Journal of Urgent Care Medicine

The ‘Test and Treat’ Shift: 2026

“Test and treat” legislation at the state level is transforming pharmacists from dispensers into providers, authorizing them to diagnose and prescribe for conditions like flu, strep, and COVID-19 without physician oversight. As the map illustrates, this model is now active in more than 20 “direct open market” states (green), with legislation pending in key “battleground” states (yellow). JUCM first reported this disruption in 2015, and now the strategic intent is finally meeting regulatory reality.1 As …

One-Third of Adults Use AI For Health, Avoiding Professional Care

Some 32% of U.S. adults say they have turned to artificial intelligence (AI) chatbots in the past year for health information, according to 2 recent surveys. The KFF Tracking Poll on Health Information and Trust found younger and lower-income individuals often turn to AI for help to avoid the costs and access barriers when seeking traditional healthcare services. What’s concerning is that many users skip professional follow-up entirely, including 58% of those seeking mental health …

Panic Attacks Might Be Another Side Effect of Fluoroquinolones

Researchers believe there may be a potential link between fluoroquinolone antibiotics and increased risk of panic attacks, according to a systematic review and meta-analysis published in the Journal of Antimicrobial Chemotherapy. Using the Food and Drug Administration’s Adverse Event Reporting System database, researchers examined 4 clinical trials and found panic attack prevalence was low (0.5%–1.8%) but was reported with wide confidence intervals. Case reports generally suggested a probable causal link, according to the authors. Further …

New Center Sites May Be Harder To Secure In Tight Real Estate Market

A new real estate report highlights a critical shortage of U.S. outpatient facilities, particularly in fast-growing Sun Belt markets. The JLL 2026 Medical Outpatient Building Perspective notes that while patient demand is surging due to aging demographics and a preference for cost-effective, community-based care, new construction has stalled because of high costs and financial risk. With 93% occupancy rates across the nation, space for independent practices is scarce; most new builds are currently dedicated to …

HMPV Seems To Peak In April

As every urgent care clinician knows, acute respiratory illnesses (ARIs) often present with many of the same symptoms, such as cough, fever, and rhinitis. A recent outpatient study of 7,143 patients with ARI published in Open Forum Infectious Diseases found that human metapneumovirus (HMPV) accounted for 4.7%–7.3% of cases during the 5 influenza seasons the authors examined (from 2016–2022), compared with 11.3%–13.6% for respiratory syncytial virus (RSV) and 30.2%–37.1% for influenza. HMPV circulated later in …

Claim Submission Final Rule Puts Your Fax Machine On Notice

The Centers for Medicare & Medicaid Services (CMS) finalized a rule this month that is meant to drive healthcare transactions away from fax machines and postal mail. Too many providers are still using these old-school workflows with surprising frequency for submitting claims documentation today, and CMS believes the Adoption of Standards for Health Care Claims Attachments Transactions and Electronic Signatures Final Rule represents a major step toward fully electronic workflows, according to a press release. …

New Daily Oral Medication Treats Plaque Psoriasis

The Food and Drug Administration (FDA) has approved the oral medication icotrokinra for the treatment of moderate-to-severe plaque psoriasis in adults and pediatric patients 12 years of age and older, according to a press release. An interleukin-23 receptor antagonist, the once‑daily medication is a uniquely targeted oral peptide for patients who weigh at least 40 kg and who are candidates for systemic therapy or phototherapy. New guidance from the International Psoriasis Council clarifies when clinicians …

Hot, Humid Days Drive ED Visits Among Medicaid Beneficiaries

A large study of 55,200 emergency department (ED) visits among adults aged 65 years and older found that heat-related risk varies by population, and higher-than-average “feels like” temperatures in the summer months are associated with greater all-cause ED use for EDs with predominantly Medicaid-covered populations. Researchers analyzed visits from May 1 to September 30 between 2022 to 2024 at 2 New York hospitals and compared the data, as published in JAMA Network Open. At a …

Many Independent Florida NPs Working Outside of Primary Care

The American Medical Association (AMA) frequently cautions against certain expanded scope-of-practice allowances for nurse practitioners (NPs) in everyday patient care. In a new post, AMA points to a study in Family Practice that examined whether NPs in Florida are practicing within the state’s requirement, which stipulates that autonomous NPs must work within primary care. Since the passage of an expanded scope-of-practice rule in 2020, Florida has allowed NPs who complete at least 3,000 clinical practice …

Massachusetts Maps Urgent Cares Ahead of World Cup Soccer

The Massachusetts Department of Public Health is making a game plan for this summer’s 2026 FIFA World Cup by collecting a list of urgent care centers and other provider sites to help visitors find needed care while experiencing the international soccer events. It’s part of the state’s overall healthcare system readiness strategy tied to the World Cup. Additional resources for clinicians include disease fact sheets as well as disease reporting, isolation, and quarantine protocols for …

Login to JUCM