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News
Target Clinic to Enter Two New Markets
June 3, 2010
Chicago and West Palm Beach clinics will open in September.
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HealthCore Releases Study on Urgent Care and Retail Clinics
June 3, 2010
Wellpoint’s research subsidiary compares costs to emergency rooms and recommends urgent care and retail clinics when the family doctor isn’t available.
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Memorial Health's MedPoint Express Pulls Out of Indianapolis
June 3, 2010
The system now operates three clinics in South Bend: two in Martin's and one in Wal-Mart.
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High-Deductible Health Plans Grow by 25%
June 3, 2010
The largest increase came from large group plans, which rose by 33 percent.
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CVS Marks 10th Anniversary of Retail Clinic Industry
June 3, 2010
QuickMedx, now MinuteClinic, opened its first clinic in May 2000.
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MinuteClinic Forms Third Hospital Partnership
May 3, 2010
MinuteClinic and Catholic Healthcare West have formed a partnership similar to the ones MinuteClinic formed with The Cleveland Clinic and Allina.
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Take Care Seeks JVs with Hospitals
May 3, 2010
In an interview in mid-April with Dow Jones, Take Care Health Systems CEO Peter Miller said his company is in “deep discussions” with several hospital systems.
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CVS CFO Predicts Doubling of Clinic Locations
May 3, 2010
CVS’ new Chief Financial Officer Dave Denton told Bloomberg news last month that the company will double the number of MinuteClinics in five years.
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The Little Clinic Gets New CEO
May 3, 2010
Two weeks after news emerged that The Little Clinic was exiting five markets and had become a wholly owned subsidiary of Kroger, the company announced it has a new leader.
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The Little Clinic Exits Five Markets
April 2, 2010
Effective today a total of 30 clinics closed.  Kroger takes full ownership.
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Chronic Disease Management Services Emerge
April 1, 2010
MinuteClinic announces "Monitoring Made Easy"
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HSA Penetration Could Grow Under New Legislation
March 20, 2010
Retail clinic participants predict higher demand
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Walgreens Realigns Healthcare Delivery
March 2, 2010
Hal Rosenbluth, Take Care’s founder, continues to have more responsibility.
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AAFP Changes Stance on Retail Clinics
February 28, 2010
No more agreements with retail clinics in protest over scope expansion.
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Walgreens to Acquire Duane Reade
February 26, 2010
Transaction will give Walgreens 257 stores in New York City.
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Cigna Acquires Work-Site Health Vendor
February 11, 2010

Health insurer Cigna increases its offerings in the work-site clinic market.

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ConvUrgentCare Job of the Month
January 5, 2010
A major health system in Shenandoah Valley of Virginia is looking for a take-charge leader of its urgent care, occupational health and retail clinic operations. It is the perfect example of how the convergence of urgent care and retail clinics is playing out in the job market. For more information, click here.
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MinuteClinic Ends 2009 with More Closures
January 5, 2010
MinuteClinic closed nine additional clinic locations in CVS stores in December.
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ConvUrgentCare Symposium Approved for CME Credits
January 5, 2010
Room Discount Ends Jan. 11
The ConvUrgentCare Strategy Symposium has been reviewed and is acceptable for up to 11.75 Elective credits by the American Academy of Family Physicians.  If you haven’t registered yet, give us a call to take advantage of the $119 room rate at the Minneapolis/St. Paul Airport Marriott. After Jan. 11 the rate goes up to the Marriott’s standard rate.  More information can be found at www.MerchantMedicine.com or click here for a brochure.
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H1N1 Now Available in Retail Clinics
January 5, 2010
Call it better late than never, the H1N1 vaccine has finally arrived at all major operators of retail clinics.
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Wal-Mart Adds 8 Clinics in November
December 2, 2009
Wal-Mart is climbing back into the pack of leading retailers hosting clinics.  As of December 1 Wal-Mart has 46 stores with retail medical clinics compared to 27 at the end of 2008.
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Rob Pantoja Named CFO of the Year
December 2, 2009
The Little Clinic’s Executive Vice President and Chief Financial Officer Rob Pantoja has been named CFO of the Year by the Nashville Business Journal, and with good reason. 
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Merchant Medicine Begins Tracking Urgent Care Clinics
December 2, 2009
Starting earlier this fall, Merchant Medicine began tracking urgent care clinics in the United States and posting the results under a separate tab on its home page map.
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ConvUrgentCare Strategy Symposium Agenda Set
November 5, 2009
The second annual ConvUrgentCareTM Strategy Symposium is set for January 26th and 27th in Minneapolis/St. Paul.  The agenda is headed by Karen Bowling, CEO of Solantic.  Case studies will be presented covering most strategic options for walk-in medicine, including Cox Health, which operates five clinics inside Wal-Mart stores.

