Journal of Urgent Care Medicine

New Antiviral Flu Biologic Attracts Merck To Cidara Deal

Merck recently announced its intent to acquire Cidara Therapeutics in a deal with a total transaction value of approximately $9.2 billion. Cidara’s pipeline includes an experimental long-acting antiviral drug that has the potential to offer single-dose, universal prevention against influenza A and B. Known as “CD388,” the pipeline product is not a vaccine but a low molecular weight biologic. It is expected to offer seasonal protection for various populations, including immunocompromised individuals. The transaction is …

CMS May Refine Place of Service Code For Urgent Care

The Urgent Care Association (UCA) continues to seek differentiation for urgent care in the place of service (POS) definitions used by the Centers for Medicare and Medicaid Services (CMS) to construct payment schedules, which are updated yearly. In the 2026 Medicare Physician Fee Schedule, UCA’s advocacy efforts were noted in the Federal Register document with a statement indicating comments offered about the POS for urgent care will be taken into consideration by CMS for possible …

What It Costs To Chase Payment

A recent MedCity News survey reveals that providers end up investing about 2-10% of the collection value of their claims on subsequent efforts to chase down payment, scrubbing away at margins and slowing administrative workflows in revenue cycle management. At the same time, 90% of hospital and physician practice respondents say they are at least somewhat interested in artificial intelligence tech tools to make improvements in billing, and about 66% already have experience with such …

Patients, Telehealth Providers Stretch Weight Loss Drugs With Microdosing

Trends show that some patients are choosing to microdose their glucagon-like peptide 1 receptor agonists (GLP-1RA) prescriptions for diabetes and weight loss, whether a provider advises it or not. It’s believed that microdosing can be helpful to quell significant gastrointestinal side effects or to titrate scheduled dosing with individualized provider recommendations, however, microdosing is still considered unconventional, according to the American Diabetes Association (ADA). For example, each semaglutide multidose pen delivers about 72 unnumbered “clicks” …

Cost-Of-Care Pressure Leads To Oak Street Clinic Closures

CVS Health plans to close 16 Oak Street Health centers, representing about 7% of its total portfolio of these senior-focused primary care clinics. Doors will shutter by the end of February, and CVS cites rising medical costs as the main reason driving the reduction, according to Forbes. The company did not specify which locations will close but said it will continue to operate 230 Oak Street clinics across 27 states. Increased costs to deliver care …

Insurers Automatically Reduce Pay For Some E/M Codes

Several large health insurers are drawing provider backlash for relatively new payment policies that reduce certain reimbursements. Cigna is automatically downcoding 6 evaluation and management (E/M) billing codes (99204- 99205, 99214-99215, 99244-99245) for a small percentage of providers starting this month, for example, resulting in lower payments for some routine office visits. The insurers are leveraging algorithms and claims data to automatically downgrade the codes—often relying on third party vendors to do the adjustments. According …

Get Serious About Credentialing To Avoid New Penalties

Starting January 1, 2026, Elevance Health will consider “corrective measures” that penalize healthcare facilities in 11 states for using out-of-network providers to deliver care for the large insurer’s Anthem Blue Cross Blue Shield commercial health plan members. Health systems may be subject to an administrative penalty of 10% of the allowed claim amount and potential network termination, and the penalty cost cannot be passed on to the patient, according to an Anthem memo. Emergency care …

Hydration Spas Lack Medical Oversight, State Regulation

Today’s rapidly expanding hydration and “detox” spas are coming under scrutiny for safety concerns. The spas typically offer vitamin- and fluid-based IV infusions claiming to boost wellness almost completely without evidence. However, most of the hydration spas lack state regulations and operate with little or no medical oversight, according to a recent article in JAMA Internal Medicine. There are about 9,000 such spas in the United States, and researchers found only Alabama, North Carolina, South …

Covenant Expands Urgent Care Footprint

In Tennessee, Covenant Health Urgent Care has acquired 3 independently operated Well-Key Urgent Care centers in the state, bringing the Covenant Health portfolio to a total of 6 urgent cares. This month, the 10-hospital nonprofit also opened a new urgent care rooftop as part of its planned expansion. The organization is one of 6 health system partners of Urgent Care Group. Well-Key was founded by 2 physicians in 2010 and offers urgent care services to …

Harbor Health Buys 32 VillageMD Clinics From Walgreens Portfolio

Harbor Health, a startup primary-care and specialty group that also offers individual and employer health plans, announced it is acquiring 32 clinics from VillageMD, which is now in the middle of a breakup as part of the $10 billion acquisition of Walgreens by Sycamore Partners. Some of the acquired VillageMD locations include those within Walgreens stores. Harbor Health grew from 3 clinic locations in 2022 to 11 clinics most recently, including 3 that offer extended …

Login to JUCM