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Be sure and watch for insights from UCAOA CEO Laurel Stoimenoff, PT, CHC. Each month, Laurel shares insights on our industry, activities affecting urgent care, and information on UCAOA advocacy efforts and other events.

 

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Start a Revolution at Evolution 2.0

Posted By Laurel Stoimenoff, Monday, April 2, 2018

It’s not surprising that Amazon, Berkshire Hathaway, and JPMorgan Chase have joined forces to impact the rising costs of healthcare. The complexities of healthcare and the billions spent annually on healthcare lobbying have limited the ability of the government to implement any material change. The 1976 movie Network features fictional broadcaster Howard Beale’s famous speech where he implores the people to open their windows and yell out, “I’m not going to take this anymore!” He tells his listeners to first get mad, then we’ll all figure out how to solve the problem.

 

This seems to be the approach being taken by these titan corporations. They have indicated that they intend to leverage technology as a solution, but little else is known about how they are going to revolutionize healthcare delivery. But they’re mad. And we can help.

 

The Affordable Care Act made changes, but 11.7% of adults were uninsured in 2017.1 And the average family who did have coverage experienced their employer-sponsored healthcare premium grow 20% from 2011 to 2016, with an anticipated increase of another 6.5% in 2018.2 Some predict that as healthcare costs increase and income remains relatively constant, staying well will consume the average worker’s income in the not-too-distant future. And when two lines cross on a graph, something big is bound to happen. Mike Ferguson, chief operating officer of the Self-Insured Institute of America, wrote “By breaking free of the conventional coverage model, self-insured companies are finding innovative ways to improve the health of their workers, and at lower cost. Business leaders and policy-makers should take note.”3

 

Consumer-driven healthcare isn’t going away. But we need to do more than adapt to these inevitable changes. We need to collaborate with these innovators and invent the future. Telemedicine’s growth was catalyzed by the self-insured employers. When Cigna and United Health put their toe in the water to cover telemedicine visits several years ago, the coverage was limited to the self-insured groups they administered.

 

So, what can we do? Our growth strategies must extend beyond penetrating the traditional payer community to partnering with employers. The next time you have an opportunity to speak with an employer about their injured worker, why not bring up the benefits you can provide by caring for their entire workforce? You can set up an on-site or provide care in your near-site center. Many payer contracts restrict you from providing care that extends beyond episodic illness and injury, but employers shouldn’t care where the wellness care is taking place. You have the opportunity to provide unfettered care where the employee’s health and future savings are the ultimate goals.

 

Embrace change, embrace technology, and embrace integration. Get involved in healthcare policy at the state level and help UCAOA when we need your voice at the federal level. It’s much more satisfying to proactively influence policy than fall victim to it.  

 

I hope you’ll join us next month at the Paris Hotel in Las Vegas for UCAOA’s Annual Convention & Expo. We will address employer strategies and update you on the regulatory climate. We’ll host state and chapter networking discussions and encourage thought leadership on strategies to influence meaningful change. The convention has been dubbed Evolution 2.0 to reflect the next trajectory of our relatively nascent industry. Think of it as (R)EVOLUTION 2.0, and together, let’s lead it.

 

References

1.   Well-Being Index. U.S. uninsured rate rises in 2Q 2017. July 2017. Available at: http://www.well-beingindex.com/u.s.-uninsured-rate-2q-2017. Accessed March 6, 2018.

2.   PwC. Medical cost trend: Behind the numbers 2018. Available at: https://www.pwc.com/us/en/health-industries/health-research-institute/behind-the-numbers/reports/hri-behind-the-numbers-2018.pdf. Accessed March 6, 2018.

3.   Ferguson M. Self-insured companies help push health care innovations. Investor’s Business Daily. March 22, 2017. Available at: https://www.investors.com/politics/commentary/self-insured-companies-help-push-health-care-innovations/. Accessed March 6, 2018.

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Tags:  ceo  Convention  growth  Membership  payer  technology  telemedicine 

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UCAOA Membership Just Keeps Getting Better: Seize the Opportunities & Resources

Posted By Laurel Stoimenoff, PT, CHC, Monday, September 18, 2017

Amid all the industry changes and uncertainties, healthcare leaders are taking full advantage of any and all resources available to them to better navigate the complexities of the evolving healthcare landscape.  Urgent care clinicians, centers, practice managers and vendors are looking to improve performance and differentiate their organizations from the competition.

The Urgent Care Association of America is the established voice of the urgent care industry, actively advocating for clinicians and centers at the state and national level, while providing thought leadership to media, the public and other colleagues in healthcare. One simple way to rise up in the industry is by joining UCAOA and optimizing all of the benefits that come with membership.

Why Choose UCAOA?
Any membership to a professional healthcare organization comes with its perks. What sets UCAOA apart is the specific focus on the urgent care industry in all educational programs, professional opportunities, business networks and management resources. As host to two of the most comprehensive and well-attended urgent care conferences each year and its ongoing education programs, UCAOA brings together industry leaders to share research and brainstorm with colleagues on how to advance the industry as well as the performance of the individual center.

