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Trends in Retail Health Clinics and telemedicine
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The world's largest retailer's plans for thousands of in-store health clinics haven't materialized
eMedToday's insight:
All the big boys are jumping on the band wagon for retail health clinics. Really a significant trend in health care. Who want to pay and wait at a hospital when you can get service quickly at your local corner store 
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Jim Clifton, the Chairman of Gallup, makes a strong case that we're in World War III in his book The Coming Jobs War.
eMedToday's curator insight,
May 10, 2013 8:17 PM
Any CEO of a Hospital needs to read this article or see their hospital go the way of newspapers.
While health systems dawdle, their lunch is being eaten by an array of new entrants reminiscent of what happened to newspapers. Onsite workplace clinics: Frustrated at how much time it takes for employees to get in for a 10 minute appointment, onsite clinic providers are seeing their businesses grow 100% year over year. See Direct Primary Care providers: Another innovative new model that is two parts Marcus Welby and one part Steve Jobs is poised to explode as venture firms and health plans are investing in organizations such as Iora Health and Qliance while DaVita is making a major bet with their Paladina Health division.Retail clinics such as Minute Clinic and ZoomCare are filling an unmet need and are rapidly growing. Organizations such as CVS, Walgreen’s, Target and Walmart are also getting their pharmacists out from behind their counter to more actively get involved in medication management that is so vital to managing chronic conditions.Domestic medical tourism: Walmart joined Lowes and Pepsico in creating a national market for surgical procedures. Now every hospital in the country is effectively in competition with the Mayo Clinic, Cleveland Clinic, Virginia Mason and other top facilities who provide fixed fee procedures with outstanding outcomes. Add to this the movement to transparent pricing on surgeries and it chips away at some of the most lucrative, non-emergent procedures a hospital delivers.
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NEW YORK (Reuters Health) - The health clinics in pharmacies and other retail stores may be convenient, but they may also take a bite out of the traditional doctor-patient relationship, a new study suggests.Retail (Retail clinics may cut into primary... Via My Private MD
eMedToday's insight:
The fact that 2/3 of patients have a primary care provider will drive health into retail clinics.
"In a past study, Mehrotra found that about two-thirds of clinic patients had no primary care provider. But, he said, that means that one-third did.
"Most of those people go to these clinics for the convenience," Mehrotra noted. If you're sick and can't get an appointment with your regular doctor right away, for instance, a retail clinic might be a good alternative".
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Paladina Health Opens Its 35th Innovative Primary Care Clinic Business Wire (press release) DENVER--(BUSINESS WIRE)--Paladina Health, LLC, an innovative employer-sponsored medical home health care provider, today announced the opening of the 35th...
eMedToday's insight:
Really solid health benefits 24/7 employee access to a personal physician, who is available via mobile phone and is held accountable for their patients’ satisfaction, engagement and health;Convenient clinics that are located at an employer worksite or at a shared, near-worksite location;A broad number of medical services, including primary, preventive and basic urgent care provided for a low fixed monthly fee; andAssistance to patients in navigating specialty and hospital-based care to high-quality, low-cost providers as needed. Paladina Health currently operates in 12 states, with some of its clinics and practices currently operating under the name ModernMed®.
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Trend driven by convenience, low cost and shortage of primary care doctors, Harris InteractiveHealthDay survey finds.
eMedToday's insight:
Twenty-seven percent of all adults surveyed said they have used either walk-in retail clinics (19 percent) or work-based clinics (11 percent) to obtain medical care in the past two years. That's up from just 7 percent in 2008. About three-quarters of those who had used a clinic were covered by their health insurance when they used the service.
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Health clinics an alternative to overbooked private practices Delaware County Daily Times Fortunately, Delaware County has many quality community health clinics that are already the trusted source for primary health care for many of the region's...
eMedToday's insight:
Big business
" In fact, more than 150,000 individuals in southeastern Pennsylvania regularly rely on them for preventive and acute care from routine flu shots to help managing complex chronic conditions such as diabetes and asthma".
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“It's really up to the patient to make sure that the excellent records these retail medical clinics keep is embedded in their personal health record with their primary health care provider,” Professor Herzlinger says. Via Jo Ann Loomis
eMedToday's insight:
Covenience and Price drive retail clinics push.
What is driving this migration to retail health clinics? “For the majority of patients it is convenience,” says lead study author, Dr. Ateev Mehrotra, associate professor of medicine at the University of Pittsburgh and health policy researcher at the nonprofit RAND Corporation (he’ll be joining Harvard Medical School’s Department of Health Care Policy in June). You can walk into a retail health clinic without an appointment, and many clinics are open nights and weekends. In fact, nearly half of the visits in the study were on the weekends or other off-hours when doctors’ offices are typically closed.
The other attraction of retail health clinics is price, Dr. Mehrotra and his colleagues found. “Not the actual price, but the transparency of the cost,” he says. Clinics offer a menu of prices and services, which means there are fewer surprises when the bill arrives. And health insurance covers all—or a percentage of—the costs of services provided at these clinics, just as it does for care delivered at a doctor’s office.
