1. Market for Primary Care
Health Care Industry Committee
Market for Primary Care
Ready-to-Use Presentation Slides

2. Expanding the Outpatient Footprint
Steady Volume Projections Across Next Decade
Projected Hospital Outpatient Department Volume Growth Rates
All Payer Volume Growth Projections
Cumulative,
Cardiac Services
Vascular Services
Orthopedics
Neurosurgery
Source: Advisory Board research and insights.

3. Traditional Primary Care at Full Capacity
Shortage of PCPs1 Driving Long Waits, Decline in Patient Access
Primary Care Physicians Accepting New Patients by Insurance Type
Worth the Wait?
20.3 days
National average wait time for new patient seeking family practice appointment
45 days
Average wait time for new patient seeking family practice appointment in Massachusetts
Long-Term Supply Outlook Bleak
52,000
Estimated primary care physician shortage by 2025
Primary Care Physicians
Source: Merritt Hawkins & Associates, “2009 Survey of Physician Appointment Wait Times,” available at: accessed April 29, 2013; Massachusetts Medical Society, "2012 MMS Patient Access to Care Studies," available at: accessed May 1, 2013; Health Care Advisory Board interviews and analysis.

4. Redesigning Primary Care Services
Medical Home Model Transforming Incentives
Medical Home Practice Changing Referral Priorities, Partner Expectations
NCQA1 PCMH2 recognition requires:
Hospital partner must offer:
“Whole-person” care
Comprehensive care services
Coordinated, integrated care across care system
Health information system interoperability; care management resources
High-quality performance
Evidence-based care protocols
Team-based care
Staff communication protocols, interdisciplinary care team meetings
NCQA PCMH Model Widely Adopted
Approximate number of clinicians practicing in certified medical homes
5,000+
NCQA-certified medical homes
26,000
National Committee for Quality Assurance.
Patient-centered medical home.
Source: NCQA, “PCMH Eligibility,” “NCQA and Pfizer Publish Strategies For Becoming A Patient-Centered Medical Home,” both available at: Health Care Advisory Board interviews and analysis.

5. Non-Traditional Providers Meeting Unmet Demand
Walgreens Aims to Become the Premier Health Destination
2013: Launches three ACOs; begins diagnosing and managing chronic disease
2009: Launches flu vaccine campaign
Simple Acute Services
Vaccinations and Physicals
Chronic Disease Monitoring
Chronic Disease Diagnosis and Management
2007: Acquires Take Care Health Systems
2012: Offers three new chronic disease tests
Case in Brief: Walgreen Co. ”
Not Just a Drugstore
Largest drug retail chain in the United States, with 372 Take Care Clinics
In April 2013, became first retail clinic to offer diagnosis and treatment of chronic diseases
“Our vision is to become ‘My Walgreens’ for everyone in America by transforming the traditional drugstore into a health and daily living destination...”
Walgreen Co. Overview
Source: Japsen B, “How Flu Shorts Became Big Sales Booster for Walgreen, CVS,” Forbes, February 8, 2013, available at: “Take Care Clinics at Select Walgreens Expand Service Offerings,” Reuters, May 31, 2012, available at: Murphy T, “Drugstore Clinics Expand Care into Chronic Illness,” The Salt Lake Tribune, April 4, 2013, available at: Walgreens, “Company Overview,” available at: Health Care Advisory Board interviews and analysis.

6. Walmart Eying the Health Care Industry
Moving Beyond Basic Retail Clinics
Potential Evolution of Health Care Products
Basic Retail Clinic
Full Primary Care
Health Insurance Exchange
Scope of Services ”
“That’s where we’re going now: full primary care services in five to seven years.”
Vice President
Health and Wellness Payer Relations
33%
Estimated portion of the US population that visits Walmart every week
4,600+
Number of Walmart stores in the United States
Median distance between a residence and Walmart
4.2 miles
Source: Holmes TJ, “The Diffusion of Wal-Mart and Economics of Density,” May, 2006; Zimmerman A and Hudson K, “Managing Wal-Mart: How U.S.-Store Chief Hopes to Fix Wal-Mart,” The Wall Street Journal, April 17, 2006, available at: Aboraya A, “Wal-Mart Plans to Offer Primary Care in 5-7 Years,” Orlando Business Journal, January 11, 2013, available at: Aboraya A, “Exclusive: Wal-Mart Exploring Private Health Insurance Exchange for Small Biz,” Orlando Business Journal, January 11, 2013, available at: Health Care Advisory Board interviews and analysis.