GE Healthcare Camden Group Insights Blog

The Survey Results Are In: "Walmart as a Primary Care Provider"

Posted by Matthew Smith on Aug 29, 2014 1:04:00 PM

Survey, Health Directions, WalmartA big thanks goes out to the 89 respondents to our "Walmart as a Primary Care Provider" survey that we ran this past Monday. While clearly not scientific, it generated some great responses and elicited some meaningful comments on both the HD Insights Blog and within individual LinkedIn groups where it ran.

We will continue to leave the survey open for a few more weeks to gather more information. Here are the results as of 8/29/14. Survey Says...

Question 1: What is your initial reaction to Walmart entering the primary care provider market? (n=87)

34%: Somewhat Positive

22%: Somewhat Negative

18%: Indifferent

15%: Extremely Negative

  8%: Extremely Positive

Walmart Primary Care Survey

Question 2: Which of the following scenarios describes your STRONGEST thought on Walmart's primary care clinics? (n=88)

25%: I don't see any difference between Walmart and other commercial "minute clinics" (i.e CVS, Walgreens, etc.)

21%This may be fine for well visits, but I don't think this is a proper venue for chronic conditions.

20%: I'm in favor as long as this improves access to health care in rural communities

20%: I question the qualilty of care provided by Walmart

8%:  This will negatively impact local primary care providers.

3%:  (Please select this option if you cannot strongly identify with the previous six options.)

1%:  This is of absolutely no concern to me.

Walmart, Primary Care Survey

 Survey Comments

"The real issue will be quality of their care, and the market they will be attractive to. If they have low income folks using the stores, $40 may still be too high. Not sure I want to seek health care in a Walmart."

"I think it is a wonderful idea! It will help to get the patients closer to they're providers!"
"Our market has this service offered at a local grocery store. My worry is not only in regard to quality standards but also infection control. What happens during flu season? What safeguards are in place to protect the healthy patients who see this clinic?"

"I am in favor of increased access to healthcare in whatever form it is. I am however concerned about how to effectively manage populations especially chronic conditions. It seems that without a good foundation for care coordination we just have established an increased route that may reduce urgent care and ED visits but without an increase in care coordination and outcomes. What role will these areas play in population health?"

"It would be greatly beneficial if a variety of affordable diagnostic tests were also available. POS testing devices are available for this purpose. Many devices provide results within minutes."

"Access to initial screening tests and exams at low cost is a big plus; BUT the key would be referral to medical providers equipped to deal with the chronic conditions that the potential patient base is likely to present. - Former NYS Director of Regulatory Affairs (retired)"

Topics: Population Health, ACA, Survey Results, Primary Care, Obamacare, Accountable Care Act, Walmart, Primary Care Provider

Two-Question Survey: Walmart Launches Primary Care Clinics

Posted by Matthew Smith on Aug 25, 2014 12:31:00 PM

Walmart, Primary Care, Primary Care ProviderWalmart has a new take on retail clinics. These newly launched clinics will charge patients $40 for a visit—but only $4 for Walmart associates. Anybody, with or without insurance, can go into one of these clinics and be seen by a qualified health professional, without the usual paperwork. Although the mega-retailer has operated clinics in its stores for a few years now, the new ones are different in a couple of ways.

First, Walmart’s previous clinics were collaborations with local hospitals, which are described as having mixed success. It appears the Walmart is embarking in the primary care market alone at this time. In line with its usual branding, Walmart's touted the low prices available in its clinics: $40 to get a walk-in check-up, and even lower costs (possibly $4) for employees. "For our associates and dependents on the health plan, you can come and see a provider in the Wal-Mart Care Clinic for $4. Four dollars!" Jennifer LaPerre, a company official, said earlier this month. "That is setting a new retail price in the health care industry," she added.

Second, Walmart looks to be rolling out these clinics in states that have not expanded the number of residents dependent on Medicaid (such as South Carolina). Insurance is irrelevant to these clinics, which accept cash payments directly. 

And unlike most primary care providers, they will be open 12 hours a day on weekdays and at least eight hours a day on weekends, Forbes reports. 

What's your take? Please answer the following 2-question survey (make sure to scroll down for Question #2 and submit). Once you submit your answers, you will be directed to a link to see live polling results. If you choose to share comments on the blog, please be respectful and keep the conversation moving forward. Thank you for your feedback. We will publish the results at the end of the week.

Topics: Population Health, ACA, Survey, Primary Care, Obamacare, Accountable Care Act, Walmart, Primary Care Provider

Study Shows Growth of Primary Care Provider Pay Tied to Quality

Posted by Matthew Smith on Jul 5, 2013 10:34:00 AM

Physician CompensationWhile a new survey indicates that a small percentage of both primary care and specialist pay is tied to quality and patient metrics, it could be growing in the future.

For the first time in over 35 years of surveying physicians, the Medical Group Management Association (MGMA) included questions on quality and patient satisfaction metrics on its latest annual compensation survey, according to MGMA director of data solutions, Todd B. Evenson.

"Obviously, under the ACA and other value-based reimbursement that we see in the future, we'll see [quality metrics] as increasingly important components of physician compensation models," said Evanson. "So we felt that it was very important to begin that process to highlight how compensation plans are being changed based upon those changes to reimbursement models."

The "Physician Compensation and Production Survey: 2013 Report Based on 2012 Data," which surveyed over 60,000 physicians and nonphysician providers, found that primary-care physicians reported 3 percent of total compensation tied to quality metrics, while specialists reported 2 percent of compensation.

While this number is relatively small, MGMA president and CEO, Susan L. Turney, MD, said in a statement, "It's encouraging to see physician practices invested in patient-centered care and continuing to seek ways to better incorporate quality and experience into compensation methodologies."

Mary Barber, vice president of physician recruitment and retention firm, Cejka Search, agrees.

"We do see signals that these components [patient satisfaction and quality measures] will be growing in significance and proportion to total compensation. Primary-care physicians will be positioned as the care quarterback for their patients from an outpatient basis. And, in fact, physicians are positioned to lead and their compensation will reflect that reality," said Barber in an e-mail to Physicians Practice.

In the Physician Retention Survey 2011, the American Medical Group Association and Cejka Search asked physicians "what minimum percentage of incentive compensation is required to drive desired changes in practice outcomes for [quality measures]." Fifty-one percent of respondents felt that 3 percent or 5 percent of incentive compensation was sufficient to drive quality measures in their practices.

Evenson noted that while practices are already moving in the direction of patient-centered care and reimbursement contingent on quality measures, e.g. PQRS and e-prescribing programs, very often they are limited by the amount of funds available for that purpose. However, through the expansion of government initiatives like the EHR Incentive Programs, physicians are being paid for meeting quality measures like meaningful use, which, he said, could help them expand their own quality programs.

So while these metrics directly affect physician compensation, it will be a practice-wide effort, added Evenson, driving stronger relationships between physicians and staff.

"The administrative and support staff team will have a larger role ultimately in delivering that satisfying experience for the patient," he said. "As a result, it will be critically important for the physician and the administrator to develop a stronger relationship to be successful at that."

The MGMA survey also reported that the growth of physician compensation was relatively flat during the period 2011-2012, with a modest 5.6 percent increase for select primary-care specialties. Annual median compensation in 2012 was reported for selected specialties.

• Family Practice (without OB/GYN) — $207,117

• Pediatric/Adolescent Medicine ― $216,069

• Internal Medicine ― $224,110

• Obstetrics/Gynecology ― $301,737

• Cardiology Invasive ― $532,269

Topics: ACA, Primary Care, Physicians, Specialists, Accountable Care Act

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