Health Payer Intelligence June 28, 2018
Payers need to consider the operational components of retail clinics, and the opportunities to save on costs, before providing retail clinic access to beneficiaries.
Retail clinics are gaining in popularity among patients looking for quick, convenient care for minor ailments.
Kiosks and no-appointment-needed offices located in corner pharmacies and big box stores have the potential to keep patients out of expensive emergency rooms or busy primary care providers.
Yet concerns about overutilization for issues that might not need any treatment at all can hold payers back from offering reimbursement for these services.
Before extending coverage to beneficiaries for retail clinic services, healthcare payers should evaluate how to strike the right balance between expanding access, reducing costs, and meeting a growing...