Tag Archives: emergency rooms

The Rise of Urgent Care Centers in New York City

The new urgent care center on Broadway between 102nd and 103rd doesn’t look like a doctor’s office and definitely doesn’t look like a hospital.

With its open floor plan, plush chairs and oddly placed modern art, it looks like a upmarket lobby, in part because the designer has a background in hotels.

The waiting room at Cure Urgent Care is meant to provide a sense of calm, as is the logo out front—a green medical cross with a smile underneath.

“It’s supposed to convey the idea that it’s not supposed to hurt to get better,” said the company’s C.E.O., Jake Deutsch.

The center is open until 10 p.m. on weekdays and 9 p.m. on weekends, far later than the typical physician’s office, because, according to the sign outside, “life doesn’t wait for you to feel better.”

This is the public-facing part of New York’s recent boom in urgent care centers, as they compete for patients who once might have spent hours waiting to be X-rayed in an emergency room, or days for an appointment at a doctor’s office. Most anyone can stitch your finger, so clinics have to offer a little something extra, a certain ambiance, shorter wait times, if they are to change consumer behavior and lure patients away from traditional care.

This is, in many ways, a very positive development—as the centers compete to provide convenience and value, they’re also keeping people out of the emergency room, potentially saving hospitals and patients thousands of dollars on each case, and allowing E.R. personnel to focus on true emergencies.

But the flood of urgent-care entrepreneurs into New York’s wide-open market brings with it a new level of public risk.

To read more, click here.

Jeffrey R. Ungvary President

Jeffrey R. Ungvary

 

Predictive Health Analytics are Forecasting your Health Care Consumption

There may be a link between your Internet use and how often you end up in the emergency room.

At least that’s one of the curious connections to emerge from a health care analysis project at the insurance division of the University of Pittsburgh Medical Center.

U.P.M.C. is a $12 billion nonprofit enterprise that owns hospitals in western Pennsylvania as well as a health insurance plan with about 2.4 million members. It is at the forefront of an emerging field called predictive health analytics, intended to improve patients’ health care outcomes and contain costs. But patients themselves are often unaware of the kinds of intimate details about their households that insurers and hospitals may use to try to sway their treatment decisions.

The Pittsburgh health plan, for instance, has developed prediction models that analyze data like patient claims, prescriptions and census records to determine which members are likely to use the most emergency and urgent care, which can be expensive. Data sets of past health care consumption are fairly standard tools for predicting future use of health services.

But the insurer recently bolstered its forecasting models with details on members’ household incomes, education levels, marital status, race or ethnicity, number of children at home, number of cars and so on. One of the sources for the consumer data U.P.M.C. used was Acxiom, a marketing analytics company that obtains consumers’ information from both public records and private sources.

With the addition of these household details, the insurer turned up a few unexpected correlations: Mail-order shoppers and Internet users, for example, were likelier than some other members to use more emergency services.

Of course, buying furniture through, say, the Ikea catalog is unlikely to send you to the emergency-room. But it could be a proxy for other factors that do have a bearing on whether you seek urgent care, says Pamela Peele, the chief analytics officer for the U.P.M.C. insurance services division. A hypothetical patient might be a catalog shopper, for instance, because he or she is homebound or doesn’t have access to transportation.

To read more, click here.

Jeffrey R. Ungvary President

Jeffrey R. Ungvary