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MinuteClinic to Move Headquarters
November 4, 2009
Central operations to be consolidated with CVS headquarters in Woonsocket, R.I.
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MinuteClinic Forms Second Health System Partnership
November 3, 2009
Allina Hospitals & Clinics of Minnesota and MinuteClinic team up under an agreement very similar to the one with The Cleveland Clinic.
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Flu Shots Start Early
October 4, 2009

Flu is spreading quickly and demand for shots is strong.

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Retail Clinics Measure Up
October 4, 2009

Rand study published in The Annals of Internal Medicine has good things to say about retail clinics.

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Major Operators Resume Clinic Openings
October 4, 2009

MinuteClinic, Take Care and The Little Clinic all open multiple locations.

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Three Steps Forward, Four Steps Back for Wal-Mart
September 1, 2009
Closings overshadow new clinic operators in Wal-Mart stores.
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Texas Loosens NP Regulations
September 1, 2009
The State of Texas has loosened physician supervision requirements of nurse practitioners as of September 1. 
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Rapid Test for Pink Eye Gains Traction
September 1, 2009
The diagnosis and treatment of conjunctivitis (pink eye) in retail clinics is about to change.
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Jewel-Osco to Launch its First Retail Clinic in Chicago
August 3, 2009
The move could signal major expansion in an already crowded market.
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Take Care Study Connects Workplace Health and Medication Compliance
August 3, 2009
Study shows increasing sophistication of Take Care's combined retail clinic and workplace clinic division.
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CVS Caremark Names New President of MinuteClinic
August 3, 2009
Andrew J. Sussman, M.D., replaces Chip Phillips as head of the retail clinic unit.
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Wal-Mart Won't Meet Original Projections
July 2, 2009
Retailer tells Dow Jones it is still committed to retail clinic program.
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MinuteClinic Closes 11 Locations in Texas
July 2, 2009
Largest retail clinic operator continues "seasonal" downsizing.
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Moving Low-Cost Care Away from Insurance
June 6, 2009
A New York Times article captures the future of primary care and health insurance.
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Retail Clinics on Hold in Massachusetts
June 2, 2009
A policy memo around plumbing code belatedly affects openings.
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Closures in Milwaukee and South Florida
June 1, 2009
Broward Health exits while The Little Clinic cuts back in South Florida.  Aurora health closes four more clinics in Milwaukee.
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Clinic Operators Gear Up for H1N1
May 3, 2009
The swine flu outbreak has caused virtually all retail clinic operators to prepare for large numbers of patient visits. 
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A Quiet Month for Retail Clinics
May 3, 2009
The retail clinic market saw only seven clinic openings in April.  But compared to this time last year, market share has changed significantly.
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Synovate Flu Shot Study Misses the Point
April 2, 2009
A study released in late February by Synovate Healthcare, a market research firm, came to an unusual conclusion about flu shots in retail clinics. 
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MinuteClinic Closes 89 Locations - Updated
March 9, 2009
It appears that MinuteClinic is in the middle of a major "seasonal" restructuring of clinics across the country. 
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Clinic Openings Go into Hibernation
March 1, 2009

Growth has slowed to a trickle in anticipation of the traditional offseason.

