Practice Management
A new study suggests there has been a rise in higher acuity coding across certain outpatient services. Among urgent care centers, the proportion of visits coded at higher complexity levels (CPT 99204 and 99205) increased overall from 34.0% in 2018 to 40.6% in 2023, while visits coded at level 1 (CPT 99202) declined from 9.5% to 2.9% over the same period. The most significant increases in high-intensity coding were observed in cases involving “blood and …
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A recent federal budget proposal that’s floating around Washington sketches out plans to eliminate parts of the Health Resources and Services Administration and its Federal Office of Rural Health Policy (FORHP), according to a JAMA Network news article. A provisional budget outline specifically mentions eliminating 4 rural health programs meant to sustain critical access hospitals in distress with a 25% cut for FORHP’s budget in fiscal year 2026. The impact of the cuts could be …
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When Cleveland Clinic announced a new policy beginning on June 1 that requires patients to pay their out-of-pocket copays when they arrive for their scheduled appointments, it created controversy for the high-profile nonprofit system. If a patient isn’t able to pay upon check-in for nonemergent appointments, it results in the appointment being cancelled. Urgent care is not included in the new policy, so patients visiting any of the Cleveland Clinic’s 42 centers will not need …
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A new survey of U.S. adults 50 aged years and older conducted in February by AARP further underscores the value of urgent care’s convenient access for communities. More than 80% of the 1,012 American adults sampled say there is an urgent care in their community, and 48% say they live within 10 minutes of an urgent care center. Another 27% say urgent care is 11-15 minutes away, 17% say it’s 16-30 minutes away, and just …
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Northwell Health this week announced the completion of its acquisition of Nuvance Health, resulting in the establishment of an integrated regional health system serving the greater New York and Connecticut areas. This new nonprofit entity will serve a combined population of about 13 million consumers with an annual budget of $22.6 billion and a workforce of more than 104,000 employees, including 22,000 nurses and 13,500 providers. The deal brings the network up to 28 hospitals, …
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Over the past few weeks, glucagon-like peptide-1 agonist (GLP-1) drug manufacturers Eli Lilly and Novo Nordisk have been sending cease and desist notices to providers that are still advertising generic, compounded versions of their brand name diabetes and weight loss drugs. A shortage of GLP-1 drugs temporarily allowed compounding pharmacies to produce their own versions, but now with the shortage over, the pharmacies must stop and return to filling prescriptions with the manufacturers’ branded products. …
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The Center for Infectious Disease Research and Policy (CIDRAP) at the University of Minnesota has established the Vaccine Integrity Project to offer vaccine recommendations and to review safety and effectiveness data, according to a press release. The project is guided by public health and policy experts—some of which served in previous positions at the Food and Drug Administration and the National Academy of Medicine—who will offer strategies to leverage scientific evidence for vaccine-related practices. To …
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In the midst of ongoing retail pharmacy store closures, Amazon is pushing ahead on same-day home delivery of prescription medications, aiming to have delivery within reach of about half the U.S. market by the end of the year, according to MedPage Today. The offering seems like a natural complement to Amazon’s growing list of partners delivering telehealth visits and subscription-based digital health services. Walmart launched same-day deliveries less than a year ago and now reaches …
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It’s evident through everyday experience that access to urgent care (UC) can reduce emergency department (ED) congestion and drive better healthcare resource utilization in a community. A literature review published in Cureus recently quantified this same conclusion by analyzing 10 studies conducted between 2015 and 2024, primarily in the United States, which found that the availability of standalone UC centers reduced ED visits by 8% to 17%. One cited study found UC led to a …
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ACA Marketplace health plan enrollment hit a record for the fourth year in a row, according to an analysis from the Kaiser Family Foundation. This year, more than 24 million Americans signed up for plans in the marketplace—more than doubling the enrollment figure from just 5 years ago and triple that of the inaugural marketplace enrollment numbers in 2014. Regionally, enrollment has more than tripled since 2020 in Texas (growing 255%), Mississippi (242%), West Virginia …
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