some practices could see more patients turn to urgent care for acute complaints. Essentially, primary care practices will have three options once their bonus disappears: eat the revenue loss, take in more patients to make up for it, or charge patients more. The bonus program was initiated in …

After Signing the Lease: Ensuring a Successful Build-Out of Your Urgent Care Center

Urgent message: This exclusive interview with Brent Johnson, Vice President of Midland General Contractors, focuses on dealing with general contractors, time lines, the permit process, build-out costs, and common pitfalls when setting up a new urgent care center. Introduction “Location, location, location” has long been the success mantra of the retail and service industries. Because urgent care centers are a consumer-facing delivery channel for health care, location is also a key success determinant in that field. High traffic counts, good signage visibility, high …

Urgent Care Evaluation of Diarrhea

Urgent message: Diarrheal illness presents with varying degrees of severity and a broad range of etiologies. The urgent care center provider’s ability to gather key information from the medical history and physical examination, determine when laboratory testing is beneficial, and recognize indications for treatment is essential for the effective and efficient treatment of this common symptom. NATHAN M. FINNERTY, MD, and MICHAEL WEINSTOCK, MD Introduction Diarrheal illness is a common presenting complaint to all urgent care centers. In the United …

Impact of a Pharmacist-Provided Comprehensive Medication Review Service for Urgent Care Patients

Urgent message: Urgent care centers are encouraged to meet best practices for communication during transitions of care. Partnering with pharmacists may optimize medication therapy for patients, helping fulfill these best practices. JENNIFER A. FLAVIN, PharmD, CHRISTOPHER G. GREEN, PharmD, STEPHANIE C. COOK, DO, and STUART J. BEATTY, PharmD, BCACP Objective: This study aimed to (1) evaluate the impact of a pharmacist-provided comprehensive medication review (CMR) service on medication therapy appropriateness, safety, efficacy, and adherence for …

First and Ten: A Decade of JUCM

As we head into a new year at JUCM, our tenth, it is a natural time to reflect on our journal’s history and our goals for the future. Just being able to celebrate a 10th anniversary is nothing short of a miracle. Medical publishing has been in transition for some time, and the number of traditional journals is decreasing. Information, even complex clinical information, is now available with the click of a button. Considering the …

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