Aug 19Increasingly, American consumers are shopping for health care the way they buy a hamburger or milk shake at a fast-food chain: By standing in line at a local store under a menu.
Store-based health clinics [–] staffed mostly by nurse practitioners and offering quick services for routine conditions from colds and bladder infections to sunburn [–] aren’t just a health care fad anymore.
About 7 percent of Americans have tried a clinic at least once, according to an estimate by the Convenient Care Association, an industry trade group formed last year. That number is expected to increase dramatically, as major pharmacy operators like Wal-Mart Stores Inc., CVS Corp., Target Corp. and Walgreen Co. partner with miniclinic providers like RediClinic and MinuteClinic to expand operations. The trade group estimated there will be 2,000 by the end of 2008, up from more than 400 now.
With the nation’s $2 trillion health care system in need of repair, such an express approach to health care [–] which offers a wait time averaging about 15 minutes and evening and weekend hours [–] is being heralded as serving up a cheaper and quicker alternative than a doctor’s office or an emergency room. A physical exam costs on average $60, while a flu shot typically costs about $20.
“I was frankly very impressed with how thorough (the examination) was,” said Susan Anthony, who visited a clinic at a Target in Phoenix, Md., for a dry cough. “And it was fast. I walked in at 10:30 a.m. and was in my car a little after 11:00 a.m.”
The American Medical Association said a growing number of medical practices are extending their office hours or forming their own clinics to compete.
The ventures are promising enough that big-shot investors are jumping into the game. RediClinic got an undisclosed cash infusion from Revolution LLC, the investment house launched by AOL founder Steve Case.
Support among health insurance companies is also growing; about 40 percent to 50 percent of clinics accept insurance from providers like Humana Inc., UnitedHealth Group Inc. and Aetna Inc., according to CCA.
But concerns are rising in the medical industry that these operations remain largely unregulated and are prone to conflicts of interest.
In June, the American Medical Association urged state and federal agencies to look into whether pharmacy chain-owned clinics urge patients to get their prescriptions filled on site. That followed buyouts of miniclinics by two big-name pharmacy operators: Walgreen bought Conshohocken, Pa.-based Take Care Health Systems in June, and CVS acquired Minneapolis-based MinuteClinic last year.
Dr. Peter Carmel, a trustee on the AMA board, said “the path of abuse is wide open.”
Store-based health clinics are held to the same high standards as doctors’ offices, said Tine Hansen-Turten, executive director of the Convenient Care Association. She pointed out store clinics are either monitored by a state board of nursing or board of medicine, and sometimes by both.
AMA also wants to ban the practice of health insurance companies waiving or lowering co-payments for clinic patients.
Dr. David Plocher, the senior medical officer at Blue Cross Blue Shield of Minnesota, said that “the normal market forces should determine such things.” His company has reduced or waived co-payments for 25 member companies who use MinuteClinics and several other store-based clinics.