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Cleveland Clinic Partners with MinuteClinic
February 13, 2009
This partnership may not be just about physician oversight. 
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New Towers Perrin Healthcare Study Released
February 12, 2009
Study Outlines Strategies of High-Performing Companies
Towers Perrin has just released results from its 2009 Health Care Cost Survey, which shows that high-performing companies will pay, on average, 12% less in annual health care premiums in 2009 compared to low-performing companies.
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Wasson Becomes New Walgreens CEO
January 27, 2009
Wasson has been instrumental in Walgreens’ move to become a major player in the retail clinic industry. 

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MinuteClinic Pulls Out of Portland and Seattle
January 26, 2009
MinuteClinic has ended its relationship with QFC grocery stores and closed its clinics in Portland and Seattle. 
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Take Care Health Launches Employer-Centric Pharmacy and Health Care Offering
January 14, 2009
The new program called Complete Care and Well-Being is aimed at employers and intends to help reduce health care and prescription costs.
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RediClinic Pulls out of Walmart
January 2, 2009
In early December RediClinic made the decision to pull out of 15 Walmart locations where it had been operating retail clinics.  The company operated nine Walmart locations in Richmond, VA, two in Atlanta, two in Northwest Arkansas and two in Tulsa.
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$1,000 Deductible the Norm in 2008
December 1, 2008
Mercer released a study just before Thanksgiving that shows the median deductible has jumped from $500 to $1,000 since 2007.
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Insight
2010 Metro Area Report
July 6, 2010
A Geographic Look at Clinic Saturation
This month we feature our annual look at retail and urgent care clinics through the lens of metro areas. To do this we used the U.S. Census Bureau’s standardized list of metro areas, listing the metro area name, Census Bureau population estimate, population rank, total retail clinics, total urgent care clinics, total combined clinics and the number of clinics per 100,000 people.  This report includes a supplement that covers nearly 600 cities in the United States.
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Formulating a ConvUrgentCare Strategy
June 3, 2010
Asking the Right Questions
This month is the third anniversary of the start of Merchant Medicine and we thought it would be a good time to review what we and our clients agree are the most important questions to ask about a local geography.
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ConvUrgentCare and Heallthcare Reform
May 3, 2010
How Retail and Urgent Care Clinics are Affected
There have been a lot of predictions lately on how the new healthcare reform legislation will affect retail and urgent care clinics. There certainly will be some impact in the short term, but the form it takes might surprise you. What is far more interesting for retail and urgent care clinics is the long-term impact, if scenarios like the re-emergence of full-risk capitation programs or the rapid penetration of high-deductible health plans could play out.
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Growth of the Hispanic Healthcare Market
April 5, 2010
An Opportunity for Walk-In Medicine
Marketing healthcare services to specific ethnicities can be a difficult undertaking. Even talking about it might create a certain discomfort that you’ll say something politically incorrect or be taken the wrong way. But the fact is all ethnic populations need healthcare services. Although this article focuses on people of Hispanic origin, there is insight here for any ethnicity when looking to expand your reach.
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Worksite Clinic Business Goes Back into Growth Mode
March 2, 2010
Employers Attempt to Take Control of Costs
Over the last 12 months the markets have recovered modestly. And although unemployment remains a significant challenge, health and productivity programs seem to be kicking back into gear, and worksite clinics are among the most popular options.
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Where Do We Go From Here?
February 3, 2010
Annual Retail Clinic Growth Forecast

We are all familiar with the predictions of a booming retail clinic industry. But if you think those predictions have ceased, think again.  Merchant Medicine estimates 2,050 retail clinics by the end of 2014.

