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Retail Clinics, The Emerging Market for Convenience and In-Store Healthcare

Retail clinics, also known as convenience clinics, represent a disruptive innovation into the U.S. health care market, which evolved from and is uniquely positioned to benefit from the health care system’s shortcomings.

These clinics present a new opportunity for retail outlets to earn more revenue from rents and 'indirect' revenues from sales to the retail store as a result of a clinic visit. But there is also an opportunity for diagnostic and pharmaceutical companies to capitalize on this trend.

Retail Clinics, The Emerging Market for Convenience Care and In-Store Healthcare is one of the first published market research reports to analyze this trend and present the opportunities available to suppliers of pharmaceuticals and diagnostics, as well as opportunities for the retail locations who house these clinics. This report analyzes three different markets related to this emerging trend:

• The Market for Retail Clinic Services
• Markets for Pharmaceutical Companies and Diagnostic Companies Selling to Retail Clinics
• Increased Revenue to Retailers with Retail Clinics in-Store

As part of this coverage, the report details:

• Overview and Main Drivers for the Retail Clinic Trend
• The State of the U.S. Healthcare System
• The Role of Retail Clincs can Play in Offering Faster Treatment
• Basic Business Model of Retail Clinics
• Current Numbers of Retail Clinics and Locations
• Forecasted Growth of Clinicsby Retail Clinic Company
• Review of Successful Retail Clinic Operations
• POC Test, Immunoassay and Vaccine Sales to Retail Clinics current and forecasted.
• Indirect Revenue Opportunities to Retail Outlets
• Issues and Trends affecting the long-term future of retail clinics
• Market Share of Suppliers to Retail Clinics
• Market Share of Retail Clinic Service Providers who set up and maintain clinics.

This report profiles the following companies, currently the most relevant to the emerging retail clinic market:

• Atlanticare
• Aurora Quick Care
• Checkups
• Early Solutions Clinic
• MedBasics
• Minute Clinic
• My Healthy Access
• Quick Health
• Now Medical Centers
• Rediclinic
• SmartCare Family Medical Centers
• Solantic
• Take Care Health Systems
• Target Clinic Medical Associates
• The Little Clinic

As part of Kalorama Information's trusted information gathering process, secondary research was conducted but in addition, interviews were conducted with retail clinic company executives, as well as retail executives and diagnostic and pharmaceutical company experts. Experts and secondary research were the source of forecasts.

Table of Contents

CHAPTER ONE: Executive Summary

• Healthcare Reform
• The Emergence of Retail Clinics
  • Establishing a Retail Clinic
• Service Providers
• Suppliers
  • Clinical Chemistry and Immunoassays
  • Vaccines
  • Indirect Revenues
  • Types of Retail Outlets Offering Clinics
  • Drug Stores
  • Supermarkets and Food Stores
  • Mass Merchandisers
  • Other Outlets
• Issues And Trends
  • Competition with Primary Care Providers
  • Regulation
  • Development of Standards
  • Expansion of Services
  • Labor Shortages
• Scope and Methodology

CHAPTER TWO: Introduction

• The U.S. Healthcare System Today
  • Overview
  • Public Health Care
  • Private Health Care
  • The Need For Alternatives
    • High Cost of Care
    • Inconsistent Quality of Care
    • Delays to Treatment
    • Advertising and Promotion
    • Insurance
    • Consumer Response
    • Growth Drivers
    • Economic Pressures on Consumers
    • Consumer Responsibility for Health Care
    • Benefits of Prevention
    • Challenges
    • Standards of Care
    • Patient Flow
    • Medical Community Response
    • Reaction from Managed Care Organizations
    • Ability to Meet Financial Expectations
  • Establishing A Retail Clinic
    • Alliances

CHAPtER THREE: Service Providers

• The Industry
• Convenience Clinic Sales Forecasts
• The Market
• Competitive Positions of Key Players

CHAPTER FOUR: �OPPORTUNITIES FOR DIAGNOSTIC AND PHARMACEUTICAL COMPNIES�������

• Point of Care Tests
  • The Industry
  • Competitive Positions of Key Players
  • Convenience Clinic Sales Forecasts
  • Clinical Chemistry and Immunoassays
    • The Industry
    • Competitive Positions of Key Players
    • Convenience Clinic Sales Forecasts
    • Vaccines
      • The Industry
      • Competitive Positions of Key Players
      • Convenience Clinic Sales Forecasts

