Practice Management
Telemedicine will be at the center of a pilot program the U.S. Army launched this month, aiming to keep nonemergent cases from clogging up the emergency room. Patients who need immediate—but not emergency—care will be redirected virtually from the Blanchfield Army Community Hospital (BACH) in Fort Campbell KY to an army medical center some 445 miles away. Once screened at BACH, patients will be either see an emergency physician or be directed to an onsite …
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Teleradiology Specialists, which set its sights on the urgent care market early on, predicts a rapid increase in volume and market share on the heels of completing a record number of reads last month. The company completed 40% more reads compared with January of last year. At least some of the growth was fueled by adding 52 locations to the facilities for which it provides over-read, PACS technology, and consulting services. Urgent care is a …
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Some urgent care operators may be starting the new year with old worries about what the Affordable Care Act, known alternately as ACA or Obamacare, means for their centers. More specifically, there is concern that the shift away from PPO, in which patients can choose any provider in their network, to more rigid HMOs—many of which require patients to have preauthorization/referral to use urgent care or pay increased steerage—could hurt the industry. Where optimists hoped …
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If patients start paying more for visiting out-of-network emergency rooms, the American College of Emergency Physicians suggests it will be the government’s fault, not physicians’ or hospitals’. ACEP joined with the Emergency Department Practice Management Association in crafting a response to a new federal rule that would bar insurers from charging plan members higher copayments when they visit out-of-network EDs. That law does not prohibit doctors and hospitals from “balance billing” consumers if the insurers …
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As the number of urgent care facilities and retail clinics goes up, visits to the emergency room go down, according to the 2015 Cost Trends Report from the Massachusetts Health Policy Commission. The number of urgent care facilities in the commonwealth grew eightfold between 2008 and 2015, the report says. The report noted a 30 percent drop in ED use when there’s a “convenient care” facility nearby. Meanwhile, the Center for Health Information and Analysis …
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There are new data supporting the belief that emergency rooms are not doing enough to stem overcrowding—a longstanding rationale for visiting an urgent care center for nonemergent complaints. A new study published in Health Affairs says that while more hospitals are adopting interventions to prevent overcrowding (eg, bedside registration, scheduling elective surgeries on weekends), far too many are not doing enough. Researchers from Albany Medical College, George Washington University, and Harvard Medical School report that …
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In a relatively down year in the single-tenant net lease medical sector, urgent care centers continue to pique more interest than other healthcare properties. (A net lease is one in which the tenant pays all expenses of the property—property taxes, common areas, building maintenance, and utilities—as if they owned it.) The Boulder Group, an investment real estate services firm, reports that in the third quarter of 2015 cap rates in the medical sector compressed, while …
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The national mainstream media are starting to take up the debate over when patients really need to go to the emergency room vs other settings like urgent care. US News & World Report just published a story by Elaine Cox, MD, that draws a parallel between the Twitter age, where people have gotten used to expressing themselves in 140 characters and feel they need immediate care for whatever ails them, and data showing that ED …
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A new study concludes that the healthcare marketplace is dictating a major renovation of primary care—and urgent care is both one of the causes and a potential beneficiary of the dramatic changes in the landscape. The report from PwC Health Industries’ Health Research Institute says rising costs and increased demand for primary care practitioners are forcing stakeholders to rethink their business models to unlock value. Simon Samaha, MD of PwC says the solution lies in …
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New state-specific data show a mix of obstacles to efficient, cost-effective care in the emergency room. One study shows that some EDs are diverting more patients than ever before due to overcrowding, while another finds hundreds of millions of dollars of waste in the emergency setting. Is it any wonder patients are turning to their local urgent care centers in droves? The Maryland Institute for Emergency Medical Services Systems reports that from 2013 to 2014, …
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