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The Retail Clinic Market in 2009
January 5, 2010
Growth Continued Amid Caution
2000 was the decade of retail clinics. It began with one QuickMedx inside a Cub Foods grocery store in Minneapolis/St. Paul and ended with 1,183 clinics inside retail stores in 39 states (plus the District of Columbia) and 43 of the top 50 metro areas.
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The Retail Partnership Conundrum
December 2, 2009
Finding the Right Retail Partner is a Challenge These Days
“Our challenge right now is having the right partner relationship to make this happen, but the choices are pretty limited in our view.”   Those words, spoken by a health system executive, are not uncommon these days from organizations who are interested in opening retail clinics but who have had difficulty finding the right retail platform.  This is especially true of health systems that operate in multiple states.  Many experts say you should shoot for one retailer.  But as we document in this article, if you can let go of having to have a national retailer and an exclusive relationship, your opportunities open up significantly.   (Subscription required)
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ConvUrgentCare Industry Profile
November 16, 2009
Karen Bowling, CEO, Solantic Walk-In Urgent Care Centers

Of any company we have followed in the retail healthcare space, Solantic seems to hit all the strategic buttons:  stand-alone urgent care centers in high-traffic shopping centers, clinics in Wal-Mart, joint ventures with area health systems, a clinic in the Orlando airport, franchises for physicians, outstanding consumer marketing and a relentless pursuit of customer satisfaction.

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Urgent Care Centers Weather the Retail Clinic Storm
November 3, 2009
Patient Volumes Not Affected
Most operators of urgent care centers agree that retail clinics haven't really affected their patient volumes.  In fact, many report getting referrals from retail clinics for symptoms outside the retail clinic scope.  The recession has had a much greater impact on urgent care patient volumes.  Includes a chart of the top urgent care operators in the United States.  (Subscription required)
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Lines Blur Between Convenient Care and Urgent Care
October 3, 2009
The Emergence of Convergence

Over the long term, it could be that seasonality is the least of a retail clinic operator’s worries. As we noted last month in an article about the long road to breakeven for retail clinic operators, traditional medical practices are taking a page out of the retail clinic playbook and focusing more than ever on patient convenience and consumer marketing. The result is a trend that we call “ConvUrgentCare™,” the merging of convenient care, urgent care and any type of walk-in medicine that involves non-emergent acute medical care.  Today you can see retail clinic techniques crossing over not only to urgent care and emergency care, but also pediatrics, family medicine and work-site clinics.   And these techniques appear to be working to change the game in walk-in medicine.

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The Long Road to Breakeven
September 1, 2009
How close are MinuteClinic and Take Care?
Probably a lot further than you think.  Based on the latest earnings teleconference from CVS Caremark and our own calculations of average patient visits per hour, it won’t be until 2012.  And even that might be a stretch. (Subscription required)
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Telemedicine in the Hands of Major Healthcare Players
August 3, 2009
UHG and Cisco Partner
Cisco, the largest network technology company in the world, and United Health Group’s Ingenix Consulting division, joined together on a telemedicine venture called Connected Care.  At the same time United Health Group hired James (Woody) Woodburn, MD, as its chief medical officer for the new venture.  Dr. Woodburn was MinuteClinic’s chief medical officer up until the middle of 2007. 
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Future of Retail Clinics: Part 2
July 2, 2009
Using Atul Gawande's New Yorker Article as a Guide
Dr. Gawande’s article has garnered more high-level attention since the Dartmouth Atlas Project.  It also helps point the way for retail clinics.
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Future of Retail Clinics: Part 1
June 2, 2009
Using Clayton Christiansen's new book as a guide
Seldom do you find a business that is talked about in such divergent terms.  Patients love retail clinics for the convenience and cost.  Many policy leaders look at the macroeconomics of healthcare and say how could retail clinics not succeed.  But it’s not hard to find current or former retail clinic management who see it as a bust.  Could this industry be on the verge of collapse?  Or is it here to stay and prosper?

