Journal of Urgent Care Medicine

The Next Chapter: From Alternative to Essential

As I continue to meet with operators, clinicians, policymakers, employers, and healthcare leaders, I continue to hear many of the same challenges: reimbursement challenges, rising healthcare costs, workforce shortages, limited access to primary care, and growing pressure on emergency departments. At the same time, I’m hearing something else: growing recognition of the important role Urgent Care plays in addressing these challenges. For years, Urgent Care was often viewed as an alternative, a convenient option when …

Onboarding and Credentialing Challenges for Urgent Care in Today’s Payer Environment

Kim Hardin Urgent care organizations continue to face growing operational pressure as payer requirements become increasingly complex. Among the most significant challenges impacting revenue cycle performance today are provider onboarding and credentialing delays. In an environment where staffing shortages, payer consolidation, and administrative burden continue to rise, efficient credentialing has become critical to financial stability and patient access. Credentialing is the process of verifying a provider’s qualifications, licenses, education, training, malpractice history, and eligibility to …

The Anatomy of a 1-Star vs 5-Star Google Review

While many urgent care operators measure their overall Google ratings—focusing staff on capturing as many “5-stars” as possible—few understand the specific staff behaviors and patient experience that drive positive and negative reviews. To identify the differences, Urgent Care Consultants analyzed the content of 3.1 million Google reviews across 3,665 urgent care centers. The table breaks down the specific themes driving positive and negative experiences. A positive gap indicates a theme more prevalent in 5-star reviews, …

A Call for Physician Specialty Recognition and Improved Training Pathways in Urgent Care

Cesar Mora Jaramillo, MD, FAAFP, FCUCM, DABFM With more than 15,000 centers and 200 million visits a year, urgent care centers (UCCs) play a critical role in the U.S. healthcare ecosystem.[1] Despite its impact and rapid growth, urgent care (UC) remains a unique clinical field that has not yet been matched with a standardized training or certification pathway for physicians. This needs to change. Practicing high-quality UC medicine requires a distinct skill set, including rapid …

Medicare 2026 Therapy Services Update: Key Changes and What Providers Need to Know

Cindy Dickey; Tricia Krueger, CPC The Centers for Medicare & Medicaid Services (CMS) has introduced several important updates to therapy services for calendar year (CY) 2026. These changes affect reimbursement thresholds, telehealth services, coding practices, and payment reductions. Providers—including physical therapists (PTs), occupational therapists (OTs), and speech-language pathologists (SLPs)—should understand these updates to ensure compliance and optimize billing practices. One of the most notable updates is the adjustment of the KX modifier threshold. For CY …

The Structural Divide in Urgent Care Occupational Medicine

Data reveals that occupational medicine in urgent care is fundamentally top-heavy. As the table illustrates, the top 20% of clinics drive 29% of their total occupational medicine visit volume through employer-paid services (EPS) and workers’ compensation (WC) -paid services, averaging 12 daily visits. Conversely, the bottom 20% average less than 1 visit per day from these 2 payer types. Private-insurer or patient-paid services account for the balance of the visits overall. This stark disparity is …

Our Voice Is Getting Stronger – Let’s Use It

As we move into June, I’ve been reflecting on the momentum we’ve built and what we do with it next. Our Convention in Chicago brought our field together in a powerful way. The conversations were thoughtful, practical, and forward-looking. We saw alignment forming around some of the most important issues we face: advocacy, workforce, reimbursement, and the continued evolution of our care model. Since then, that momentum has continued. Our work in Washington is advancing. …

Who Can Take X-Rays in an Urgent Care Center: A 50-State Framework

Urgent Message: This 50-state framework details who can legally operate x-ray equipment, as these laws dictate whether the industry’s predominant advanced practice provider-staffing model remains operationally and financially viable. Alan A. Ayers, MBA, MAcc Keywords: urgent care; radiography; radiologic technologists; licensure; nurse practitioners; physician assistants According to the Urgent Care Association (UCA), on-site plain-film radiography is a defining feature of urgent care and is among the criteria for UCA Certification.¹ Yet across the 50 states …

The 2026 Urgent Care Top 100 By Number of Locations

Alan Ayers, MBA, MAcc Keywords: urgent care; ambulatory care facilities; joint venture; organizational affiliation The nation’s total urgent care center count reached 14,655 as of April 1, 2026, based on data provided by National Urgent Care Realty and Urgent Care Consultants. Of these, 6,056 locations (41.3%) are operated by a Top 100 entity. Hospital affiliations within the Top 100 remain the dominant model, with 55.9% of Top 100 locations participating in a health system relationship. …

How Off-Duty Statements Create On-Duty Liability

Urgent Message: There is effectively no right to “free speech” in a private employer-employee relationship. That means private healthcare employers have the authority to terminate staff whose off-duty statements violate professional ethics or harm the organization’s reputation. Alan A. Ayers, MBA, MAcc Keywords: free speech; social media; healthcare liability; malpractice risk; first amendment; employment law; ethical standards; risk management In today’s polarized political climate, the line between private citizen and public professional hasn’t vanished, but …

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