HIGH CARE, LOW COST

These innovative Houston clinics are taking urgent care to the next level

Next Level employs licensed technicians and physicians. Photo courtesy of Next Level Urgent Care

When Houston physician Juliet Breeze took her son to the emergency room on a weekend, she was shocked at how expensive the treatment ended up being.

"We got excellent care, but an unreasonably high bill to go with it," she says. "From my experience, I knew the care we received actually cost a fraction of what we were charged. I knew that if I had made this costly healthcare mistake as a doctor and business person, others were probably getting 'stung' too."

Having previously managed a multi-location orthopedic practice called Richmond Bone & Joint Clinic and been a family practice doctor before that, Dr. Breeze had seen first-hand the increased cost of medical care provided at "hospital pricing."

She knew then that she wanted to find some way to be part of the solution for escalating costs in healthcare, so in 2013 Dr. Breeze founded Next Level Urgent Care.

The clinics provide an excellent alternative for the treatment of non-life-threatening health conditions. The services are faster and, on average, five to 10 times less expensive than a visit to the emergency room. They accept all major insurance carriers, including Medicare and Medicaid, and a typical copay costs only $25-$75, compared to $150-$500 at an emergency room.

There are 15 convenient locations throughout the Houston area that are open from 9 am-9 pm, seven days per week. The clinics in Champions, Cinco Ranch, Copperfield, Long Meadow, Meyerland, Sienna Plantation, and Sugar Land clinics all open early at 7 am. The only time the clinics are closed is on Thanksgiving and Christmas Day.

"With more and more parents working, a thing like getting a sick or injured kid to the doctor before they close for the day, and what to do about care on the weekends, is a real issue," says Dr. Breeze. "For this reason, emergency rooms have become more popular for health problems that aren't true emergencies. It has become such a trend for patients to use ERs that many insurances have started shifting the cost of this kind of healthcare to the patients themselves."

She even points out that "most carriers charge much higher copays and deductibles for ER than for urgent care or an office visit these days."

But what about retail clinics, often located in drugstores and groceries? They're a partial answer to the problem, admits Dr. Breeze, but they lack vital equipment like X-ray rooms and licensed technicians, along with services such as stitches, splinting, and IV fluids.

Besides providing incredible savings to patients, Dr. Breeze found that she and her team could help address employer healthcare needs as well. They quickly became skilled at efficiently handling work injuries, pre-employment physical examinations, and other services that employers required for their staff. As part of this evolution, in 2015, Next Level was selected by the County of Fort Bend to manage a cost-free clinic for its employees. Their success in Fort Bend led to being selected by Montgomery County, Brazoria County, and the Houston Independent School District to provide onsite medical care on their campuses as well.

This month, Next Level launched its first CareXtend Clinic for the Goose Creek ISD, which combines the benefits of onsite care (like reduced lost time from work and increased access) with the cost savings of virtual medicine.

CareXtend Clinics are single-room clinics staffed with a "Care Concierge" who can assist the off-site medical providers during the physical examination utilizing state-of-the-art digital diagnostic equipment. To cut down on cost, the medical provider joins the visit by video link but unlike traditional telemedicine, the visits include vital signs, complete physical examinations, lab draws, and other routine in-office testing.

Next Level Urgent Care has several new projects launching this year, including selling pre-paid bundled savings plans to individuals and employers. These cards can be shared with friends and family for deep savings on the cash-pay pricing and are perfect for those without insurance or with very high deductible plans.

They have also begun quoting subscription plans for unlimited urgent care services to employers outside of traditional insurance plans. This model allows employers to pay a flat rate directly to cover acute care for their employees. Capping employer costs while encouraging the use of urgent care and reducing the out-of-pocket expense for the employees are the main benefits of this exciting new model. The subscription plans are especially attractive now that Next Level has such a large footprint in the Greater Houston Area.

"Next Level is a woman-owned, locally based business," says Dr. Breeze. "Who better to treat Houstonians than us?"

Dr. Juliet Breeze founded Next Level in 2013. Photo courtesy of Next Level Urgent Care

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Building Houston

 
 

Houston innovators podcast episode 140

What Houston can expect from its rising innovation district

Sam Dike of Rice Management Company joins the Houston Innovators Podcast to discuss the past, present, and future of Houston's rising Ion Innovation District. Photo via rice.edu

Last month, the Ion Houston welcomed in the greater Houston community to showcase the programs and companies operating within the Ion Innovation District — and the week-long Ion Activation Festival spotlighted just the beginning.

The rising district — anchored by the Ion — is a 16-acre project in Midtown Houston owned and operated by Rice Management Company, an organization focused on managing Rice University's $8.1 billion endowment.

"We're chiefly responsible for stewarding the university's endowment and generating returns to support the academic mission of the university," says Samuel Dike, manager of strategic initiatives at RMC, on this week's episode of the Houston Innovators Podcast. "Part of those returns go to support student scholarships and student success — as well as many of the other academic programs."

"The university sees a dual purpose behind the investing," Dike continues, in addition to focusing on generating returns, RMC's mission is "also to be a valuable partner in Houston's ecosystem and pushing Houston as a global 21st century city."

RMC saw an opportunity a few years back to make an investment in Houston's nascent innovation and tech ecosystem, and announced the plans for the Ion, a 266,000-square-foot innovation hub in an renovated and rehabilitated Sears.

"In some ways innovation is not necessarily about creating something completely new — it's oftentimes building upon something that exists and making it better," Dike says. "I think that's what we've done with the building itself.

"We took something that had really strong bones and a strong identity here in Houston," he continues, "and we did something that's often atypical in Houston and preserved and repurposed it — not an easy logistical or financial decision to make, but we believed it was the best for Houston and for the project."

Now, the Ion District includes the Ion as the anchor, as well as Greentown Houston, which moved into a 40,000-square-foot space in the former Fiesta Mart building, just down the street. While RMC has announced a few other initiatives, the next construction project to be delivered is a 1,500-space parking garage that will serve the district.

"It is not your typical parking garage," Dike says. "The garage will feature a vegetated facade with ground-floor retail and gallery space, as well as EV charging spaces and spaces to feature display spaces for future tech. It's going to be a nice addition to the district."

The new garage will free up surface parking lots that then will be freed up for future construction projects, Dike explains.

He shares more about the past, present, and future of the Ion and the district as a whole on the podcast. Listen to the interview below — or wherever you stream your podcasts — and subscribe for weekly episodes.



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