Practice Management
ACA Marketplace health plan enrollment hit a record for the fourth year in a row, according to an analysis from the Kaiser Family Foundation. This year, more than 24 million Americans signed up for plans in the marketplace—more than doubling the enrollment figure from just 5 years ago and triple that of the inaugural marketplace enrollment numbers in 2014. Regionally, enrollment has more than tripled since 2020 in Texas (growing 255%), Mississippi (242%), West Virginia …
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Emergency departments (EDs) will face increased sustainability risks in the near- and long-term future, according to a new report from nonprofit research firm RAND. As EDs struggle with financial prospects and meeting community demand, nearby urgent care operators might see increased volumes of higher-acuity patient visits. Among the leading issues are the fact that some of the necessary services provided in hospital EDs are not directly reimbursed by public or private payers, while at the …
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Pediatric infectious disease experts are considering revising recommendations to encourage an early, additional dose of the measles, mumps, and rubella (MMR) vaccine for 6- to 11-month-old infants in high-risk areas, according to MedPage Today. The shift would change the 2-dose regimen per lifetime to 3 doses, while also getting an earlier start. Public health leaders recently discussed in a JAMA perspective the possibility of expanding vaccine recommendations for infants who live in regions with known …
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While many urgent care patients present in the early days of spring with the common symptoms of stuffy nose and sneezing, an allergic rhinitis diagnosis can be somewhat nuanced, according to a review in JAMA Network. Allergic rhinitis, seasonal allergic rhinitis, perennial allergic rhinitis, and non-allergic rhinitis each have different typical symptoms, and therefore, there can be differences in treatment, according to the authors. In a follow-up, MedPage Today reports the majority of allergic rhinitis …
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A new oral antibiotic, gepotidacin, was approved by the Food and Drug Administration (FDA) this week for the treatment of uncomplicated urinary tract infections (UTIs). According to the manufacturer, GSK plc, gepotidacin is a first-in-class antibiotic with a novel mechanism that inhibits bacterial DNA replication to treat female adults and pediatric patients (≥12 years, ≥40 kg) with uncomplicated UTIs. It’s designed to target several of the most common UTI-causing bacteria such as E. coli and …
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The surging measles outbreak—now spanning 18 states as of March 20—may continue for about a year, according to health experts in a CNN report. Weekly totals reached 378 confirmed cases nationwide. By comparison, the 2024 total case count for the entire year was 285. Although 95% of the current cases are in patients who were unvaccinated or had unknown vaccination status, a few were reported in people who say they had at least 1 dose …
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Too few patients are receiving recommended chlamydia and gonorrhea treatment in primary care settings, according to a study published in the Annals of Family Medicine analyzing electronic health records from 2018 to 2022. Among 6,678 confirmed chlamydia cases and 2,206 confirmed gonorrhea cases studied, 75.3% and 69.6%, respectively, received treatment. Treatment rates were higher among women than men (chlamydia: 78.4% vs 67.2%; gonorrhea: 78.9% vs 51.4%). Additionally, younger individuals and those with coinfections were more …
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In the latest iteration among floundering commercial retail spaces, landlords are courting healthcare tenants to fill empty storefronts that used to be occupied by department stores and boutiques. Most existing retail spaces have convenient neighborhood locations with enough local traffic to encourage a visit. According to a recent LA Times report, a network of dental offices in California has found early success with this emerging “med-tail” (medical retail) model, treating both scheduled and walk-in patients. …
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Most of the legislative issues that affect urgent care operations are governed at the state level, particularly provider scope-of-practice laws. A recent guest column in the Columbus Dispatch by Alan Ayers, MBA, MAcc, President of Urgent Care Consultants and Senior Editor of JUCM, makes the case for urgent care’s untapped potential in providing affordable access to care in rural areas. Kentucky and Indiana are witnessing growth in rural urgent care, but Ohio is lagging because …
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A cross-sectional study recently published in JAMA Psychiatry sums up the prevalence of prescription stimulant use disorder (PSUD) among U.S. adults. Using national data, researchers found that 25.3% (95% confidence interval [CI], 23.8%-26.8%) of adults using prescription stimulants reported misuse, and 9.0% (95% CI, 8.0%-10.0%) had PSUD as measured by DSM-5 criteria. Misuse and PSUD were significantly more prevalent among those prescribed amphetamines compared to methylphenidate. The study also identified demographic trends, with the largest …
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