New Jersey on the Verge of Capping Some Nonemergent Medicaid ED Visits at $140

New Jersey on the Verge of Capping Some Nonemergent Medicaid ED Visits at $140

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 …

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Would Massachusetts Bill ‘Enhance Access’ to Care—or Limit Urgent Care Visits?

Would Massachusetts Bill ‘Enhance Access’ to Care—or Limit Urgent Care Visits?

Legislation under consideration by Massachusetts lawmakers purports to help patients gain access to quality care more easily—the actual title of the bill is the Act to Enhance Access to High Quality, Affordable and Transparent Healthcare, after all. Critics are concerned that it will actually have the opposite effect when it comes to urgent care, however, citing several components of the bill as currently written: An 8.75% tax on the total dollar amount of an urgent …

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New Report: Urgent Care Can Help Improve Patient Access to Healthcare

New Report: Urgent Care Can Help Improve Patient Access to Healthcare

A new post from PatientEngagementHIT.com (PEH) identifies urgent care as one of the “emerging players allowing patients to connect to care outside of a doctor’s office hours,” a key benefit at a time when access to care is getting more challenging all the time. PEH emphasizes four broad areas in which progress could be made to help patients get to see the clinicians that would be best suited for their current complaints in a timely, …

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Telehealth Adoption Has Been Slow, but Some Operators Are Profiting

Telehealth Adoption Has Been Slow, but Some Operators Are Profiting

Telemedicine has been hyped as a savior for both patients with poor access to quality local healthcare and operators who want to increase revenue by providing that care. Business has not exactly been booming for most, however, possibly due to lack of awareness among the public or slow adoption by payers. As competition for patients heats up among various segments of the provider landscape, however, there may be a bigger push to capture patients who …

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UCAOA Webinar: Maximizing Social Media to Reach More Patients

UCAOA Webinar: Maximizing Social Media to Reach More Patients

When they asked prolific criminal Willie Sutton why he robbed banks, he allegedly replied simply, “That’s where the money is.” To flip the question, if all your patients (and prospective new patients) are on social media, why aren’t you doing more to seek them out there? Answers on how to remedy that will be offered in a free webinar to be hosted by the Urgent Care Association (UCA) on Thursday, July 19, 1–2 pm, Central. …

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Make Sure Your Medicare Claims Are Spot-On—or Pay the Price (Literally)

Make Sure Your Medicare Claims Are Spot-On—or Pay the Price (Literally)

An urgent care operator in upstate New York has agreed to pay $110,000 to settle charges that it submitted false claims to Medicare. The U.S. Attorney for the region alleged that between January 2013 and October 2015 the company billed over 99% of its Medicare fees as if services had been provided or supervised directly by a physician, even though at least some of them had been provided by advanced practice providers (ie, nurse practitioners …

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Atlantic Health System, MedExpress Team Up in New Jersey Urgent Care Centers

Atlantic Health System, MedExpress Team Up in New Jersey Urgent Care Centers

Atlantic Health System and MedExpress have forged a partnership to coordinate care among 11 MedExpress neighborhood medical centers and Atlantic Health System’s network of physicians, hospitals, and other care sites in northern New Jersey. The aim is to guide more MedExpress urgent care patients to an Atlantic Health System facility when further care beyond the urgent care setting is needed. Conversely, MedExpress locations will act as an extension of Atlantic Health System for urgent care …

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Hep A Outbreaks Are Now Surging in Five States

Hep A Outbreaks Are Now Surging in Five States

Ohio has joined Michigan, Kentucky, West Virginia, and Indiana in declaring an outbreak of hepatitis A. Michigan has the most confirmed cases with 843. Ohio has “only” 79, but that’s twice as many as the state saw all last year. Community health departments are requesting thousands of doses of hep A vaccine in the hope of stemming the tide. Given the proximity of the states, the presumption on the part of health officials is that …

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Youth Concussions May Be More Common than We Thought

Youth Concussions May Be More Common than We Thought

More U.S. high school students self-report having had a concussion than is reflected in data from hospitals and school systems, according to a new study from the Centers for Disease Control and Prevention. About 15% of participants in the CDC’s latest Youth Risk Behavior Study (YRBS) say they have experienced at least one concussion related to sports or physical activity over a 1-year period. That prevalence, equating to 2.5 million children, is higher than what’s …

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Nurse Practitioners Are More in Demand by Recruiters than Most Physician Specialties

Nurse Practitioners Are More in Demand by Recruiters than Most Physician Specialties

Family physicians and psychiatrists are the most in-demand physicians and healthcare providers overall when it comes to recruiting assignments, but nurse practitioners are now third on the list, according to a report from MerrittHawkins, a subsidiary of AMN Healthcare. The authors attribute the sharp rise of nurse practitioners among recruiters seeking to fill positions to the growing number of retail clinics—and the ongoing growth of urgent care. In fact, “urgent care” was used as a …

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