The U.S. Market for Urgent Care Centers

Published: March 2013
No. of Pages: 70
   

Urgent care centers in the United States provide an increasingly important option between a physician’s office and a hospital emergency room. They provide walk-in, extended hour access for acute illness and injury care that is either beyond the scope or availability of the typical primary care practice. With a need to reduce emergency room visits and the influx of patients expected due to healthcare reform legislation, urgent care could play a decisive role in healthcare in the near future.

This report, The U.S. Market for Urgent Care Centers, represents Kalorama's analysis of the current market and future opportunity for urgent care centers. The report looks at center location growth, and the market for services performed by urgent care centers.

The report also looks at sales that suppliers may earn selling products to urgent care centers including the following:

  • Breakout of Urgent Care Revenues by Type (Cold/Flu, Infectious Disease, Laceration/Wound, Fracture Sprain, Pharmacy, Laboratory, Physical, Respiratory, Others)
  • IVD Sales to Urgent Care Centers
  • X-Ray Sales to Urgent Care Centers
  • Other Imaging Sales to Urgent Care Centers
  • Prescriptions Written by Urgent Care Centers
  • Vaccinations Performed by Urgent Care Centers

The urgent care business model involves providing a full range of services of non-emergency acute care. The model promises service and relies on a substantial investment in equipment and staff. Most have a physician on staff, generally more than one. UCC’s differ from traditional Physicians’ offices with procedure rooms for lacerations and fractures, radiology department for x-ray services, and a laboratory. While some traditional physician practices may have these facilitates, it is more the exception. Convenient hours are a key strength of urgent care centers. Most urgent cares have hours at least as early as 8 a.m. but sometimes 7 a.m. and close at 8-10 p.m. at night.

In addition to market estimates and forecasts, the report provides the following:

  • Number of Centers Estimate and Growth Forecast, 2008-2016
  • Average Hours Opening and Closing
  • Staff at Urgent Care Centers
  • Ownership of Urgent Care Centers
  • Lab Complexity (No testing, CLIA-waived, CLIA-moderate, Fully Complex)
  • Age of Urgent Care Clinic
  • Drivers of Growth
  • Limitations and Challenges
  • Profiles of Representative Urgent Care Companies
  • Likely Effects of Healthcare Reform
  • 3 Year Medical School, Mixed Urgent-Primaries, ER Costs and Other Trends

This report describes the Information for this report was gathered from a wide variety of published sources including company reports, catalogs, materials and public filings; government documents; trade journals; newspapers and business press; analysts’ reports and other sources. Surveys of urgent care centers that have been published in journals and government websites were an important part of visit and revenue analysis. Specific business plans and revenues of individual operators and chains in different areas of the United States were examined to determine trends.

The U.S. Market for Urgent Care Centers

Table of Contents

Chapter One: Executive Summary
Growth in Urgent Care Centers
Drivers
Limiters
The Need For Urgent Care
Urgent Care Center Market
Opportunity For Suppliers – Imaging, IVD, Pharmaceutical
Scope and Methodology
Conclusions

Chapter Two: Introduction
The Costly and Overcrowded ER
ER costs vs. Urgent Care Costs
Urgent Care Clinic Business Model
Investment
Ownership
Services
Payment Sources for UCCs
Age of Centers
Urgent Care Hours

Chapter Three: Issues and Trends
Healthcare Reform: Patient Swoon?
Components of Healthcare Reform
High Risk Pools
Dependents
Medicaid
Health Care Exchanges
Doctor Waiting Room Times
Mixed Use Centers
Out of Pocket Expenditures
3 Year Medical School
EMTALA
Relieving ERs and Referring to Hospitals
EMR Usage at Urgent Care Centers
“Prudent Layperson” Standard
Physician Shortage
Hospital Competitive Moves Vs. Urgent Care

Chapter Four: Market Analysis
Center Growth Forecast
Urgent Clinic Sales Forecasts
Urgent Care Sales by Type of Visit
Imaging Equipment Sales to Urgent Care Centers
Diagnostics Test Sales to Urgent Care Centers
Clinical Chemistry
CBC Testing
Pregnancy Ovulation
Urinalysis
Microbiology Culture
Diabetes
HIV POC Testing
Influenza
Prescriptions Written at Urgent Care Centers
Vaccinations at Urgent Care Centers

Chapter Five: Company Profiles
Concentra
MedExpress Urgent Care
Doctors Express
Dignity Healthcare
Doctors Care
NextCare
FastMed
Carespot
Patient First
Aurora Urgent Care
Intermountain InstaCare
Carolinas HealthCare
MD NOW

List of Exhibits

Chapter one: Executive Summary
Figure 1-1: Number of Urgent Care Centers, 2008-2016
Figure 1-2: Growth in Urgent Care Centers and Decline in ERs, 2008-2012
Figure 1-3: Revenue at Urgent Care Centers by Service

Chapter Two: Introduction
Figure 2-1: Millions of ED Visits in the US 2009-20912
Figure 2-2: Average Cost of Visits, ER vs. Urgent Care
Table 2-1: Type of Staff Employed
Figure 2-3: Ownership of Urgent Care Centers (Hospital, Physician, Corporation, Non-Physician Individual)
Figure 2-4: Urgent Care Payment Source (Insurance, Medicare/Medicaid, Other)
Figure 2-5: Age of Centers (5 Years or More, Under 5 Years)
Figure 2-6: Opening Hours, Average Weekday
Figure 2-7: Closing Hours, Average Weekday

Chapter Three: Issues and Trends
Table 3-1: Example of Three Year Medical College Program
Table 3-2: Use of Health Information Technology, NIH study

Chapter Four: Market Analysis
Table 4-1: The U.S. Market for Urgent Care Services, 2010–2017
Table 4-2: Urgent Care Market by Procedure (Infection, Anxiety/Mental Disorder, Respiratory, Stomach, Skin, Fracture, Lacerations/Wounds, Cold/Flu, Lab, Pharmacy, X-Ray/Imaging, Vaccine, Membership Fee, Aesthetic, Physical, Other)
Table 4-3: Imaging Sales to Urgent Care Centers (X-Ray, Ultrasound, CT)
Figure 4-1: CLIA Status of Urgent Care Centers (No Diagnostics, CLIA-Waived only, Moderate Complex CLIA, Full Certification)
Table 4-4: Diagnostic Sales to Urgent Care Centers, 2012 and 2017 (Chemistry Panels, Complete Blood Count, Cholesterol/Lipids, Diabetes, TSH, Strep, HIV, Pregnancy, Flu, Urinalysis, Drugs of Abuse, Cardiac Markers, Culture, Others)
Figure 4-2: Test Revenues At Urgent Care Centers
Table 4-4: Prescriptions Written at Urgent Care Centers by Type (Antibiotic, Flu, Painkiller, Asthma, Pres. Cough, Steroid, Others)
Table 4-5: Commonly Prescribed Pharmaceuticals in Urgent Care Centers
Table 4-6: Vaccinations Given At Urgent Care Clinics, millions (Flu, Child Immunizations, Tetanus, Hep)

Published By: Kalorama Information
Product Code: Kalorama Information1095


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