The Retail Clinic Phenomenon (Robert J. Gilbert)
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Transcript of The Retail Clinic Phenomenon (Robert J. Gilbert)
Presented by: Bob Gilbert President, MedStar Ambulatory Services
November 3, 2016
The Retail Clinic Phenomenon
MedStar Health at a Glance
2
CatalyzingaShi-inNetworkDemands
Source:HealthCareAdvisoryBoardinterviewsandanalysis.
Market Forces Turning Patients into Consumers
Tradi&onalMarket RetailMarket
Growingnumberofbuyers1
Prolifera3onofproductop3ons2
Increasedtransparency3
Reducedswitchingcosts4
Greaterconsumercostexposure5
Passiveemployer,price-insulatedemployee
AcIvistemployer,price-sensiIveindividual
Broad,opennetworks Narrow,customnetworks
NoplaJormforapples-to-applesplancomparison
ClearplancomparisononexchangeplaJorms
DisrupIveforemployerstochangebenefitopIons
Easyforindividualstoswitchplansannually
ConstantemployeepremiumcontribuIon,low
deducIbles
VariableindividualpremiumcontribuIon,highdeducIbles
3
3
MedStar’s Consumer Strategy = Retail Strategy
MedStar Health’s Retail Strategy is to provide
health care efficiently and effectively:
Ø where it’s wanted
Ø when it’s wanted
Ø how it’s wanted
. . . at a reasonable price.
4
Tele-Medicine
CVSMinuteClinic
FreeStandingED
Mul&-SpecialtyCenter
AcuityAcuteCareHospital
IPRehab
SNF OPRehab
HomeHealth
Hospital
Recovery&Rehabilita&on
Care
MedStar 2020 – Distributed Care Delivery Network
Campus-BasedAmbulatory
MACC
5
UrgentCare
Disruptive Technology: Telehealth? ProjecIonsAgreeonGrowth,ButHowAggressive?
Sources: Herman B, “Virtual reality: More insurers are embracing telehealth,” Modern Healthcare, February 2016, available at: http://www.modernhealthcare.com/article/20160220/MAGAZINE/302209980; ”Global Telemedicine Market – Growth, Trends and Forecasts (2015-2020),” Mordor Intelligence, http://www.mordorintelligence.com/industry-reports/global-telemedicine-market-industry, December 2015; Japsen, Bruce, “Doctors’ Virtual Consults with Patients to Double by 2020,” Forbes, http://www.forbes.com/sites/brucejapsen/2015/08/09/as-telehealth-booms-doctor-video-consults-to-double-by-2020/#2d4da3675d66, August 2015; Market Innovation Center research and analysis.
1) CMS data. 2) 2015 HIS Analytics report.
16.6
26.9
2.1 5.4
14.5
21.5
2015 2020
Total
PCP Visits
Specialty Consults
$2.5
$17.6
0.0
5.0
10.0
15.0
20.0
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Year-Over-YearMedicareReimbursementforTelehealthServices1
Inmillionsofdollars
Es&matedU.S.GrowthinVirtualConsults2
MillionsofVisits5-YR
Growth
62%
48%
157%
604%Growth
6