Expert Insight

By the numbers: Urgent care is a referrals winner for health systems

With organic growth top-of-mind for all health systems, we looked at referral revenue from primary care physicians based in urgent care centers versus referral revenue from PCPs not based in urgent care centers. We found about $450,000 more in revenue from urgent care-based referrals to the average health system. Check out more of our quantitative analysis, including service line implications.
MCL-1209117819

Urgent care centers are becoming increasingly popular among patients. They’re not only more affordable than traditional care options, but they also offer perks like shorter wait times and immediate medical attention. We analyzed data from Optum Market Advantage (OMA) to estimate the difference in referral patterns, and ultimately downstream revenue, when patients choose to seek out care from an urgent care-based PCP versus a non-urgent care-based PCP.1 To do so, we looked at the median revenue earned from urgent care and non-urgent care facilities in the United States in over 47 inpatient and outpatient service lines. We found two things to be true; first, the services referred to hospitals are the same regardless of status as an urgent care-based PCP. Second, the revenue that hospitals can unlock is higher from urgent care-based PCPs than non-urgent care-based PCPs.


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INTENDED AUDIENCE
  • Hospitals and health systems

AFTER YOU READ THIS
  • You can understand how urgent care referrals can impact your financial strategy.
  • You can figure out if investments into the urgent care centers are worthwhile for your organization.

AUTHORS

Jennifer Bierhoff

Senior analyst, Quantitative insights

TOPICS

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