Episode 148: Urgent Care as Primary Care with Dr. Juliet Breeze of Next Level Medical

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There are a lot of urgent care clinics all over the country. But few of them, to my knowledge, also operate as regular primary care clinics. But that is exactly what is happening today in the Houston, Texas area with the emergence of Next Level Medical. If you think about it, it makes perfect sense to leverage all the facilities needed for a primary care clinic – exam rooms, physicians, etc. and use it to deliver regular and sometimes non-urgent care. We’ve discussed free standing ERs before that lower the cost of care with transparency so this seems like the next logical step with urgent care. We have also discussed pediatric urgent care clinics but those never had the component of doubling as primary care.

What is Urgent Care?

Probably the most puzzling questions you can ask even someone who works in health care is: What is the difference between urgent care and emergency care? The answer is that it depends which is why you really need a better triage system that people (patients) can access before then head across town to either the ER or UC clinic. It’s this triage that is probably the most important way to keep ER visit costs low and less frequent. This is one of the services offered by Next Level Medical to their members.

Why Urgent Care Membership?

At first, it seems strange that one would establish any sort of membership status with an urgent care clinic. But Next Level has made it work by basically selling it as a one stop primary care clinic. Or a primary care clinic on steroids that comes equipped with supplies for taking care of fractures, lacerations, laboratory studies, and imaging. And if you have the same staff working a regular schedule you can get physician continuity for patients making well care a very achievable goal.

Employers like the flexibility as it provides the primary care for their employees with convenience since there are clinics all over town. Additionally, the clinics can care for their employees who might get injured either at home or work. This added benefit means a whole lot less in expensive ER care and probably healthier employees since their primary care is taken care of without all the copays and hidden costs that keep lots of hourly employees from staying on top of their chronic conditions.

Doctors Like the Schedule

Doctors looking to become employed usually have to make a lot of concessions. First in their autonomy and second in the lack of control over their schedule. The amount of work they take home or ‘unpaid’ time can be large at times making a forty hour a week job quickly turn into 50 or 60. This is where Next Level can offer doctors the opportunity to truly do shift work, have a regular patient panel, but not take home their work and let the sophisticated call center triage their patients overnight.

Dr. Juliet Breeze is the founder and CEO of Next Level Medical which offers membership based urgent care services in the Houston, TX area. show notes

Episode 146: Today’s show

Next Level Medical: Dr. Breeze’s urgent care clinic company.

jbreeze@nlucc.com – Dr. Breeze’s email if you want to contact her.

LinkedIn: Dr. Breeze’s profile

Episode 035: Free standing and fully transparent ERs is Oklahoma

Episode 069: Pediatric urgent care clinics to eliminate a lot of the burden from the ERs.

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