CHAPTER FIVE: Retail Outlets

• Drug Stores
  • The Industry
  • Competitive Positions of Key Players
  • Convenience Clinic Sales Forecasts
  • Food Stores
    • The Industry
    • Competitive Positions of Key Players
    • Convenience Clinic Sales Forecasts
    • Mass Merchandisers
      • The Industry
      • Competitive Positions of Key Players
      • Convenience Clinic Sales Forecasts
      • Other Outlets
        • The Industry
        • Competitive Positions of Key Players
        • Convenience Clinic Sales Forecasts

CHAPTER SIX: Total Market

• Growth of Retail Clinics
• Opportunities for Suppliers
• Increased Revenue for Retailers

CHAPTER SEVEN: Issues and Trends

• Competition With Primary Care Providers
• Regulation
  • Overview
  • Regulation of Convenience Clinics
  • Pending Legislation
  • Development of Standards
  • Expansion of Services
  • Labor Shortages

CHAPTER� EIGHT: Company Profiles

• Atlanticare
• Aurora Quick Care
• Checkups
• Early Solutions Clinic
• MedBasics
• Minute Clinic
• My Healthy Access
• Quick Health
• Now Medical Centers
• Rediclinic
• SmartCare �Family Medical Centers
• Solantic
• Take Care Health Systems
• Target Clinic Medical Associates
• The Little Clinic
• Appendix

TABLE OF EXHIBITS
CHAPTER ONE: EXECUTIVE SUMMARY

• Figure 1-1: Estimated Number of U.S.� Convenience Clinics, 2007 - 2011
• Figure-1-2: Locations of Retail Clinics, 2007
• Figure 1-3: Indirect Revenue to Drug Stores, Supermarkets, Mass MerchandisingOutlets and Others with Retail Clinics

CHAPTER TWO: INTRODUCTION�����������

• Figure 2-1: National Health Expenditures (NHE) and NHE as a�Percent of GDP, 1980 - 2011
• Figure 2-2: Premium Increases vs. Increases in Workers Earnings andPrices, 1989 - 2005
• Figure 2-3: Unnecessary Deaths Resulting From Variations inHealth Care Quality
• Figure 2-4: HEDIS Scores by Quality of Health Care Plan, 2006
• Figure 2-5: Change in Out of Pocket Health Care Expenses for�Medicaid Recipients, 1997 - 2002
• Figure 2-6: Out of Pocket Health Care Expenses for Disabled andNon-Disabled Medicaid Recipients, 1997 vs. 2002
• Figure 2-7: Proportion of Adults Under Age 65 With Chronic Conditions, 2003
• Table 2-2: U.S. Health Care Coverage by State, 2007
• Table 2-3: Cost Savings From Medical Tourism, 2007
• Table 2-4: Estimated Number of U.S. Convenience Clinics, Expansion of U.S.Convenience Clinics by Major Chain (Aurora, QuickCare, Healthy Access,�Minute Clinic, Quick Health, Solantis, Target Clinical, CheckUps, MedBasics,Now Medical Centers, RediClinic Others, Take Care Clinics, the Little Clinic)� 2007 to 2011
• Figure 2-8: Expansion of U.S. Convenience Clinics by Major Chain (Aurora QuickCare, Healthy Access, Minute Clinic, Quick Health, Solantis, Target Clinical, CheckUps, MedBasics, Now Medical Centers, RediClinic Others, Take Care Clinics, the Little Clinic)� 2007 to 2011
• Table 2-5: Characteristics of Retail Outlets, 2007 (Drug Stores, Food Stores, Mass Merchandizing Outlets)
• Table 2-6: Benefits and Drawbacks of Convenience Clinic Funding Approaches, 2007 92
• Table 3-1: The U.S. Market for Retail Clinic Services, 2001-2011

CHAPTER THREE: SERVICE PROVIDERS

• Figure 3-1: Growth of U.S. Retail Clinic Services, 2001-2011
• Table 3-2, Leading Service Providers’ Revenues and Market Share
• Figure 3-2: Market Shares of Leading Retail Clinic Service Provider, 2006