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More Americans using retail health clinics Sun-Sentinel As wait times to see a doctor for simple problems like sinusitis and urinary tract infection lengthen, more and more Americans are turning to retail health clinics — walk-in medical facilities...
eMedToday's insight:
interesting fact:
"As consumers increasingly turn to retail health clinics, the number of clinics has grown to meet demand — up to 1,423 this year and an estimated 3,200 by the end of 2014. And the types of services offered now go beyond immunizations and common ailments such as strep throat and sinus infections. In April, for example, Walgreens' announced that its Take Care Clinics will now help manage chronic conditions, such as high blood pressure, diabetes, high cholesterol and asthma"
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eMedToday's insight:
The concept here or in a retail clinic is health care outside the walls of a hosptial " Hosptia without Walls"
Clearly the patient wants such a service to reduce cost and get service faster
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Retail health clinics may prove to be hospitals' most capable competitors in the years to come, particularly since chains like Wal-Mart have already demonstrated their abilities to move markets, according to a video from The Advisory Board Company. Via d-Wise
eMedToday's insight:
The key insight a CEO hospital needs to take away
"Wal-Mart may or may not become a major player in the healthcare provider market," Lisa Bielamowicz, M.D., CMO of the Healthcare Advisory Board, said in the video. "But either way, health systems need to fundamentally shift their growth strateg"
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eMedToday's insight:
Summary:
"Another massive trend is providing healthcare outside the traditional hospital environment into home, retail and other healthcare service developments such as health kiosks and cubicle care centers inside pharmacies, shopping centers and other areas of large population traffic. This trend is already occurring in the USA with Wal-mart and Walgreens introducing primary care facilities in their locations".
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The world's largest retailer wants a bigger piece of America's growing health care market. Via Richard Meyer
eMedToday's insight:
Walmart could be a threat to the health insurance companies
"Customers may think of Walmart as a place to buy groceries or a mop or car wax, but the retail giant already is a player in the health care industry. Walmart is thefourth-largest pharmacy in the U.S., offers vaccinations for influenza and other ailments in its stores, and sells health insurance at Sam's Club warehouse stores. Health and wellness accounted for 11 percent of Walmart stores' sales and 5 percent of Sam's Club sales in the 2011 fiscal year, the company disclosed in its most recent annual report."
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EDMONTON - Alberta says it will roll out 24 new family-care clinics starting this fall to help relie... - Your Health - Winnipeg Free Press.
eMedToday's insight:
Health Minister Fred Horne said the clinics will be one-stop locations for precautionary care. Patients will be able to see a pharmacist, a dietitian, a nurse and a doctor all in one visit.
"It will guide our evolving system to be an even more effective front door to health care for Albertans," said Horne, who was with Redford at the announcement.
The province has set aside $50 million this year for the project, which was a election campaign commitment made by Redford. The final goal is 140 clinics.
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DM Healthcare launches Access Clinic at Muhaisina 2 - Sonapur
eMedToday's insight:
The trend
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Walgreens embarked on a new, comprehensive store rebranding initiative in the end of 2011. At that time, the health & beauty retailer operated a little more than 350 retail clinics in its stores, with the goal of being able to provide lower-cost medical care and treatment to its customers than is available through primary care physicians. Via RetailNet Group , Audrey Seiter
eMedToday's insight:
The Strategy
"Walgreens store re-branding initiative is centered on the fulfillment of two goals: (1) owning the relationship on health & wellness as more and more retailers (for example: Whole Foods, Walmart, and Kroger) roll out strategies to meet the growing demand for these services; and (2) bringing theconvenience of a one-stop-shop to its customers in the form of quality health care, access to prescription drugs, OTC pharmaceuticals, beauty products, and even ready-to-eat food and fresh produce! Parents of more than 2-3 children will find that the convenience of having this quality health care available at their local store trumps the alternative of visiting a primary care physician’s office when a child is sick. (See Walgreens’ Marketing Video Below)"
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Health Plan Offers Members Access to Walgreens Clinics; Geriatric Society ...
eMedToday's insight:
Summary:
"A sign of the growing popularity of these clinics is an announcement this week by WellCare Health Plans that it will offer its Medicare Advantage members access to the more than 370 Take Care Clinics located at select Walgreens. There are now more than 1,400 retail clinics nationwide in pharmacies, supermarkets, and “big box” stores. Between 2006 and 2009, the number of older people using these clinics more than doubled from 7.5 percent to 15 percent"
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Big problem:
" This year nearly two thirds of the hospitals in the U.S. will be penalized for having high readmission rates and will lose a combined total of $280 million in Medicare reimbursements".
" Still, experts have argued that hospitals could go a long way toward reducing readmissions just by ensuring that patients receive proper follow-up care after discharge. To this end, some hospitals are partnering with retail clinics, such as Walgreen's TakeCare and CVS's MinuteClinic. These clinics have pharmacies on site, flexible hours and typically don't require appointments"