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Retail-based clinics are expected to continue to grow tenfold or more in the coming years, with the boom fueled in part by the growth of account-based consumer-directed health plans. And the potential of walk-in clinics to drive down costs has caught the eye of health plans. But many strategic questions remain, including ensuring that claims submissions and electronic connectivity are compatible; finding plan-certified physicians willing to enter into “collaborative agreements” with the nurse practitioners who generally staff the clinics; and taking steps necessary to make sure these clinics will yield the best improved outcomes and financial benefits possible.

Three leading experts on this topic — from the worlds of health plans, retail-based clinics and health care industry consulting — provide strategic insight and practical solutions on these and other key topics:

• The clinical and financial expectations that plans should bring to the table when partnering with retail-based health clinics.
• How plans offering consumer-directed health care can use walk-in clinics to drive down costs.
• Niche services that ordinarily are difficult for members to access, but could be provided at a clinic.
• What kinds of services to cover — and not cover — at retail clinics.
• How to ensure member — and provider — satisfaction with clinics’ services.
• To what extent clinics will drive pharmaceutical utilization.
• Trend information on where the retail clinic industry is going, and how you can take advantage of factors that could slow or accelerate growth.

Speakers

LOUISE CLYDE is director of allied network management at Blue Cross and Blue Shield of Minnesota. In this role, Ms. Clyde is accountable for the development, management and service to allied provider groups, such as retail health clinics. She has 30 years of clinical and health plan experience. Ms. Clyde has held the position of intensive psychiatric nursing supervisor at Metropolitan Medical Center in Minneapolis, and has held several positions with Blue Cross and Blue Shield of Minnesota. She holds a baccalaureate degree from The College of St. Catherine in St. Paul, Minn., and is a licensed registered nurse.

CHRISTOPHER W. KERSEY, M.D., is chief business development officer and chief medical officer of RediClinic, one of the largest retail-based convenient-care companies. Prior to RediClinic, Dr. Kersey served as founding managing director of Cogene Ventures, the largest health care and life science venture capital firm headquartered in the southern tier of the United States. He also serves as the chairman of the Strategy and Business Development Committee of the Convenience Care Association. Dr. Kersey received a bachelor’s degree from Stanford University, a medical degree from Emory University School of Medicine, and an M.B.A. from Harvard Business School.

MARY KATE SCOTT is the founder and CEO of consulting firm Scott & Company. Ms. Scott, a former associate principal with McKinsey & Company, has led many corporate revitalizations and turnarounds in health care and consumer companies, including publicly traded companies, startup ventures and nonprofit entities. In 2006, she published Health Care in the Express Lane: The Emergence of Retail Clinics, a landmark report on the evolving retail clinic field. Ms. Scott teaches “New Business Models in Health Care” at the University of Southern California’s Marshall School of Business.

Moderator: Neal Learner, managing editor of AIS’s Drug Benefit News.

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Designed Especially For

Executives, product developers, marketing directors, financial managers, pharmacy directors, medical officers, clinical services directors, consultants and contracting executives at:

• Managed care organizations
• PBMs
• Pharmaceutical companies
• Large corporations
• Unions

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