CHAPTER FOUR: OPPORTUNITIES FOR DIAGNOSTIC AND PHARMACEUTICAL COMPNIES

• Table 4-1: Sales to Retail Clinics by Supplier Segment, 2001-2011 (POC Tests,Clinical Chemistry & Immuno-assays, Vaccines)
• Figure 4-1: Growth of Retail Clinic Supplier Sales by Type of Supplies, 2001-2011(POC Tests, Clinical Chemistry & Immuno-assays, Vaccines)
• Table 4-2: U.S. Professional POC Test Sales, 2001-2011
• Table 4-3: Leading POC Test Makers’ U.S. Revenues and Markert Share, 2006
• Table 4-4: U.S. Professional POC Test Sales to Retail Clinics, 2001-2011
• Table 4-5: U.S. Clinical Chemistry and Immunoassay Sales, 2001-2011
• Table 4-6: Leading Clinical Chemistry and Immunoassay Suppliers’ Revenues�and Market Share, 2006
• Table 4-8: Diseases for which Vaccines are Available in the U.S., 2007
• Table 4-9: U.S. Market for Preventative Vaccines, 2001-2011
• Table 4-10: Leading Vaccine Manufacturers’ U.S. Revenues and Market�Share, 2007
• Table 4-11: U.S. Vaccine Sales to Convenience Clinics, 2001-2011

CHAPTER FIVE: RETAIL OUTLETS

• Table 5-1: Number of Retail Clinics by Type of Retail Outlet (Drug Stores,Supermarkets, Mass Merchandising Outlets, Other), 2001-2011
• Figure 5-2: Proportion of Rents Collected From Retail Clinics by Type ofRetail Outlet, 2001-2011 (Drug Stores, Supermarkets, Mass MerchandisingOutlets, Others)
• Table 5-3: Indirect Income Generated by Retail Clinics by Type ofRetail Outlet, 2001-2011, (Drug Stores, Supermarkets, Mass MerchandisingOutlets, Others)
• Figure 5-3: Proportion of Indirect Income Generated by Retail Clinics by Type ofRetail Outlet, 2001-2011 (Drug Stores, Supermarkets, Mass MerchandisingOutlets, Others)
• Table 5-4: Selected Retail Outlet Relationships with Convenience Clinics, 2007
• Table 5-5: U.S. Drug Store Sales, 2001-2011
• Table 5-6 Leading U.S. Drug Stores’ Revenues and Market Share, 2006
• Table 5-7: U.S. Drug Store Direct Retail Clinic Revenues, 2001-2011 (No. of Stores,Sq. Ft Per Store, Cost Per Sq. Ft.)
• Table 5-8: U.S. Drug Store Indirect Retail Clinic Revenues, 2001-2011 (Number ofClinics, Patients/Clinic/Day, Incremental Sales per Patient, Total Indirect�Revenue)
• Figure 5-4: Direct vs. Indirect Revenues to Drug Stores From Retail�Clinics, 2001-2011
• Table 5-9: U.S. Food Store Sales, 2001-2011
• Table 5-10: Leading Food Stores Revenues and Market Share, 2006
• Table 5-11: U.S. Food Stores Direct Retail Clinic Revenues, 2001-2011 (No. of Stores,�Sq. Ft Per Store, Cost Per Sq. Ft.)
• Table 5-12: U.S. Food Store Indirect Retail Clinic Revenues, 2001-2011 (Number�of Clinics, Patients/Clinic/Day, Incremental Sales per Patient, Total IndirectRevenue)
• Figure 5-5: Direct vs. Indirect Revenues to Food Stores from RetailClinics, 2001-2011
• Table 5-13: U.S. Mass Merchandiser Sales, 2001-2011
• Table 5-14: Leading Mass Merchandisers Revenues and Market Share, 2006
• Table 5-15: U.S. Mass Merchandiser Retail Clinic Revenues (No. of Stores, Sq.Ft Per Store, Cost Per Sq. Ft.)
• Table 5-16: U.S. Mass Merchandiser Indirect Retail Clinic Revenues, 2001-2011�(Number of Clinics, Patients/Clinic/Day, Incremental Sales per Patient,Total Indirect Revenue)
• Table 5-17: U.S. Other Retail Sales, 2001-2011
• Table 5-18: Leading Other Outlets Revenues and Market Share, 2006
• Table 5-19: US Other Outlets Direct Retail Clinics Revenues (No. of Stores, Sq.Ft Per Store, Cost Per Sq. Ft.)
• Table 5-20: U.S. Other Outlets Indirect Retail Clinic Revenues (Number of Clinics, Patients/Clinic/Day, Incremental Sales per Patient, Total Indirect Revenue)

CHAPTER SIX: MARKET SUMMARY

• Table 6-1: Retail Clinic Service Revenues, 2001-2011
• Table 6-2: Sales to Retail Clinics by Suppliers 2001-2011
• Figure 6-1: Revenues from Retail Clinics (Direct Rents/Indirect Revenues)

CHAPTER SEVEN: ISSUES AND TRENDS

• Table 7-1: Selected U.S. Federal and State Health Care Oversight Bodies, 2007

 

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