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Alternative Front Doors to Healthcare May 25, 2017 Nancy Gagliano, MD, MBA Chief Medical Officer Improving Patient Care Enhancing Patient Experience Driving Financial Performance 1 Consumerism on the Rise McKinsey, Deloitte, PWC


  1. Alternative Front Doors to Healthcare May 25, 2017 Nancy Gagliano, MD, MBA Chief Medical Officer Improving Patient Care Enhancing Patient Experience Driving Financial Performance 1

  2. Consumerism on the Rise McKinsey, Deloitte, PWC Surveys Consumers are starting to want same type of value in healthcare as they expect from other strong consumer companies Consumers want great customer service (healthcare and non-healthcare alike) – Deliver on expectations • Access • Get information • Choice – Make life easier – Offer great value - expectations are being set by non-healthcare industries 2

  3. Empowerment: The Digital Age for Engagement Fitness and Wellness Access Care Information Access TELEHEALTH 79% willing to use Chronic Conditions: Medical Information wearable health device Diabetes Navigation Fitbit $1.9B in 2015 Hypertension 3

  4. Access: Alternative Front Doors-When Loyalty Wanes RETAIL HEALTH • Value Proposition – Access: 7 days/wk, evenings/weekend/ holidays, no appointment necessary – Convenience – in CVS, right in community, visit and medications Value: price transparency, low cost – Experience • – 79% found the clinical experience the same OR BETTER – 95% Press Ganey Satisfaction • Growth – MinuteClinic – 400-1,100 clinics in 6 years – 2 million to 6 million patients in 6 years – All age groups, slightly younger than traditional healthcare Growth of Telehealth and Urgent Care 4

  5. Access: The Pharmacist Will See You Now CVS • Eliminate the sale of Tobacco • Provide Smoking Cessation Support Prescribe Contraception • Oregon, California, Colorado Narcan Additional Services • Vision, Audiology • Phlebotomy What's Next • Chronic Care? 5

  6. Healthcare Disruption • Health systems beware that they may be disrupted: – Patients are becoming more empowered – Digital health is proliferating – Healthcare more than episodic physician visits – Patients are sharing the cost burden – Patients are looking for alternative care services – Care may become a commodity 6

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