Urgent Care Center

Joined: 15 Apr 2006, 05:02

20 May 2017, 12:14 #21

if the urgent care works, I'll bet the AGH closure won't be far behind. and the city also uses the ambulance service as a cash cow for the budget. but I can understand that probably a lot of what walks or drives into the AGH ER can be helped elsewhere for a lot less (on the management end anyway)
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Joined: 07 May 2015, 16:18

20 May 2017, 17:49 #22

Hard to believe so many people can't grasp the concept that these new facilities are not designed to replace actual Emergency Rooms   Maybe its the name, they should call them Rapid Care vs Urgent  

  One of the biggest problems the AGH ER has (behind action shelter folks using it as a hotel) is that people go to the ER when the get the sniffles.  this keeps resources from actual emergencies  

Ambulances don't take MVA victims to a rapid care facility nor should you go to the ER for something not urgent  

I recently went to one in Beverly.   Intake,  vitals, Dr exam and prescription done in about 40 minutes. no appointment    Try that at your local PCP  office,  those are the folks that should be concerned   

 
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Joined: 13 Aug 2005, 09:30

21 May 2017, 02:02 #23

Urgent care centers have been a thing all over the place for years.  I'm all for it.  (That is not saying that I dispute the sentiment that Lahey would like nothing better than to close the AGH ER.)


I've spent an inordinate amount of time sitting on my butt in ERs with various family members over the last half-dozen years.  (The very worst was South Shore Hospital.  My mom entered the ER at noon, a decision was made to admit around 5:00, she got to a room at midnight, with both of us near tears.)


In Gloucester, an Urgent Care would be a huge benefit in the summer.  Out-of-towners, fish hooks, clam shells, barnacles, boat-docking mishaps ...
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Joined: 10 Jan 2008, 01:26

21 May 2017, 11:28 #24

Trevor Slattery wrote:
Hard to believe so many people can't grasp the concept that these new facilities are not designed to replace actual Emergency Rooms   Maybe its the name, they should call them Rapid Care vs Urgent  

  One of the biggest problems the AGH ER has (behind action shelter folks using it as a hotel) is that people go to the ER when the get the sniffles.  this keeps resources from actual emergencies  

Ambulances don't take MVA victims to a rapid care facility nor should you go to the ER for something not urgent  

I recently went to one in Beverly.   Intake,  vitals, Dr exam and prescription done in about 40 minutes. no appointment    Try that at your local PCP  office,  those are the folks that should be concerned   

 
Is there a need to have an urgent issue or can you just use it instead of your PCP? what is the charge to use a urgent care facility? Are they abused like the ER at a hospital? 

  
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Joined: 10 Aug 2008, 22:42

21 May 2017, 11:58 #25

An urgent care facility was built near my home. Other end of the State.

According to my insurance (yours may vary?) the cost is the same as a trip to the emergency room at the local hospital.
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Joined: 13 Nov 2010, 17:37

21 May 2017, 13:59 #26

It varies with insurance plans.

My ER copay is $100.

My PCP copay is $10. (But there are three tiers, the other two are $20 and $30. My PCP is Tier 1; if he wasn't, I wouldn't have picked this plan.)

My urgent care copay is $20. (Oddly enough, if your PCP is tier 3, the copay is lower if you go to the urgent care clinic.)

Check your own insurance plan for details.
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Joined: 01 Sep 2012, 12:06

21 May 2017, 14:10 #27

The majority of ER co-pays are higher than anything else...often by a lot of money.

This is a good idea - and people need training/educating about them. (But then, we're talking about a city where way too many people don't even know the difference between affordable housing and Section 8 or public housing.)
Last edited by battlingignorance on 21 May 2017, 14:13, edited 1 time in total.
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Joined: 10 Jan 2008, 01:26

22 May 2017, 19:19 #28

I can not get the whole article because I guess all my pages are used up

Does anyone else think this is outrageous Gloucester Fire Department charges a base rate of $1,513.84 per trip for basic life support services, plus $46.08 per mile.

That is just for basic not including if a medic goes on the call it is more if someone could post the whole article it would be helpful.
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Joined: 25 Jun 2007, 22:00

22 May 2017, 19:57 #29

I am not sure tyu. I suppose the point is that you have to divide the total expenses to run the rescue service of the FD over a year by the number of patients transported to get a feel for what they should charge. Given the equipment, training, and staffing I can believe it is expensive. It is not like a taxi ride.
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Joined: 07 May 2015, 16:18

23 May 2017, 00:57 #30

My copay was the same as a PCP visit.   It was not an urgent need however very convenient, quick
and efficient at 5pm with no appointment.  
I cannot say enough good things about the experience and will use them again when needed. 
Last edited by Trevor Slattery on 23 May 2017, 01:00, edited 1 time in total.
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Joined: 10 Jan 2008, 01:26

23 May 2017, 01:11 #31

Trevor Slattery wrote:
My copay was the same as a PCP visit.   It was not an urgent need however very convenient, quick
and efficient at 5pm with no appointment.  
I cannot say enough good things about the experience and will use them again when needed. 
If it was not urgent why did you go to an urgent facility? Isn't that a misuse of the service? 

