Practice Management
When Sen. Lamar Alexander (R-TN), chair of the Senate Health, Education, Labor and Pensions Committee, issued a call for recommendations on how to lower the cost of healthcare in the United States, the Urgent Care Association put together a response packed with data on the relative merits of urgent care, both in terms of the quality of care and the dramatically lower cost compared with freestanding emergency rooms and hospital-based EDs. UCA suggested that a …
Read More
Just this month, we shared data from the American Association of Nurse Practitioners indicating that the number of nurse practitioners has grown considerably over the past year, and is expected to continue to do so for the foreseeable future. Many are likely to gravitate toward urgent care, given this industry’s own continued growth. We’re not the only ones to realize the overall trend for NPs, however. State legislatures from coast to coast are taking a …
Read More
Sometimes it may seem to patients like it would take an act of Congress for them to obtain their own health records. They might literally get that if new rules proposed by federal health regulators are adopted. Among the issues the draft covers are technology standards meant to unlock digital data in EHRs. One part of the proposal, for example, would empower patients to access all their health information electronically—including the provider’s notes, hospital records, …
Read More
Many medical organizations, insurers, and state legislatures have responded to the ongoing opioid crisis by limiting the number of doses prescribed for acute pain at any one time. The bill just passed by the U.S. Senate, however, puts no limits on first-time prescriptions for opiates. That’s in contrast to earlier versions of the bill, which did seek to impose hard limits on opioid prescriptions. The American Medical Association, among other stakeholders, objected to the idea …
Read More
Fresh off a successful effort to stop a Massachusetts bill that would have imposed a tax on all urgent care charges, the North East Regional Urgent Care Association (NERUCA) is calling on urgent care providers, operators, and industry advocates to make their voices heard to fight a similarly onerous proposed bill in New Jersey. If passed by state legislators, Assembly Bill A4443 would, NERUCA warns, require annual licensure of urgent care centers; exclude urgent care …
Read More
Over the past few weeks, we’ve been following the progress of a tax bill that would have imposed an 8.75% tax on urgent care charges in Massachusetts. Thanks at least in part to strong lobbying against the bill by the Urgent Care Association and the North East Regional Urgent Care Association (NERUCA), among other concerned parties, the bill was stalled as the legislature’s 2018 General Session came to a close. If the bill had gone …
Read More
Physician burnout is at least as dangerous as unsafe workplace conditions when it comes to medical errors, according to a new study published in Mayo Clinic Proceedings. In fact, it indicates that physicians with burnout are more than twice as likely to self-report a medical error compared with those without burnout. The potential consequences of that are dramatic; existing data show that med errors are a factor in as many as 200,000 deaths annually in …
Read More
The Urgent Care Association (UCA) and the North East Regional Urgent Care Association (NERUCA) have stepped up their joint efforts to lobby against proposed legislation in Massachusetts that it says would wreak havoc not only on urgent care operators, but the entire state healthcare system. No longer content to simply urge interested parties to contact their legislators to make their feelings about the legislation known, both groups have gone a step further by staging a …
Read More
Florida, Michigan, and Tennessee are the latest states to enact legislation aimed at limiting the amount of opioid medications physicians can prescribed at any one time for acute pain. In Michigan, prescribers cannot write more than a 7-day supply; Florida draws the line at 3 days and makes physicians and pharmacists consult the state prescription drug monitoring database to review a patient’s prescription history. Tennessee let’s pharmacists fill only half the amount of opioids a …
Read More
Medicaid patients who go to the ED with what is later deemed to be a “minor or nonemergency case.” While the bill’s sponsor, Assemblyman Louis Greenwald, says it is designed to save the state and taxpayers money, provider organizations and hospitals are obviously not happy. Some 1.8 million residents get coverage through Medicaid, according to state reports, with patients in the fee-for-service managed-care program accounting for about 5% of that number. If the law takes …
Read More