Journal of Urgent Care Medicine

Accurate AI Coding Boosted Reimbursement Among Highmark Providers

Highmark Health is finding that artificial intelligence (AI) can influence reimbursement, according to Modern Healthcare. The integrated system’s insurance unit posted an operating loss that was tied to higher utilization as well as an increase in coding accuracy coming from providers in their claim submissions. Thanks to AI, providers are more likely to submit cleaner claims that better reflect the reality of clinical care and patient acuity—which also may incur higher reimbursement. It’s not fraud, …

Access to Care in New Jersey Shrinks As Specialists Scale Back

Optum—the large subsidiary of UnitedHealthcare that delivers clinical care and employs physicians and other providers—is scaling back some of its specialty services and locations in New Jersey, according to local outlet NJ.com. Letters notified patients that about 90 locations in the state would shutter in December, reducing its offerings in several areas, such as behavioral health, dermatology, and orthopedics. However, a spokesperson told Patch providers would continue to offer pediatric, primary care, cardiology, rheumatology, and …

Death in California Attributed to Ingesting Deadly Mushrooms

California health officials are warning the public about eating wild mushrooms foraged in parks and backyards following a cluster of mushroom-related poisonings that resulted in 1 adult death and cases of severe liver injury in children. According to the state poison control system, 21 cases of suspected amatoxin exposure—likely linked to death cap mushrooms growing in a local park—have been reported. These highly toxic mushrooms are frequently confused with edible varieties due to their similar …

Execs Rely on AI, Predict New Investment in On-Demand Care Options

Healthcare executives meeting at the J.P. Morgan Healthcare Advisory Council in New York recently highlighted how rapidly the health sector is shifting under technological, financial, and policy pressures. In terms of technology, artificial intelligence (AI) is now delivering real-world operational benefits, including shorter hospital stays, faster workflow automation, and reduced administrative burdens associated with clinician documentation, they said at the meeting. Leaders also noted that organizations need to sketch out scenario-based plans because major Medicaid …

Vaccine Uptake Slows Overall, But Patients Trust Health Pros For Information

According to a survey of 1,015 adults released by the National Foundation for Infectious Diseases (NFID), fewer adults are receiving vaccines for respiratory viruses this year. The study was conducted in November 2025 to evaluate adults’ attitudes and behaviors regarding vaccination for influenza, COVID-19, respiratory syncytial virus (RSV), and pneumococcal disease in the United States. NFID found that 45% of respondents said they have received at least 1 respiratory vaccine since September 2025, with influenza …

Some Glucose Monitor Sensors Could Be Inaccurate; What To Do

Recently, Abbott Diabetes Care posted an alert for a subset of its FreeStyle Libre 3 and Libre 3 Plus continuous glucose monitor (CGM) sensors. Internal testing revealed that some sensors manufactured on a single production line may provide inaccurate, low glucose readings—potentially leading patients to delay or skip necessary insulin doses. The alert affects approximately 3 million sensors in the United States; about half are estimated to have expired or already been used. Globally, Abbott …

Contaminated Baby Formula Still Sitting on Store Shelves

As of December 3, 2025, the Food and Drug Administration, Centers for Disease Control and Prevention, and several state health authorities have reported a total of 39 suspected or confirmed cases of infant botulism across 18 states, attributed to ByHeart baby formula sold in retail stores. Preliminary testing in California found multiple lots of formula contaminated with Clostridium botulinum type A. The 39 infants have been hospitalized, and no deaths have been reported. Onset of …

Benefits Of Weight Loss Meds Don’t Last After Discontinuation

In a post-hoc analysis of a trial that measured weight gain and cardiometabolic factors among participants who used tirzepatide for 36 weeks, researchers found that among participants with obesity who stopped tirzepatide, a large majority had regained much of their weight—and that majority also lost more of the cardiometabolic benefits compared to those who maintained their weight reduction. In other words, those who did not keep the weight off after stopping tirzepatide also lost the …

Pertussis Deaths Rise, New PCR Test Receives Approval

Pertussis Deaths Rise, New PCR Test Receives Approval Three infants in Kentucky have died of pertussis this year, including 1 death last week, according to public health officials. None of the infants or their mothers had been vaccinated. As of November 19, 2025, there have been 566 cases of pertussis in the state with additional cases anticipated by the end of the year. Texas has reported the most activity this year with at least 3,500 …

How Flu Season Is Emerging In Urgent Care

Not surprisingly, seasonal influenza activity is increasing nationwide, primarily among children and young adults. The Centers for Disease Control and Prevention’s most recent FluView dashboard reports a 5% rate of positivity for the week ending November 22, 2025, up from 2.9% the week before. Overall, activity is low, however, of the influenza A cases subtyped, H3N2 accounted for 82.3% of them. There is some concern over a variant of H3N2 called subclade K, which is …

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