Journal of Urgent Care Medicine

Open for Debate: Minimum Operating Hours for Urgent Care

URGENT MESSAGE: Urgent care’s value proposition is “access,” which includes walk-in availability whenever patients have a medical need. However, could using some minimum operating hours as a defining feature of “urgent care” unintentionally restrict access for tens of millions of Americans living in historically underserved communities with population density insufficient to support opening seven days per week and 3,000 hours per year? Alan A. Ayers, MBA, MAcc is Practice Management Editor of JUCM—The Journal of …

Ankle Injury Sustained During an Amateur Football Game

A 25-year-old man presents to the urgent care center after a backyard game of football in which he twisted his ankle. Because of alcohol intoxication, he cannot remember the mechanism of injury. He reports isolated right ankle pain and is unable to bear weight. On physical examination, he has pain with palpation of the ankle, but there are no gross signs of deformity. An ankle x-ray has already been done by the time you see …

Asthma Presentation? Be Wary of Abdominal Aneurysm Rupture

A new study found a significant link between asthma, the use of bronchodilators, and rupture of abdominal aneurysms (AAA). The news underscores the importance of getting a thorough medical and medication history for patients presenting to urgent care with asthma-like symptoms. Researchers noted that asthma patients over age 50, in particular, appear to have an increased risk for AAA and sudden death from its rupture, with the risk going up with recent asthma activity. Further, …

GoHealth Partners with Dignity Health in San Francisco Bay Area Expansion

GoHealth Urgent Care is broadening its horizons by partnering with Dignity Health to open 12 urgent care centers in the San Francisco Bay area within the next 12 to 15 months. The venture will be owned equally by the two companies, but Dignity physicians will staff the new facilities. Each center will have basic lab and x-ray capabilities. Presently, GoHealth’s operations are limited to the New York and Portland, OR metropolitan areas. Dignity Health is …

The Pros and Cons of Acquiring Accounts Receivables in Urgent Care Transactions

URGENT MESSAGE: Unlike most retail and service businesses in which customer transactions result in immediate cash in the register, the nature of insurance and government billing in urgent care creates accounts receivable, which can be a complicating factor when buying or selling an urgent care practice. Alan A. Ayers, MBA, MAcc is Practice Management Editor of JUCM—The Journal of Urgent Care Medicine, a member of the Board of Directors of the Urgent Care Association of …

Optum Vows Continued, Dramatic Growth in Urgent Care Acquisitions

UnitedHealth’s OptumCare division already runs over 160 urgent care centers in 14 states by virtue of having bought MedExpress, but it plans to have “several multiples of that number five years from now.” That’s what Optum CEO and UnitedHealth Group vice chair Larry Renfro told a group of analysts recently, citing provider revenues as a key growth factor for the company. Already the largest payer in the U.S., UnitedHealth joins HCA Holdings and Tenet Healthcare …

To See a Brighter Future, Take Off Your Blinders!

URGENT MESSAGE: Ongoing success requires that the urgent care operator keep his or her eyes open for opportunities to improve the patient experience. The challenge is that the operator can become desensitized by what he/she sees every day. In this guest blog, Lou Ellen Horwitz explains that effective operators must “take their blinders off” in order to experience the operation the way patients do. Lou Ellen Horwitz is Director of Learning at Seattle-based Immediate Clinic. …

Urgent Care a ‘Disrupter’ of Traditional Primary Care

A new study concludes that the healthcare marketplace is dictating a major renovation of primary care—and urgent care is both one of the causes and a potential beneficiary of the dramatic changes in the landscape. The report from PwC Health Industries’ Health Research Institute says rising costs and increased demand for primary care practitioners are forcing stakeholders to rethink their business models to unlock value. Simon Samaha, MD of PwC says the solution lies in …

Spend on Equipment Now, Save on Taxes Later

Tax day is still five months away, but urgent care operators might be able to reduce their burden by ordering necessary equipment and supplies before saying good-bye to 2015. Seeing as how we don’t know what changes Congress might make to the tax code next year and vendors often raise prices with the new year, this could be an especially opportune time to take a look around and decide where it makes sense to trade …

Tricare Urgent Care Pilot Now in Obama’s Hands

The “ayes” had it as Congress approved a three-year pilot program that waives preauthorization for Tricare beneficiaries who want to visit an urgent care center. Tricare provides civilian health benefits for military personnel, military retirees, and their dependents. Part of the Fiscal Year 2016 National Defense Authorization Act, the program will take effect six months after President Obama signs the bill (S. 1356) into law. At the end of year 1 of the pilot, the …

Login to JUCM