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Costco Members Now Have Access To $29 Online Healthcare Visits

New York (CNN) — Costco is now offering members online health checkups for as low as $29.

The retailer is offering the new service in partnership with Sesame, a direct-to-consumer healthcare marketplace that connects medical providers nationwide with consumers.

Sesame, in a release, said Costco members beginning Monday can book healthcare visits directly through their memberships in all 50 states.

The New York-based company said its platform doesn't accept health insurance because it primarily caters to uninsured Americans and those with high-deductible plans who prefer to pay cash for their health care. It said its model helps keep prices of services low for its users.

The services listed on Costco Pharmacy's homepage, include virtual primary care visits for $29, health checkups (a standard lab panel and a virtual follow-up consultation with a provider) for just $72 and online mental health visits for $79.

"Quality, great value, and low price are what the Costco brand is known for," David Goldhill, Sesame's co-founder and CEO, said in a statement. "When it comes to health care, Sesame also delivers high quality and great value – and a low price that will be appreciated by Costco Members when it comes to their own care."

Costco is among several retailers who are directly providing healthcare to customers as the demand for urgent care access outside of a traditional hospital setting booms.

Amazon, in August, announced that its virtual clinic was now also available nationwide. Amazon Clinic launched last November offering 24/7 access to third-party health-care providers directly on Amazon's website and mobile app.

Amazon customers, through the clinic, can access telehealth treatment for dozens of common conditions, such as pink eye, urinary tract infections and hair loss, the retailer said.

Other retailers, including CVS to Walgreens to Walmart, have made similar moves.

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Walk-In Mental Health Clinic Provides Immediate Help During A Crisis

By Inside Edition Staff

First Published: 7:12 AM PDT, September 24, 2023

A walk-in mental health facility in Maryland gives people a place to turn when in a crisis.

Sheppard Pratt Psychiatric Urgent Care Center in Baltimore, Maryland, says it "is specially designed for people who need an immediate psychiatric triage."

No appointment is necessary for people of all ages to get the mental health support they need.

Pam Yerby Hammack told CBS News that her previously undiagnosed depression and anxiety was "traumatic."

"I spent all of this time in a place of fear and, and panic, confusion, darkness," she said.

Her daughter directed her to the Sheppard Pratt center, a place where no appointment is necessary for people to get the mental health support they need.

Dr. Harsh Trivedi, CEO of Sheppard Pratt, estimates the clinic will evaluate 10,000 patients this year, lightening the load on area emergency rooms.

"What we're seeing is a tremendous rise in need for mental health services, people wanting to access care, but really getting stuck at the point where they don't know how to access care," Dr. Trivedi told CBS News.

The clinicians provide recommendations for next steps, which may range from starting weekly therapy to inpatient hospital stays.

"What we find is that the best time to intervene or the best time to help people is specifically when they're in crisis, when they want that help," Dr. Trivedi added.

Expanding clinics like this one could help with mental health related calls to 911 or visits to medical emergency rooms.

According to data from the National Hospital Ambulatory Medical Care Survey, there were 7.5 million mental health related visits to the ER in 2020 for patients aged 6 to 24 years old.

With Its Two Doctors Retiring, A Town Patches Together Its Healthcare Options

LaFAYETTE, Ala. -- Charity Hodge had mixed feelings when she spotted a Facebook post announcing that her longtime primary care doctor was ready to retire after decades of serving their rural community.

"I was like, 'Oh my gosh, no!'" Hodge recalled while sitting in an exam room on a July afternoon, waiting to see the physician, Terry Vester, MD. "Well, I'm happy for the retirement part, but that's my favorite doctor, so I'm crying on the inside."

Hodge, a 29-year-old customer service representative, has been seeing Vester for 9 years. She had come to check in on her diabetes management and to ask for anti-nausea medication in preparation for a cruise.

LaFayette -- pronounced "luh-FAY-it" by most residents -- and surrounding Chambers County face high rates of disease and chronic illness. Yet Terry Vester and her husband, Al, are the only primary care doctors in the town of 2,700 residents, surrounded by farms and other small communities.

The Vesters are in their late 60s and would like to retire soon. Terry Vester wants to spend more time with her grandson and aging parents. But she can't imagine abandoning her patients, some of whom she has cared for since they were born.

"There are people here that still need in-town doctors," said Vester, who sometimes visits patients in their homes. "So we want to stay here to take care of them until someone else is here to take care of them."

Terry Vester's worry -- leaving her town with no doctors -- is already reality across much of rural America, where many residents have health problems but few healthcare professionals to turn to.

LaFayette, in east-central Alabama near the border with Georgia, is a 30-minute drive to the nearest sizable city, the college town of Auburn. Its lush, wooded neighborhoods include elegant, restored homes with wraparound porches and massive lawns. But the town also has formerly grand houses that have fallen into disrepair, plus mobile homes and public housing.

