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Case 7 . 1 Minute Clinic Mentioning a nationwide shortage of primary care providers, millions of patients newly insured through the Affordable Care Act, and

Case
7
.
1
Minute Clinic
Mentioning a nationwide shortage of primary care providers, millions of patients newly insured through the Affordable Care Act, and an aging population, Andrew Sussman, MD
,
president of CVS
s Minute Clinic division, said Minute Clinic. MinuteClinic can help to meet the demand, collaborating with local provider groups as part of a large healthcare team.
(
Nesi
2
0
1
4
)
.
MinuteClinic started in
2
0
0
0
and, as of late
2
-
1
7
,
had more than
1
,
0
0
0
locations
(
CVS
2
0
1
7
)
.
Its clinics are staffed by nurse practitioners and physician assistants, rather than physicians. The clinics are open seven days a week, and appointments are not needed. The nurse practitioners and physician assistants diagnose, treat, and write prescriptions for a variety of common illnesses. MinuteClinic shows customers the prices of care
(
typically less than the prices in a physician's office
)
and usually accepts insurance. Most clinics are in CVS pharmacies, although an increasing number are in other sites, and some have connections with local health systems.
In late December
2
0
1
7
,
CVS Health announced an agreement to buy the health insurer Aetna. Some have suggested that this move could reshape the healthcare industry by integrating insurance with a provider organization.
(
Abelson and Thomas
2
0
1
7
)
Discussion Questions
For what products is MinuteClinic a substitute?
For what products is it a complement?
How would the continued expansion of MinuteClinic affect revenues of primary care practices?
What attributes other than prices would make MinuteClinic attractive to patients?
Is the supply of primary care physicians large enough to meet current levels of demand?
Would you expect the expansion of Minute Clinics to increase or decrease spending? Why?
What are the implications of Aetna's sale to CVS
?
A common criticism is that MinuteClinic is located in well
-
to
-
do areas. Is this a concern?

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