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HEALTHCARE

Win-Win: HOW BROKERS AND PAYERS BENEFIT FROM URGENT CARE by LAUREL STOIMENOFF, PT, CHC

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ealthcare costs have skyrocketed, and as the bills pile up payers, patients and employers are looking for cost-effective solutions. This need for value-based care has increased the role of urgent care centers, which deliver high-quality care for common illnesses and non-lifethreatening injuries. Brokers provide knowledge about benefits to patients on an ongoing basis and also provide a fountain of information to payers about the ways payers’ networks can further assist both parties. When included in payers’ networks, urgent care centers help payers meet the Centers for Medicare & Medicaid Services’ Triple Aim goals, which define the pillars of the value-based model. Here are just some of the ways urgent care helps accomplish these goals:

IMPROVE THE PATIENT ­EXPERIENCE OF CARE For many, getting sick on the weekend or evening means sitting in the emergency room because their primary care physician is unavailable. If an urgent care center is near, they are open to 38 | CALIFORNIA BROKER

patients on a walk-in basis and during extended evening and weekend hours, when primary care physicians are unavailable. Roughly 97% of urgent care centers are open seven days a week. This is a crucial statistic considering that 63% of Americans report diffi- CalBrokerMag.com -

culty getting access to care on nights, weekends, or holidays without going to the emergency room, according to the Commonwealth Fund International Health Policy Survey. This convenient care option is crucial in a day and age when individuals have access to so JANUARY 2017

Profile for California Broker Magazine

California broker january 2017  

California broker january 2017