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Everybody wins<br />

Many walk-in retail clinics, like the 100-square-foot<br />

MinuteClinics, are designed and sited to feel like an extension<br />

of the store pharmacy counter, virtually ensuring captive<br />

Rx sales.<br />

While the retailer incentives are obvious and include driving<br />

traffic to the store, raising trip counts and creating the<br />

opportunity for incremental sales, the walk-in clinics benefit<br />

insurers as well. One Minnesota-based health plan determined<br />

that the walk-in clinic fees are so low (a minimum of<br />

30% below a regular doctor visit), that the insurer waived<br />

any co-pay to encourage members to utilize the new service.<br />

A rash of growth<br />

Popularity has led to proliferation. Among the more appealing<br />

aspects of the walk-in clinics are the easy physical<br />

access, proximity to home and work, available parking,<br />

intimate formats (smaller ones have chairs vs. exam tables),<br />

posted prices, evening and weekend hours, and electronic<br />

patient files that can be quickly transmitted to doctors along<br />

with a referral.<br />

Wal-Mart expects to open 50 stores by 2007, then roll out<br />

the service nationally. TakeCare has slated 20 Chicago area<br />

clinics for third-quarter 2006. MedXpress launched this<br />

summer and debuted an aggressive expansion plan calling<br />

for 500 U.S. locations by 2010. Solantic, a Florida-based<br />

company differentiating on the basis of physician staffing,<br />

intends to have 1,000 sites up and running over the next<br />

five years.<br />

Chart 2: One in three households is likely<br />

to visit a retail walk-in clinic, if available<br />

in their area<br />

How likely would you be to use a walk-in medical clinic if it were<br />

available in a grocery, drug or mass merchandise/discount store near<br />

your home?<br />

Very Likely 10%<br />

Somewhat<br />

Likely<br />

Neither Likely<br />

Nor Unlikely<br />

Somewhat<br />

Unlikely<br />

Very<br />

Unlikely<br />

15%<br />

18%<br />

22%<br />

36%<br />

Source: ACNielsen Homescan Panel Views Survey—Apr/May 2006—Total U.S. Households<br />

Rx for the ER?<br />

One of the newest developments in consumer-driven<br />

healthcare, walk-in clinics represent the latest response<br />

to a system that encourages patients to control health<br />

costs. As a serendipitous by-product, walk-in clinics<br />

may prove to be a much-needed panacea for<br />

overtaxed emergency rooms, and an antidote for<br />

the 40 million uninsured Americans who represent<br />

the target audience.<br />

The cost savings are undeniable. One uninsured New<br />

York City paralegal priced out a doctor’s visit to deal<br />

with a minor problem. Quote: $150 for the visit.<br />

Opting to try the walk-in clinic solution, she walked<br />

out with two prescriptions and a bill for $49,<br />

including medications.<br />

Profit prognosis<br />

If retailers needed any additional motivation to take<br />

a serious run at the walk-in solution, the most telling<br />

diagnostic is the profitability test. According to a California<br />

HealthCare Foundation study, prescription drug margins<br />

run around 16% compared with general merchandise profits<br />

of less than 5%. That translates into a profit injection for<br />

the bottom line, even as center store results weaken. C i<br />

52 Fall/Winter 2006

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