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The Convenient Care Clinics Market 2007

Published by: Diagonal Reports Ltd.

Published: Jan. 10, 2008 - 81 Pages


Table of Contents


SECTION 1 SUMMARY

TABLE 1 Convenience Care market data at a glance

Definitions

Report covers

SECTION 2 HISTORY, CONTROVERSIES

An arena where giants meet

History of new concept

From few to more services

A longer historical trajectory

Terms of the debate

The pro points of view

The anti points of view

“No frills” model of consumer services

SECTION 3 MARKET SIZE AND STRUCTURE

TABLE 2 Convenient care market - units (2006-2012)

Sector sizes (2007-2012)

Accurate up-to-date counts difficult?

Is the sector profitable?

Staffing arrangements and regulations

Concepts (ownership/settings)

GRAPH % Retail vz other location?

Some of the many terms for a new concept

SECTION 4 CONVENIENT CARE AND SERVICE MENUS

The main service categories

The “get well” menu (sample)

The “stay well” menu (sample)

The “for the well” menu (sample)

MD-managed clinic - sample menu

Not a one size fits all

Ranking services (revenues/demand)?

Examples revenues

Variations in demand (seasonal and consumers)

Driving market phase one

Locations

SECTION 5 BENCHMARK DATA (UNIT SIZES, PRICING)

TABLE ? Benchmark “typical” unit

Geographical coverage?

TABLE ? Data business of market leader

Turnover versus costs

TABLE ? Benchmarks a physician’s office “cash only”

TABLE ? Medspa benchmark data

Opening days and hours

TABLE ? Convenient care - busy hours / days

Night openings

The traditional model responds

Fees - comparison traditional vz convenient care

TABLE ? Fees per visit - examples (US$, 2007)

Basis of price differences?

Price rises in the pipeline?

Price sensitivity and insurance status

SECTION 6 CONSUMERS AND CONVENIENT CARE

Profiles of consumers

The missing age group

The ‘mom and kids’ segment

TABLE ? US population distribution by age and gender (Census)

Consumer segments and profitability

Self-pay and third-party payees

Convenient care and consumers’ insurance status

Industry averages vz. local distribution

TABLE ? Patient profiles market leader

Patient profile

TABLE ? Consumer (%) distribution by insurance status - examples

The underinsured

TABLE ? Health insurance status US population

Insurance status

Why choose over alternatives?

Convenience

Experts’ quotes (selected)

A wider changes in consumer behaviour?

SECTION 7 BUSINESS FORMULAS AND COMPANIES (EXAMPLES AND names)

Business concepts

Potential competitors by type

Names to watch

The retailers

TABLE ? Retailers and clinics

Retail Partners

Comment

Clinics and health care

Priorities of different players

Retailers

Medical players

Health assessment market

SECTION 8 FUTURE OF THE CONVENIENT CARE MARKET

Big issues

Word of caution

Problems and uncertainties

Costs

Costs and technology

Technology concerns

Next phase?

Branding and marketing

Future and staffing issues

TABLE ? Staffing requirement and availability

Licensed and credentialed in the USA

Staffing barriers

Regulatory frameworks

Treading on toes

TABLE ? Estimated size of test markets (drugs tests)

Workplace drugs tests

Workplace drugs tests

TABLE ? Estimated size of diabetes market

Diabetes market (Type-2 Diabetes)

The obesity market

Taking market share or growing market?

Clinics and MDs

Awareness/access

SECTION 9 PROFILES OF CLINICS

DRAFT TABLE ? Biggest players (units, formula)

TABLE ?? Alphabetical list of operators identified and profiled (26 names)

SECTION 10 SERVICES AND PRICES (2007)

TABLE ? Prices (2007)

TABLE ? CCC price lab/a la carte (MD-managed)

TABLE ? Prices occupational Health Services (MD-managed)

TABLE ? Prices urgent care (MD-managed)

SECTION 11 ADDRESSES AND PROFILES OF ORGANIZATIONS (SELECTED)

SECTION 12 REGULATIONS, and PROTOCOLS, ETC.