To help structure the answer, we turn to two definitional healthcare policy works that provide guideposts for walk-in medicine.  This month we look at a relatively new book by Clayton Christiansen, called The Innovator’s Prescription.  We’ll summarize some of the points of the book that seem relevant to retail healthcare, and then provide some potential paths forward.  Next month we’ll look at Atul Gawande’s most recent article in The New Yorker, "The Cost Conundrum."


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Retail Clinic Legislation -- A Rundown of Recent Policy Initiatives
May 3, 2009
By Caroline Ridgeway, JD
The retail clinic industry has faced a number of legislative and regulatory challenges during the past few years.  Caroline Ridgeway of the Convenient Care Association provides an overview of how these initiatives have evolved.

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Retail Clinics by Metro Area
April 2, 2009
A geographic look at clinic saturation and demand
It was once assumed that clinics in retail stores would show up in just about every major metropolitan area across the United States.  This month we take a look at what markets are not as well as which ones are reaching saturation.
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A Travel Industry Giant Drops in on Healthcare
March 1, 2009
A Profile of Hal Rosenbluth

He has lived in the world of corporate travel management and now the world of healthcare.  Oddly enough, the corporate travel world seems to know a lot more about Hal Rosenbluth than the healthcare world.  But that may be about to change.

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On-Site Employer Clinics
February 3, 2009
Disruptive Innovation Times Two
The concept has been around for about as long as employee health insurance, perhaps longer. But now these clinics are back because of rising health costs and flat wage increases.  Questions remain around the return on investment, the role employers should take with employee health, the definition of a medical home, and just how many employees it takes to make an on-site clinic work.
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Retail Clinics: 2008 Year-End Review and 2009 Outlook
January 5, 2009
Many closures in 2008 but the market continues to expand
2008 will go down as the year that logic and reason overtook the retail clinic market, much the way it did with the technology market in 2000.  Read about how the major players ended 2008 and what 2009 will bring.
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Key Factors in Retail Clinic Growth
December 1, 2008
A recent study by the Rand Corporation and the California Healthcare Foundation predicts that the number of retail clinics in the United States could reach 6,000 by 2011.   Indeed, despite the brief slide last June, the number of retail clinics in the United States is back in growth mode.  Read why reaching 6,000 clinics by 2011 is all but impossible as well as what will continue to drive this industry.
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Retail Clinics and the Changing Primary Care Landscape
November 1, 2008
There is a growing body of physician groups and health systems that are looking at retail clinics through a different lens.  They would argue that despite the criticisms from many physicians, there are many counter arguments that support the need for retail clinics.
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Retail Clinics and the November Election
October 1, 2008
As the market for retail clinics reaches critical mass and the number of those employed directly or indirectly is becoming quite large, many people in this industry are wondering whether the outcome of the 2008 presidential election could have a positive or negative impact on a booming market.
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Health Systems Take On The Big Shots
September 1, 2008
103 Clinics Now Operated Under Health System Brands
We are seeing the development of a new model that could be the beginning of local hospital systems becoming national players.
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Primary Care Meets Private Investor
August 1, 2008
Former Retail Clinic Operators Share Lessons Learned
It all seemed so simple.  Open a clinic inside a busy retail store with a pharmacy and patients will come.  For many, it didn't work out that way.  Several former operators provide some of the lessons they learned.
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Key "Must Haves" in Building Patient Volume
July 1, 2008
Most retail clinics aren’t seeing anywhere near the patient visits their operators thought they would by this time.  But does all this mean the retail clinic business is a bust?  The answer is no. 
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Walk-In Clinic Market Report
Click here to view Urgent Care clinic information
Retail Clinics in the United States
Total Retail Clinics:  1,179
Total Number of States:  41
Total Number of Operators:  73
Total Retailers:  41
Total Hospital Systems:  56
Retail Clinic Growth

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