Connecticut Medicine

Jun/July 2015

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VOLUME 79, NO. 6 333 basic metabolic panels, and flu vaccines), the percent- age of claims occurring in a physician's office appears to be slowly decreasing over time, while the percentage of claims from services performed in UCFs may be increasing over time. Utilization and charge patterns of common procedures varied across geographic region as well as by setting. Although differences in utilization and charges were generally found to be small in magnitude, there were some notable differences. For instance, the average charge for a flu vaccine was found to be higher when provided in a physician's office as compared to a flu vaccine provided in a UCF. ese findings suggest that UCFs may become an alternative care setting to the physician's office for certain services. Undoubtedly, as the healthcare delivery system continues to evolve, additional research will be needed to ascertain how emerging care delivery settings impact costs and spending, population health, and patient outcomes. Acknowledgements e authors would like to thank the following in- dividuals at FAIR Health for their contributions and review of the study: Joel Brill, Ali Russo, Michele Filoon, Michelle Scott, Bart Bronfman, and Chris O'Donnell. REFERENCES 1. Yee T, Lechner A, Boukus E. The surge in urgent care centers: emergency department alternative or costly convenience? Res Brief. 2013;(26):1-6. 2. Chang J, Brundage S, Burke G, et al. Convenient Care: Retail Clinics and Urgent Care Centers in New York State. New York, NY: United Hospital Fund; 2015. 3. Weinick R, Betancourt R. No Appointment Needed: The Re- surgence of Urgent Care Centers in the United States. California: California Healthcare Foundation; 2007. 4. Hansen-Turton T, Ridgway C, Ryan S, et al. Convenient care clinics: the future of accessible health care – the formation years 2006-2008. Popul Health Manag. 2009;12(5):231-240. 5. Mehrotra A, Lave J. Visits to retail clinics grew fourfold from 2007 to 2009, although their share of overall outpatient visits remains low. Health Aff (Millwood). 2012;31(9):2123-2129. 6. Kaissi A, Charland T. The evolution of retail clinics in the United States, 2006-2012. Health Care Manag (Frederick). 2013;32(4):336-342. 7. Williams C, Khanfar N, Harrington C, et al. Marketing retail health clinics: challenges and controversies arising from a health care innovation. Health Mark Q. 2011;28(3):270-285. 8. Kaissi A. Hospital-affiliated and hospital-owned retail clinics: strategic opportunities and operational challenges. J Healthc Manag. 2010;55(5):324-337. 9. Weinick R, Bristol S, DesRoches C. Urgent care centers in the U.S.: Findings from a national survey. BMC Health Serv Res. 2009;9:79. 10. Kaissi A. Primary Care Physician Shortage, Healthcare Re- form, and Convenient Care: Challenge Meets Opportunity? South Med J. 2012;105(11):11. 11. Kennedy J, Rhodes K, Walls CA, et al. Access to emergency care: restricted by long waiting times and cost and coverage concerns. Ann Emerg Med. 2004;43(5):567-573. 12. Weinick R, Burns R, Mehrotra A. The quality of care at urgent care centers. Journal of Urgent Care Medicine. 2009:27-32. 13. Urgent Care Association of America. The Case for Urgent Care. http://c.ymcdn.com/sites/www.ucaoa.org/resource/ resmgr/Files/WhitePaperTheCaseforUrgentCa.pdf. Updated September 1 2011. Accessed April 2 2015. 14. Mehrotra A, Liu H, Adams J, et al. Comparing costs and quality of care at retail clinics with that of other medical settings for 3 common illnesses. Ann Intern Med. 2009;151(5):321-328. 15. Uscher-Pines L, Harris K, Burns R, et al. The growth of retail clinics in vaccination delivery in the U.S. Am J Prev Med. 2012;43(1):63-66. 16. Mehrotra A, Wang M, Lave J, et al. A comparison of patient visits to retail clinics, primary care physicians, and emergency repartments. Health Aff (Millwood). 2008;27(5):1272-1282. 17. Mehrotra A. The convenience revolution for treatment of low-acuity conditions. JAMA. 2013 310(1):35-36. 18. Higgins A, Barnett J, Meads C, et al. Does convenience matter in health care delivery? A systematic review of convenience-based aspects of process utility. Value Health. 2014;17(8):877-887. 19. Ahmed A, Fincham J. Physician office vs retail clinic: patient preferences in care seeking for minor illnesses. Ann Fam Med. 2010;8(2):117-123. 20. Ahmed A, Fincham J. Patients' view of retail clinics as a source of primary care: boon for nurse practitioners? J Am Acad Nurse Pract. 2011;23(4):193-199. 21. Scott D, Batal H, Majeres S, et al. Access and care issues in urban urgent care clinic patients. BMC Health Serv Res. 2009;9:222. 22. Patwardhan A, Davis J, Murphy P, et al. Comparison of waiting and consultation times in convenient care clinics and physician offices: a cross-sectional study. J Prim Care Community Health. 2013;4(2):124-128. 23. Patwardhan A, Davis J, Murphy P, et al. After-hours access of convenient care clinics and cost savings associated with avoidance of higher-cost sites of care. J Prim Care Community Health. 2012;3(4):243-245. 24. Spetz J, Parente S, Town R, et al. Scope-of-practice laws for nurse practitioners limit cost savings that can be achieved in retail clinics. Health Aff (Millwood). 2013;32(11):1977-1984. 25. Singhal P, Zhang D. Costs of adult vaccination in medical settings and pharmacies: an observational study. J Manag Care Pharm. 2014;20(9):930-936. 26. Sussman A, Dunham L, Snower K, et al. Retail clinic utiliza- tion associated with lower total cost of care. Am J Manag Care. 2013;19(4):e148-157. 27. Thygeson M, Van Vorst K, Maciosek M, et al. Use and costs of care in retail clinics versus traditional care sites. Health Affairs. 2008;27(5):1283-1292. 28. Weinick R, Burns R, Mehrotra A. Many emergency depart- ment visits could be managed at urgent care centers and retail clinics. Health Aff (Millwood). 2010;29(9):1630-1636. 29. Merritt B, Naamon E, Morris S. The influence of an Urgent Care Center on the frequency of ED visits in an urban hospital setting. Am J Emerg Med. 2000;18(2):123-125.

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