Hospitals Begin to Move Into Supermarkets

Hospitals Begin to Move Into Supermarkets
By MILT FREUDENHEIM
Published: May 11, 2009
New York Times

As walk-in clinics at stores like CVS and Wal-Mart offer convenient alternatives to doctors’ offices and hospital emergency rooms, some hospitals are fighting back — with walk-in clinics at some of those same retailers.
round the country, hospitals are now affiliated with more than 25 Wal-Mart clinics. The Cleveland Clinic has lent its name and backup services to a string of CVS drugstore clinics in northeastern Ohio. And the Mayo Clinic is in the game, operating one Express Care clinic at a supermarket in Rochester, Minn., and a second one across town at a shopping mall.

Many primary-care doctors still denigrate the retail clinics as cheap, unworthy competitors. But hospitals see the clinics as a way to reach more patients and expand their business. And they argue that as President Obama and Congress warn of a shortage of primary-care physicians, the hospital-linked retail clinics are filling a vital public need.

The walk-in centers help clear hospital emergency rooms of people seeking only basic medical care, like antibiotics for strep throat. But in contrast to E.R.’s, which in many states cannot legally turn away those unable to pay, the retail clinics typically serve only patients with insurance or money.

And even if $77 throat cultures or $30 physicals do not represent a vast new source of profit for hospitals, retail clinics can play a marketing role, helping establish relationships with customers who may eventually need more lucrative in-hospital care. .......