CVS Plan To Close Some Retail Clinics Draws Criticism
Main Category: Pharmacy / PharmacistAlso Included In: Public Health
Article Date: 13 Mar 2009 - 3:00 PDT
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CVS Caremark plans to close 16% of its retail health clinics until next flu season, a move that critics say will affect access to affordable health care for the uninsured, the Tribune/South Florida Sun-Sentinel reports. CVS said that it would put 90 of its clinics on a "seasonal schedule" operating only during the fall and winter.
Physician groups and other critics of the closures say that the need for expanding access to care is critical, particularly at a time when people are losing their jobs and employer-sponsored health coverage. Shastri Swaminathan, president of the Illinois State Medical Society, said, "With the economy's severe downturn and the uninsured ranks steadily rising, it's an interesting time for retail clinics to close their doors if their mission truly was to serve the uninsured."
CVS said an analysis showed it could provide adequate service to consumers with its remaining 460 clinics, which are typically staffed with nurse practioners. The remaining clinics will continue operating seven days a week and most will have expanded hours, according to the company. Chip Phillips, president of CVS' MinuteClinic, said the clinics are "expanding on a number of fronts," particularly in Massachusetts (Japsen, Tribune/South Florida Sun-Sentinel, 3/11).
Massachusetts Clinics Thriving
CVS MinuteClinics are opening at a rate of more than two per month in Massachusetts and are growing faster there than in any of the other 24 states where CVS owns clinics, according to company executives, the Boston Globe reports. The first MinuteClinic in Massachusetts opened six months ago. Company executives said nurse practitioners at the 16 clinics in the state have treated more than 10,000 patients with acute problems and administered about 10,000 flu shots so far.
Three of the state's largest health insurers cover the visits without requiring a referral from a physician, which could explain the high numbers of patients visiting the clinics. Tom Charland, head of Merchant Medicine, said, "Massachusetts does have some serious access problems in terms of physician availability, so it doesn't surprise me people are using these clinics" (Kowalczyk, Boston Globe, 3/12).
Reprinted with kind permission from http://www.kaisernetwork.org. You can view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery at http://www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation.
© 2009 Advisory Board Company and Kaiser Family Foundation. All rights reserved.
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Urgent Care Light
posted by Dan on 13 Mar 2009 at 5:01 amOne possible solution to the occasional lack of access to, or shortage of, primary care doctors is what are known as retail care clinics, or convenience care clinics. The popularity of these clinics continues to increase progressively for a variety of reasons.
Of particular note is that most of these types of clinics is that are normally staffed with nurse practitioners or physician assistant. Both are health care providers and are actually favored by many as treatment providers progressively. Surveys reveal that over half of all people prefer seeing a nurse practitioner at a convenience clinic because the visits do not take up so much of their time, as well as the visits being less expensive than traditional doctor visits.
The growth of such clinics, and the patient volume of each clinic, may slow at times, but the unique benefits of such urgent care light clinics do in fact exist and are desirable for many. While the first retail clinic began in the year 2000, presently, there are over 700 of these convenience care clinics, and that number is speculated by some to increase to thousands within the next few years.
First, I’ll offer a definition of a retail clinic:
A retail clinic is a medical treatment facility that is usually located in a convenient location, such as a shopping area, and is smaller than most doctors’ offices in regards to geographical space. Again, these types of clinics are staffed with a physician assistant or nurse practitioner.
Both types of these health care providers have the ability and authority to provide the same quality care as a primary care physician, and do so with the same if not superior standards regarding accountability and autonomy.
If you happen to go to one for what may be considered a mild ailment, for example, for such conditions as allergies or the flu, you will notice a unique and pleasant experience regarding your medical care at such a clinic in comparison with many other doctor’s offices that often appear to be possibly demoralized if not largely apathetic, in regards to their disposition.
These urgent care light clinics are normally and amazingly quick for a patients who are medically treated at such locations. You as a patient are normally in and out of there within a half hour or so. This includes a thorough assessment and treatment regimen offered by the health care providers at such clinics.
Unlike typical doctor offices, these clinics are walk-in clinics, so there is no over-booking of patients, which is what typically occurs at current offices of doctors. Many are focused on the daily volume of patients for a variety of reasons.
With these convenience care clinics, you as a patient actually dialogue with your health care provider more so than you may have experienced in a traditional doctor’s office due to possibly other doctor offices often being incredibly busy from seeing too many patients during a typical day for reasons described above.
And this is not to imply that the health care providers at typical doctor offices do not care about you and your particular health issues, yet possibly is a result of having limited resources related to patient care. As a result, they may be unable to do so.
The cost of going to such a retail clinic typically is about 25 percent less expensive than a normal doctor visit, others have said. Yet you will likely notice no decline in the quality of care that you receive. In fact, likely you will experience greater quality on many different levels, both from a personal level and treatment level if a patient at such a clinic as a retail clinic, others have said.
Critics of such convenient care clinics include the American Medical Association, and various medical societies. Yet in my opinion, such critics may be simply vexed because of the invasion of these other clinics on their turf and their infiltration into their typical medical practice paradigm without being invited, perhaps.
Or maybe such groups and associations do not see NPs and PAs as having the ability to provide quality medical care as they do as medical doctors. Regardless, most patients seem pleased with the retail clinics and the treatment providers who care for them at these convenience care clinics..
If it is discovered that you need greater medical care or attention than the retail clinic can provide for you during your visit at a urgent care light clinic, you will most likely be referred to a nearby location that can provide the care you are determined to need by the clinic’s heath care provider.
The clinic’s health care provider likely has some familiarity as well as some relationships with the hospitals and others in the medical community for which they serve. It should be noted that both NPs and PAs are quite capable of determining the severity of your illness, and will act accordingly.
So most patients of these retail clinics are pleased with the care they receive from them, which is why such clinics continue to grow in number under different names, as they have become franchises, yet the concept of this ‘pay as you go’ health care is fairly new.
So only the future will tell if this method is preferred by those seeking minor restoration of their health. It seems to be preferred by many presently, once again. And presently, Take Care Health Clinics, owned and located inside Walgreen’s pharmacies, are the market leader with retail clinics. Walgreens plans to add more clinics next year.
These retail clinics are in a way a response to the shortage of PCPs that exist presently, and delays others experience in our health care system when they seek restoration of their health on occasion. In other words, retail clinics are quick when you are sick, yet quality and assessment of your medical condition are not compromised.
One could conclude that the retail clinics seem in a way more authentic than the dominant system, and may be more beneficial ultimately for the public health, with exceptions, of course, depending on the individual circumstances of the patient.
Dan Abshear
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