Practice Management
As President Trump and members of both houses of Congress work to repeal the Affordable Care Act (ACA, or “Obamacare”), the Urgent Care Association (UCA) has revealed several health reform principles it will use to evaluate emerging legislative alternatives to the ACA. UCA says it will support policies that recognize urgent care should be treated as an essential health insurance benefit and included as an important element of value-based care, as well as those that …
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Data from the National Health Survey show healthcare considered routine by today’s standards is simply inaccessible for some 20.3 million children, in spite of the fact that the number of uninsured children has plummeted by nearly two thirds in the past decades (from 10 million uninsured in 1997 to 3.3 million in 2015). This is most evident in preventive medicine (including immunizations), management of acute and chronic medical conditions, and timely access to subspecialists, according …
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The Affordable Care Act (ACA, or “Obamacare”) has given millions of citizens access to healthcare they didn’t have before, driving up volume in some urgent care centers and emergency rooms. It’s also put sometimes unbearable pressure on insurers to find a way to stay profitable in the state-run exchanges; most that originally participated have bowed out because they were losing too much money, in fact. With the election of Donald Trump as our next president, …
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Like many insurers, Anthem says it’s had a hard time operating profitably in exchanges under the Affordable Care Act (ACA, or “Obamacare”). Unlike many insurers, it has stuck with its participation despite those woes. If the situation doesn’t improve, though, Anthem says it will probably switch gears and reconsider its offerings for 2018. The company, whose proposed merger with Cigna faces an antitrust challenge by the Justice Department, also says it would issue a request …
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Blue Cross and Blue Shield of North Carolinas (BCBSNC) says the federal government is trying to run out on a bill that amounts to $147.5 million in overdue risk-corridor payments. The Justice Department counters that the suit—along with several others that revolve around the 3-year-old program—is premature because any payments wouldn’t be due until next year at the earliest. BCBSNC is eager to have its day in court though, and says the government’s defense is …
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Patients whose health is insured under marketplaces created via the Affordable Care Act (ACA, aka “Obamacare”) have become acutely cost conscious when it comes to their own care—to the extent that they may not be getting the care they need, according to a new survey. While that paints a picture of a dysfunctional system, urgent care may be reaping some rewards as patients seek out quality care that won’t cost them as much as a …
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The path to ongoing growth in the urgent care industry is paved with the dollars it saves payers and patients, according to MedExpress Chief Medical Officer Thomas Pangburn, MD. While insurers would likely disagree, Pangburn says that includes the advent of the Affordable Care Act (ACA, or “Obamacare”). Here’s some of the rationale he shared with the Pittsburgh Tribune Review : “With the Affordable Care Act and changes in the healthcare system, more and more …
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The Affordable Care Act (ACA, or “Obamacare”) is driving higher volume in the emergency room at the same time it creates conditions resulting in lower availability of providers, according to a pair of new studies published in the Annals of Emergency Medicine. The end result: longer waits that frustrate patients and a patient load that clinicians may be hard pressed to keep pace with. While the studies were focused on Illinois and Massachusetts, the results …
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A new study from the Kaiser Family Foundation shows that the dwindling number of insurers participating in public exchanges set up under the Affordable Care Act (ACA, also known as Obamacare) is much harder on people in rural communities than on city dwellers. Larger urban areas are more likely to have at least two insurers to choose from, giving those payers an incentive to offer lower rates. However, insurers often have a monopoly by default …
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The ongoing “consumerization” of healthcare—evidenced by the continuing growth of urgent care, telehealth and other patient-convenience trends—is one key factor in how medical facilities and related operations are fueling a boom in local real estate markets. As medical practice moves away from a hospital-centric model toward a culture more similar to a retail appearance, existing spaces need to be adapted to accommodate private exam and x-ray areas, offer comfortable waiting rooms, and assure adequate parking …
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