By joining UCAOA, urgent care professionals can stay up-to-date on the latest trends and best practices in the industry, connect with colleagues and thought leaders, reach key decision-makers and strengthen their bottom lines. UCAOA continually creates exclusive resources and opportunities for members to meet the specific needs of the on-demand medical practice.

For Clinicians
Individual clinician members have access to an extensive list of CME opportunities and education programs – which include both in-person events and online courses to ensure accessibility for any schedule. These resources are designed by both urgent care and specialty leaders for urgent care professionals, providing unique industry insights that help elevate skills and advance your career.

For Centers
Urgent care center members can learn how to improve negotiations and contracts with payers through a growing library of data and best practices found on the Payer Relations page of the UCAOA website. Members can review the latest tips from industry thought leaders on how to demonstrate the value of urgent care to payers. In fact, many payers are calling on centers to achieve urgent care-specific accreditation or certification. UCAOA can help you succeed through a variety of targeted resources.

For Practice Managers
Practice manager members can improve their recruitment and retention efforts with a discounted rate for posting job opportunities on the UCAOA Career Center, an urgent care-specific jobs center. In addition, practice managers can utilize a growing number of free or discounted industry resources and toolkits that provide instant assistance in areas such as marketing and staffing. Look for the policy of the month and UC Prac*toids to benchmark or enhance your center’s performance and stay current with the mercurial state of healthcare.

For Vendors/Suppliers
Vendor members enjoy priority access to urgent care centers across the country through sponsorship opportunities at the leading industry events, as well as direct list mail rental options. Through the list rental program, vendors can educate the industry by sharing their data and resources via mail or email, or showcase the latest products and/or services available that are designed to enhance urgent care operations. They get their name in front of the targeted audience, which drives efficiency and results.

These are just a few of the benefits enjoyed by UCAOA members. For a complete list of benefits available with membership, please visit the UCAOA website’s Members section: ucaoa.org/benefits. We cannot advocate and advance our important agenda without your support. We do our work, so you can focus on yours!

 

 

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Tags:  CEO  clinical  Membership  on-demand services  payer  practice management  UCAOA  urgent care center 

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UCAOA Representatives Take to the Hill to Meet with Congressional Offices

Posted By Camille S. Bonta, MHS, Thursday, July 13, 2017

Members of the Urgent Care Association of America (UCAOA) turned citizen advocates on May 3 as they traveled to Capitol Hill to educate lawmakers and their staff about the important role of urgent care in the health care continuum.

 

The “day on the Hill” coincided with UCAOA’s Urgent Care Convention & Expo and included the participation of 15 UCAOA representatives who met with 75 congressional offices, including with staff on committees with jurisdiction over Medicaid and veteran’s health care.

 

Beyond providing lawmakers and their staff a basic education of urgent care centers, UCAOA members solicited the support for soon-to-be-introduced legislation that would require the Veteran’s Administration to cover healthcare services provided to veterans in urgent care centers. Sen. Bill Cassidy (R-LA) will lead introduction of the legislation in the Senate, and the introduction of bipartisan companion legislation in the House is expected.

 

Similar to the enactment of federal legislation in 2016 that requires TRICARE — the health insurance program for uniformed service members, retirees and their families to cover urgent care visits without prior authorization, legislation to improve veterans’ access to urgent care centers is important to UCAOA’s broader efforts to educate payers about urgent care’s value proposition.

 

UCAOA representatives were on the Hill the day before the House of Representatives passed the GOP American Health Care Act. It is unclear the extent to which Republicans will ultimately be successful at dismantling Obamacare this year.  No doubt, however, that states will seek greater flexibility with their Medicaid programs. 

 

Thirty-one states and the District of Columbia have expanded Medicaid. These states are very nervous because in almost each one of the expansion states, enrollment projections are higher than expected, which is putting a squeeze on state budgets.  Urgent care centers have the capacity to meet the nonemergency medical care needs of the Medicaid population at a fraction of what it costs to care for these patients in hospital emergency departments.  Yet, in many states, Medicaid rates for urgent care services are insufficient.  Because urgent care centers cannot provide healthcare services to Medicaid patients at a financial loss, states cannot establish a healthcare delivery infrastructure that encourages and supports lower costs sites of service for this population of patients until Medicaid rates are improved.

 

Improving Medicaid rates so they are on par with Medicare was another request to lawmakers. While budgetary considerations, including the failure of the Office of Management and Budget to conduct dynamic scoring that would count savings from shifting care out of the hospital emergency department into urgent care centers, make achieving Medicaid payment parity difficult, key congressional staff, during their meetings with UCAOA representatives, seemed genuinely interested in policy barriers urgent care centers face in caring for this patient population.

