Consolidation in Urgent Care: Trends and Implications

Consolidation in Urgent Care: Trends and Implications

In medical parlance, the term 'urgent' is an acute but not necessarily severe disorder that could endanger the patient's health if not attended to.- An urgent care center (UCC), also known as an urgent treatment center in a few countries, is a walk-in clinic focused on primarily treating injuries or illnesses requiring immediate care but not severe enough to require an ED ( Emergency Room) visit.

Urgent Care Centres started in the US around the 1970s and have since moved from a "doc-in-box" derision outlook to exponential growth, with almost 10,000 (approx.) centers in the country. These Clinics or Centres have evolved to be an essential part of wellness –As of 2022, the urgent care industry is worth an estimated $56.7 billion. (Grand View Research).

Their low cost and attention for patients with shorter waiting times as compared to an ED (a 2016 survey conducted by National Public Radio (NPR), one in five respondents indicated that they had been unable to see their primary care physician in the last two years due to lack of available appointment times) is not only spurring tremendous growth but making it a market that is quickly consolidating.

What led to consolidation and recent Trends

As per studies, the Urgent Care Centre Market is poised to grow at a CAGR of 5.2% during the forecast period (2022 - 2027). Hospital Owned, Urgent Care Centres Segment, is anticipated to Grow at a High CAGR Over the Forecast Period. As per Harmony Healthcare IT survey, around one-quarter of the millennials looking for hyper convenience last visited a primary healthcare clinic five years ago.

With these numbers in sight, Private Equity, Big Hospitals, and at times insurers are in the fray to acquire these clinics.

Consolidation is driven majorly by cost savings due to economies of scale, the fixed costs being offset, and increased bargaining power in supply chain management. From the clinics' view – access to better technology, research, and more funds is mainly the driving factor.

Even as Urgent care is booming, A new era of Value-Based Care is emerging. As per a report by McKinsey & Company, the private equity inflow in value-based care has risen from 6 to 30% since the pandemic. The value-based care model is where the hospital and physicians are rewarded based on the patient's wellness outcome and not on the no. of services provided to the patient. This model has reduced the costs for patients and Payers. A population that is healthier means there are fewer claims on payers' pools and investments.

The above implies both positive and negative -there is access to better technology and specialties for clinics, and they are now investing in research and development. E.g., Clinical Trials launched by Next Level Urgent Medical LLC on orally administered pill-based therapy.

The clinics with lesser financial prowess, rural and mid-sized centers, have received a new lease of life, as per the Modern Healthcare report.

On the flip side, consolidation does not always lead to lower costs – with M&A, monopolies are being created, and the prices increase by almost 6-18%. In a survey, 90% of Employers who provide employee health benefits said this cost would become unsustainable for them in the next few years.

US healthcare is more expensive than most countries, with spending of 16.8% of GDP, spending according to Commonwealth Fund. Deloitte estimates this spending will triple by 2040.

With increasing healthcare costs which is not only the effect of consolidation but many factors, one will need to look towards alternatives. RPM (Remote Patient Monitoring) tools are increasingly used to manage patients. Home calls and diagnostics have made a comeback.

telemedicine

Consolidation in Urgent care is a trend that is here to stay with its greater reach and convenient location. Also, removing steam from ERs and primary healthcare is a significant benefit. The authorities must keep a close lookout to make Urgent care continue to be affordable and have a greater spread.

How XpertCoding is modernizing Urgent Care coding?

XpertCoding is an AI medical coding platform that is changing urgent care coding processes:
First, XpertCoding uses artificial intelligence (AI) to automate many of the tasks involved in urgent care coding, such as identifying the correct CPT® codes for a given patient encounter and generating accurate and compliant medical coding reports. This can free up urgent care providers and staff to focus on patient care and other important tasks.
Second, XpertCoding provides users with access to a team of experienced and certified medical coders who are available to provide support and guidance as needed. This can be especially helpful for urgent care providers who may not have the time or expertise to code their own patient encounters.
Third, XpertCoding offers a variety of features that are specifically designed for urgent care providers, such as the ability audit coding activity and identify areas for improvement. This can help urgent care providers to improve their coding accuracy and efficiency, which can lead to increased revenue.
Overall, XpertCoding can help urgent care providers to improve their coding accuracy, efficiency, and compliance. This can lead to increased revenue and improved patient care.

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