Regulatory and voluntary code

Convenient Care Association-CCA Quality and Safety Standards

Agreement AAFP and the “big three”

SECTION 13 APPENDIX HEALTH CARE SECTOR USA (SIZE)

TABLE ? National Health Expenditures USA

Category

TABLE ? Health system data

TABLE ? Health system personnel (nurse practitioner managed)

Registered nurses

Registered nurses -employment settings

Nurse Practitioners

Physicians

Licensed physicians

TABLE ? Health system personnel (physicians and surgeons)

TABLE ? Health system personnel (physicians practice size

Visits to physicians’ offices

TABLE ? Visits to physicians’ offices - ordered at

TABLE ? Visits to physicians’ offices - patient’s reason for

Injury-related 80

TABLE ? Visits to physicians’ offices- primary diagnosis group (selected)

Most frequent illness diagnoses

SECTION 14 GLOSSARY

Symbols used in tables

Glossary

GSP formats

INDEX OF COMPANIES, BRANDS, SELECTED PUBLICATIONS, AND ORGANIZATIONS (REGULATORY, TRADE, PROFESSIONAL) 83

DIAGONAL REPORTS STATEMENT 86

CONVENIENT CARE CLINICS - LOCATION, TIME, AND COST

Abstract

The speed of growth of the US convenient care clinic sector has astounded the most optimistic experts. Convenient care clinic operators, consulted by Diagonal Reports, are very confident about its future and forecast that the number of clinics could double each year. It is expected there could be up to to 6,000 convenient care clinics throughout the USA by 2012 while a decade ago this sector did not even exist.

Clinics can draw on a huge potential pool of users. Convenient care clinics attract almost the entire population irrespective of their age, gender, income or insurance status. They are used by the insured, uninsured, under-insured and paid by self-pay consumers and third party payees. There is also strong confidence in its profitability. Experts insist that the “longer-established clinics” are profitable, and that the startups --in business one to two years-- will be profitable within 12 months as soon as they recoup their set up costs.

The concept of the convenient care clinic is new to the US and the many terms in circulation reflect the fact that the model is still being developed. Terms used to describe clinics include:
  • Store-based health clinics
  • Retail health clinics
  • Retail-based clinics (RBCs)
  • Walk-in health clinics in retail stores
  • Urgent care (not true emergency rooms)
“Get well” and “stay well” services
These clinics repackage medical services previously available in traditional physicians’ office. The core of the original clinic concept was a limited range of “get well” medical services, such as allergy or flu relief. These “get well” services remain the top services in terms of revenue generated, consumer demand and profitability. As the clinics increased in numbers, the original limited menu has now diversified as “stay well” services - that is, preventative medical care for well or healthy people, such as vaccinations and flu shots - have been added.

“For the well”
Further services are being added. Health or medical services management (for example, physical screenings, tests for for obesity, diabetes) required by insurers, employers and schools are now being made available in convenient care clinics.

Nurse practitioners or physician assistants originally operated these clinics in shopping or commercial centers but new operators - including licensed physicians, who want to reduce red-tape, insurers, health management organisations (HMOs) and hospitals - are now setting up clinics in hospital or ambulatory care settings. Further integration with the healthcare system is inevitable.

The offer of simple, relatively inexpensive products and services that are not state-of-the-art but rather "good enough" in the eyes of users is transforming the delivery of primary healthcare in the US. Convenient care clinics offer people what they most require - convenience. Users cut out the delay in getting a doctor's appointment and/or avoid the lengthy wait in the hospital emergency room. A clinic expert summarised the benefits, “The convenience factor cannot be underestimated. You can be seen, and be taken care of without making an extra stop.”

This cost effective, convenient, and local healthcare is the counterpart of developments that have been taking place since the 1980’s in a range of consumer services industries. The essentials of the model are “no frills” made possible by low costs, and overheads. This model, first made famous in air travel, but is also popular in the automotive aftermarket (eg, “pit stop”), professional beauty ( eg, “shampoo only” salons) and dental practice (teeth whitening clinics) market worldwide.

This new report THE CONVENIENT CARE CLINICS MARKET USA 2007 examines the future of the fast developing convenient care clinic sector, including clinic models, profitability and obstacles to growth.

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