On Thursday morning, Walgreens became the first-ever chain retailer to announce that it would become a direct provider of primary care services, moving beyond the pharmacy’s current practice of administering vaccinations to diagnosing and treating Americans with asthma, diabetes, and high cholesterol. The decision holds particular promise for Americans suffering from chronic conditions by giving them an easily-accessible “medical home” for managing illnesses that require preventative or ongoing care — and it might just herald the future of the American health care industry.
As [yesterday's] announcement proves, they were serious about that:
Walgreens officials say they will have nurse practitioners and physician assistants at more than 300 Take Care Clinics in 18 states and the District of Columbia to do tests and make diagnoses – and also write prescriptions, refer patients for additional tests and help them manage their conditions.
“We’re not trying to take over primary care, but we think we can help support physicians and transform the way care is delivered to provide more access points at a time when people need it the most,” said Heather Helle, a division vice president at Walgreens. [...]
She said physicians will help oversee Walgreens’ clinics – and the clinics can transmit test results and other information electronically to doctors’ offices. She noted that clinics could help people find doctors too. Many would have an affiliation or other link with the stores’ clinics.
Retail clinics generally appeal to consumers looking for convenience and cost savings. Costs are roughly 30 percent to 40 percent less than similar care at doctor’s offices and 80 percent cheaper than at an emergency room, according to a 2011 study published in the American Journal of Managed Care.
The cynically-minded may point out that there’s a financial motivation to all this, as Walgreens’ main revenue source is its pharmacies, where the costs of generic versions for prescription drugs are considerably higher than at independent, online, and wholesale retailers. Still, this shift would provide substantially added value to purchasing those drugs at Walgreens chains by eliminating the need for a hospital trip, and the idea of an ubiquitous source of cheap primary care should excite health reform advocates, as the planned coordination model is exactly the sort of innovation that reformers and Obamacare are hoping will take root.
Less than one-half of adults in the United States received health insurance through their employer in 2012, but the market showed signs of stabilizing after three years of decline, according to a poll.
The Gallup survey said employer-sponsored insurance, long a pillar of the $2.8-trillion U.S. health-care system, covered just under 45 per cent of U.S. adults last year, down from about 49 per cent in 2008, when the economy was engulfed by recession.
The biggest losses occurred among people earning less than $90,000 per year and among minorities.
“High unemployment is partly to blame for the decrease in employer-based health insurance. The decline may also be due to fewer employers offering insurance or due to employees opting to not take their employers’ plan due to rising health insurance costs for employees,” Gallup said.