The town's median household income is much lower than the state's and country's. Black residents -- who make up 70% of the population -- are much more likely to live in poverty than white residents. They are also more likely to attend the public high school, whose student body is 90% Black and which is scheduled to close and consolidate with a majority-white school in another community.

The Vesters have worked in LaFayette since the early 1980s and saw the local hospital close in 1988. The nearest emergency room is now in another town 20 minutes away along a rolling road. So are the nearest urgent care clinic and pediatrician's office.

To fill that void, residents turn to the one place in LaFayette where medical professionals are always on the clock: the city fire department, staffed with full-time firefighters and emergency medics.

Fire Chief Jim Doody worked for 13 years as the fire chief at Bagram Airfield in Afghanistan. He arrived in LaFayette in 2020, just as the county was about to be hit by one of the worst COVID-19 outbreaks in Alabama.

Doody said most of the station's ambulance runs are for non-emergency situations. Other calls involve urgent issues that could have been headed off if patients had better access to preventive care.

People from LaFayette regularly walk or drive themselves to the fire station to ask for help, Doody said. The station has a makeshift exam area within its small entryway, containing a bench, defibrillator machine, and cabinet filled with medical supplies.

Firefighter Tanner Hill said people often arrive with concerns about fatigue, blood sugar levels, breathing difficulties, or heart trouble. He recalled helping a man who walked into the station after getting hit by a car.

"He was just like, 'Hey, I just got run over.' And I was like, 'Oh, OK, well, let me check you out.' And sure enough, he got run over," Hill said.

Hill determined the man's leg was broken and sent him by ambulance to the nearest hospital.

This de facto walk-in clinic option isn't available in most other rural areas, where emergency medical services are often run by volunteers who aren't posted at a station all day, Doody said. But he's noticed fewer LaFayette residents relying on the fire department since a new telehealth service arrived in town.

Rickey Whitlow was recently driving in LaFayette when he saw a sign touting the new option.

The 61-year-old was intrigued. He parked his car and walked into a new health center that also houses an OnMed Care Station, a large booth stocked with a video screen and high-tech health monitoring equipment.

Whitlow was scheduled for his monthly diabetes checkup with physician Al Vester, MD, in a few weeks. But his feet felt like they were burning, and he needed relief now.

Whitlow stepped into the telehealth kiosk, pressed a button, and saw a nurse practitioner appear on a large vertical video screen positioned at eye level. After consulting with the provider, he left the free appointment with a prescription for a cream to relieve his foot pain.

OnMed patients use an automated blood pressure cuff and other devices to collect their vital signs, and the data is sent to the provider treating them from a distance. Patients can also hold a stethoscope to their chest to transmit the sounds of their heart and lungs. A special camera captures internal temperatures, which can be used to diagnose infections. A hand-held camera lets providers examine problems such as rashes, irritated eyes, and swollen throats. In some states, the stations can dispense medications.

OnMed, a Florida-based company, has another kiosk in rural Texas and hopes to open several dozen more in various states next year. The company wants to keep its services free for patients, with funding from universities, health systems, nonprofits, and insurance companies.

The kiosks can stay open on evenings and weekends and are much cheaper to operate than brick-and-mortar doctor's offices, said CEO Tom Vanderheyden. They also make telehealth available to rural residents whose home internet connections are too weak for video appointments.

LaFayette's OnMed kiosk is part of a new health center inside a building that has seen several medical facilities come and go.

The Chambers County Community Health and Wellness Center is operated by Auburn University, whose students and faculty travel there to host vaccination and diagnostic clinics, such as speech and hearing exams. They also offer health education events on topics such as healthy eating and maternal health.

The university plans to bring similar centers and OnMed kiosks to other rural Alabama towns.

Vester, the longtime primary care physician, is excited about the new healthcare resources in LaFayette. But she said it's still important to have doctors in town.

"You know everyone, or you have a connection with someone," Vester said.

Vester's statement rang true during recent appointments as she asked about her patients' lives and relatives.

"Deep breath," Vester instructed as she placed a stethoscope on Hodge's chest.  "Are you still at home with your mother? Is she doing good?"

"Yes, she's doing very well," Hodge said.

Earlier that day, Vester treated a patient who had throat pain and difficultly speaking after surviving a choking incident. During the appointment, the patient mentioned an upcoming funeral.

Vester knew about the funeral. It was for a woman she once treated.

"I see her daughters and then their children, and they have children -- so that's four generations right there," Vester said. "And so, you sort of know the whole story, you know the context."

Vester plans to reach out to Alabama medical schools to let them know she's looking for doctors to take over for her and her husband. But she said not everyone wants to live in rural areas like LaFayette.

The doctor hopes some of the Auburn students will want to serve in LaFayette after seeing what it's like working at the new health center. She said it's nice to live in a small, quiet town that's relatively close to larger cities, and to run an independent clinic rather than work for a larger health system.

Vester said the charm of LaFayette and its residents is also a selling point.

"All they have to do is pretty much come here and spend a day and go through what we do, and I think they would enjoy it," she said.

KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF -- an independent source of health policy research, polling, and journalism.

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