  
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Joined: 13 Nov 2010, 17:37

23 May 2017, 01:21 #32

Why would it be misuse?

They're basically walk-in clinics meant to handle issues for people without appointments. They cover more issues than the clinics in places like CVS, but don't offer emergency services.

Are you under the impression that they charge significantly more than you regular doctor would, and that your insurance would have to eat the cost, and this would drive costs up?

What, exactly, is your beef?
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Joined: 20 Feb 2010, 02:12

23 May 2017, 01:24 #33

These places vary.  In some states urgent centers do charge like ER's.  Here I think they are more like medical clinics with more convenient hours where you don't need an appointment or PCP.  I used to use them on occasion when I worked in Boston.  Very convenient.
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Joined: 13 Nov 2010, 17:37

23 May 2017, 01:42 #34

I'm not sure that's correct.

One of the defining characteristics of urgent care centers is that they cost significantly less than ERs.

There are also NATIONAL standards with regard to both medical and business practices -- and many insurance companies and MCOs actively encourage their customers to seek out urgent care centers (admittedly, probably to keep them out of the ER).

https://en.wikipedia.org/wiki/Urgent_care
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Joined: 20 Feb 2010, 02:12

23 May 2017, 01:55 #35

Personal experience but I'm not interested in arguing the point.  I think it is always best for someone to check ahead if they can.  I have not had a bad experience in Mass and think they follow the standards well...though Da Man sounds like he ran into the problem in Western Mass with an urgent center billing like an ER and we certainly did in NH.
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Joined: 10 Jan 2008, 01:26

23 May 2017, 07:20 #36

Fortune Cookie wrote:
Why would it be misuse?

They're basically walk-in clinics meant to handle issues for people without appointments. They cover more issues than the clinics in places like CVS, but don't offer emergency services.

Are you under the impression that they charge significantly more than you regular doctor would, and that your insurance would have to eat the cost, and this would drive costs up?

What, exactly, is your beef?
No beef it is called urgent care I would think that that mean you have a urgent need. If there is no urgency  need for your care  why don't they just call it a walk in clinic?

  
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Joined: 07 May 2015, 16:18

23 May 2017, 11:19 #37

Tyu I believe I stated above that the name is somewhat misleading and causing the bulk of misinterpretations of their purpose. You illustrate this perfectly.  

They are basically walk in clinics, which used to be popular 30+ years ago before the insurance companies pushed everyone to use a PCP for everything.  Now that the game has changed again the clinics are coming back.   

If we change the name from urgent to rapid would that help you comprehend the concept?
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Joined: 21 Jun 2007, 03:54

23 May 2017, 11:47 #38

Urgent care....... A non emergency medical issue that needs prompt attention that can not wait for a doctors appointment.
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t
Joined: 11 Aug 2007, 04:04

23 May 2017, 13:33 #39

The point is not whether it is 'good' or 'bad', 'useful' or 'worthless'

This is my question with the urgent care center, does it not take business, insurance money, away from the hospital?

Maybe it does not, I do not know.

I mean, when I took my kids to the pediatricians right at the hospital, it was really convenient to walk down the hall and get an xray or blood tests.
Wouldn't that seem more natural and supportive of the hospital than taking space somewhere else?
I'm not saying kick the pediatricians out, just that that model seems more useful to me.
Increase the staffing of outpatient at the hospital, combine resources and overhead

Now some more recent comments have made me wonder, are they maybe taking more money away from PCPs, than from the hospital. That could be true also, bringing that money back in house as it were.
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Joined: 13 Nov 2010, 17:37

23 May 2017, 14:52 #40

Karly wrote:
Personal experience but I'm not interested in arguing the point.  I think it is always best for someone to check ahead if they can.  I have not had a bad experience in Mass and think they follow the standards well...though Da Man sounds like he ran into the problem in Western Mass with an urgent center billing like an ER and we certainly did in NH.
I think Da Man's issue is not with the urgent care facility, but with his insurance plan. 

But if the urgent care was really just an ER in disguise (but don't ERs have to be in hospitals??), perhaps we can get Lord Feltersnatch to call for a new regulation that prevents such abuses. 


After all, he's supposed to be all about the little guy, right? 
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