Wednesday, August 10, 2016

Urgent care or your PCP

Recently Urgent care centers have popped up around Lakewood. Mostly since Obamacare took off requirements of only going to your primary doctor. Additionally, its not easy getting a appointment in Lakewood with a Doctor or pediatrician right away. Many practices now have full time PA's who see lots of the patients. Urgent care does not replace your primary care physician. An urgent care center is a convenient option when someone's regular physician is on vacation or unable to offer a timely appointment. Or, when illness strikes outside of regular office hours, urgent care offers an alternative to waiting for hours in a hospital Emergency Room. One thing to factor in, is the information from your visit to an urgent care center may not be shared with your primary care doctor if they are not affiliated.
Lets say you go for throat cultures to an urgent care center, that medical history of Strep will not be shared with your doc if there is no affiliation. You will have to relay that info yourself. Experts say it's best to use an urgent care center that's affiliated with a hospital. That way, it can share records if you have to go to the hospital after all. Experts say people with underlying conditions including diabetes and cancer, should always seek treatment at a hospital.

26 comments:

  1. CHEMED is not affiliated with any hospitals.

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  2. Why would CHEMED not affiliate themselves with a local hospital.

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  3. CHEMED Is a FQHC (federally qualified health center) and under federal law cannot allow their doctors to have a relationship wirh a hospital. FQHC's receive a heavy dose of federal dollars to provide a cheaper alternative (in poor areas) to the more expensive hospitals. Unfortunately, a patient can lose out in case he needs the better care that a FQHC is unable to provide, and he will not have his FQHC doctor able to have any meaningful input or even the ability to properly coordinate medical care. So, there's always a price to pay when designating a FQHC like CHEMED as your primary physician. But, if you plan to never need a hospital, then you should have nothing to really lose...

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  4. Whoever wrote this article did not do their research. Fact: Anyone on UHC family plan or Horizon NJ health must only go see their PCP however one can change their primary care physician (PCP) with a quick phone call. You can even do it retroactively so in essence you can see anyone you want. Fact: Lakewood Immediate Care, under the supervision of Dr. Allen Lempel, sends a detailed report to every patients' PCP telling them why you were seen and what treatment you received. This is to insure a continuity of care. Fact: An Immediate/Urgent care center should only treat episodic or acute illness leaving the management of chronic illness such as diabetes or hypertension to primary care physician practices. They are very well suited to provide exam and treatment without the wait one usually encounters in a PCP office. Fact: Urgent care centers are usually not affiliated with a hospital nor do they need to be. Michael Fish Lakewood Immediate Medical

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  5. I've been very satisfied with Lakewood immediate care, located in gourmet glatt plaza.

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  6. The problem with some of these urgent care centers was that they may not properly staffed. I have heard of the instances(in Brooklyn) where there is a minimal physician involvement in the care. In other words, the physician that owns the center is never there. It's a good business proposition to own these centers as even Medicaid pays about 100 bucks per visit. and many people go into it; some who should and some who should not...

    I agree with the post that people with the systemic deceases such as diabetes and cancers should try if possible to see a more experienced medical provider for their acute conditions...

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  7. To Leon:
    Lakewood immediate medical care is in fact staffed by board certified PAs or NPs and the treatment we provide to our patients is reviewed every day by Dr Lempel to insure the care is appropriate. In addition, Dr. Lempel is available to discuss cases throughout the day when needed.
    Very often people go to their PCP for a sick visit and still see a PA. They are highly qualified medical proffesionals who are trained to provide care for their patients. As far as reimbursement goes, Lakewood Immediate Care gets the same as a regular Doctors office. The family care plans of NJ (uhc or horizon) pay $68 for an initial visit and $46 for any visit after that) Chemed, as a fqhc gets $125 for The same exact service.
    Michael Fish

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  8. I was once in boro park and had to see a doctor on a Sunday, so i went to one of those urgi care centers. Surprise, the doctor was from lakewood.

    By the way, some doctors own a chain of these urgi centers (not in lakewood area) and supposedly visit each center "regularly". They call themselves the "medical director".

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  9. How much do they get paid per session for behavioral health?

    http://yudelstake.blogspot.com/2016/08/alleged-lakewood-turns-to-sedom-for.html

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  10. You can call chemed and ask them what a specific insurance company pays them for a specific service.

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  11. when will one open in the south side of town ?

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  12. Who cares how much the insurance company is paying the place?

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    1. This site is populated by what's called nisht farginers.

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    2. easy to say when your on the other side living it up on taxpayers expense.

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    3. Night farginners? I think it's important for the olam to know what goes on and to be educated a stat that CHEMED is not affiliated with a hospital is important. people should be informed and make their own decisions.

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  13. Mike, I think you should jump in and open an uc in south Lakewood.

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  14. Also you gotta get pediatrics, people with young kids don't wanna wait hours by shanik.

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    1. There is one opening in westgate plaza soon I think they are supposed to have peds

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    2. The westgate one is a CHEMED satellite.

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  15. Thanks for the advice but operating one center to the highest possible patient satisfaction is very gratifying. I realize making the drive 'up the 9' can be difficult at times however it beats waiting 1-2 days for an appointment and then a possible long wait time in the Dr office. As far as pediatrics goes, there is moonlight pediatrics on clifton ave, open at night.

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  16. Fargin , nisht fargin who cares. All I can say Lakewood immediate care at 1700 Madison is doing a superb job.

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  17. dear Michael Fish,

    My concern was about the concept of Urgent Care centers in general not about any specific Urgent Care center. I know nothing about the particular center you are associated with and I trust your word that it provides great care...

    I am not here to count how much money the centers make. whatever they make they deserve.... All I was saying was that in NY to run such a center is a very lucrative proposition as even Medicaid pays 125 bucks a visit as per ER visit, and some non-doctors operate these centers cutting corners...

    Good luck with your center!

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  18. Thank you for the well wishes. it does seem unfair that some facilities get paid twice as much as others for the exact same type of visit. Fqhc are big business. They as well as urgent care centers may very well be putting a huge financial strain on insurance companies. A recent article stated that the whole Obamacare may be on the verge of a meltdown as many insurance companies will be pulling out of the system unless the government susidizes their losses.

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  19. The high reimbursement for the fqhc is the first step to socialized medicine.

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  20. I have used Dr indich and chemed in the past. The only advantage of chemed was the videos in the waiting room. The doctor would show up one hour after the appointment, they forced you (illegally?) to use their own pharmacy, the workers were rude. Dr indich rarely has a wait, the workers are helpful and they ask which pharmacy. The only possible problem is his insistence on unnecessary vaccinations such as hepatitis b and hpv, that are not really relevant to our community

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  21. Lakewood immediate care will be open tisha B'av. 2:30 - 6:30
    Have an easy fast.

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