 

UCAOA’s “day on the Hill” constitutes just one component of the organization’s overall advocacy efforts, but an important component that UCAOA hopes to replicate and grow in the future.  A 2015 survey of congressional staff found that 94 percent note that “in-person visits from constituents” have some or a lot of influence on an undecided lawmaker a finding that has been consistent for more than a decade according to a report released this year by the Congressional Management Foundation.[1]

 

The survey also found that in-person meetings in which legislators and staff have opportunities to interact and develop relationships with constituents are very important for understanding constituents views, and that constituents meeting or getting to know legislative assistants

and district and state directors is a good way to build those relationships.

 

Contrary to what many UCAOA members may believe, they can use their voices to make a difference on policy issues important to the urgent care industry. UCAOA hopes its members will engage in advocacy efforts when called upon and, in the meantime, will use UCAOA resources made available to them to communicate and build relationships with their state and federal lawmakers, as well as with representatives of the payer community. 

 

To learn more about UCAOA’s advocacy activities, visit  ucaoa.org and look for “advocacy" in the menu bar.

Camille Bonta is the founder and principal of Summit Health Care Consulting in Breckenridge, CO focused on the lobbying, regulatory and advocacy efforts of national healthcare organizations, including UCAOA. 

 

 

 

 



[1] Citizen-Centric Advocacy: The Untapped Power of Constituent Engagement ∙ © Congressional Management Foundation CongressFoundation.org

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Next Steps to Success: Distinguishing Your Center with Accreditation or Certification

Posted By Laurel Stoimenoff, Wednesday, June 28, 2017

The on-demand healthcare industry is in a state of growth and diversification. Increasing competition and choices make it difficult for patients to know where to go for the best care. One way to differentiate from the rest in terms of excellence is by achieving accreditation.

UCAOA Accreditation was developed by urgent care professionals with the nuances and uniqueness of the urgent care center in mind. It is the only accreditation that also recognizes and requires a distinct urgent care scope of services. UCAOA also offers certification for urgent care centers, either exclusively or for those on the path toward accreditation. Certification is based solely on the scope of services available to the community. UCAOA has recently expanded its certification options from traditional and pediatric certification to recognize the seasonal-, rural- and occupational medicine-focused urgent care centers. 

Those centers who successfully pursue accreditation are dually recognized as Certified (scope) and Accredited (quality & safety) Urgent Care Centers.

Why Pursue UCAOA Accreditation?

Efficiency and Engagement

The accreditation process helps urgent care centers develop and implement consistent procedures across all sites. When meeting the standards become routine practice, centers benefit from unanticipated efficiencies; including staff in the values of quality and safety may develop more engaged, customer-focused employees. Similarly, achieving accreditation requires teamwork that generates a sense of pride and accomplishment.

Examples of key quality and safety procedures required to achieve accreditation include:

·         Verification of patient identity before providing care;

·         Precautions to prevent medical errors;

·         An overarching quality plan;

·         An infection control and prevention plan; and

·         Demonstration of integrated care processes.

Accreditation demonstrates that centers have achieved excellence in eight critical areas:

·         Patient care processes;

·         Patient privacy/rights/responsibilities;

·         Scope of care;

·         Physical environment;

·         Health record management;

·         Quality improvement;

·         Governance; and

·         Human resources.

Marketing

Armed with mobile devices, consumers are more likely to search and select providers based on quality and service perceptions. UCAOA Accreditation is a trustworthy “seal of approval” for patients. Accredited centers undergo site surveys to ensure they meet established and defined standards, giving patients the confidence that the center has demonstrated its commitment to excellence.  Accredited centers market their achievement to payers and networks as well as prospective referral sources such as pharmacists, physicians, school nurses, employers, and risk managers.

Revenue & Profitability Impact

Many payers are requiring accreditation before contracting or as an in-network requirement. As examples, members have notified us that BCBS of Georgia and Empire BCBS in New York now require accreditation for new urgent care centers, while Anthem in Virginia intends to do the same for new and existing centers in the coming year. As a result, applications for accreditation are on the rise.

Medical malpractice insurance carriers are recognizing UCAOA Accreditation for its impact on quality and safety, with some offering organizations a risk management credit of 2.5 to 15 percent once attained.

Not Ready to Commit to Accreditation Right Now? Consider a First Step: UCAOA Certification

While it is most cost-effective to pursue certification at the same time as accreditation, the UCAOA Certified Urgent Care (CUC) program can be a first step on the path to accreditation. It affirms the urgent care center's scope of practice meets UCAOA criteria for easy access and scope of services. In one state, certification allows the urgent care center to receive higher reimbursement through the state’s workers’ compensation fee schedule. 

UCAOA is proud of the number of centers who have successfully attained both certification and accreditation. There are many ways to demonstrate a commitment to quality and safety but we can assure you that these individuals are doing their part to raise the bar! 


Learn more about UCAOA Accreditation and Certification

Tags:  accreditation  bcbs  ceo  certification  payer  quality of care 

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