Medicaid Holdouts Continue to Confound ACA Proponents

Medicaid Holdouts Continue to Confound ACA Proponents

Those who herald the Affordable Care Act (ACA, or “Obamacare”) as a success continue to be vexed by the six million or so citizens who are eligible for Medicaid but simply don’t sign up for it. Perhaps that should not be surprising, however, given that most people eligible for Medicaid are exempt from having to pay a penalty for being uninsured—one of the ACA’s prime incentives for individuals to get insured—and those eligible can sign …

Read More
Providing Health Insurance for Employees of Urgent Care Centers:  An Obligation or Added Benefit?

Providing Health Insurance for Employees of Urgent Care Centers: An Obligation or Added Benefit?

URGENT MESSAGE: Five years after the passage of the Patient Protection and Affordable Care Act (PPACA)—also known as the “Affordable Care Act,” or “Obamacare”—many independent urgent care practices are still uncertain of their obligations. In addition to legal mandates, a competitive job market can make a compelling case for offering or subsidizing employee health benefits. Alan A. Ayers, MBA, MAcc is Practice Manager Editor of The Journal of Urgent Care Medicine, a member of the …

Read More
New CMS Rule Hands Telemedicine Oversight to States

New CMS Rule Hands Telemedicine Oversight to States

A new ruling from the Centers for Medicare & Medicaid Services (CMS) standardizes the responsibility of state Medicaid agencies when it comes to telemedicine, aiming to ensure that “proper access to particular healthcare services can be ensured.” Those assessments would include the needs of patients, as well as time, distance and access afforded by telemedicine. Each state will be responsibility for policing itself by evaluating performance of those services every three years. Once the rule …

Read More
States Grapple with Their Own Regulatory Approach to Urgent Care

States Grapple with Their Own Regulatory Approach to Urgent Care

URGENT MESSAGE: Urgent care centers are subject to myriad oversight by individual states, accrediting bodies, Medicare/Medicaid, and private insurance companies. Still, the patchwork nature of state regulatory and legislative trends impacting urgent care in 2015 raises questions—and expectations—for what might be coming next year. Alan A. Ayers, MBA, MAcc is Practice Management Editor of The Journal of Urgent Care Medicine, a member of the Board of Directors of the Urgent Care Association, and Vice President …

Read More