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Mergers, acquisitions, and the family physician — where do we fit in?
By Rebecca Hart, MD
Recently I have been hearing a lot of angst from colleagues about all the impending mergers of large retail corporations, insurance companies, and pharmacies starting up primary care clinics complete with urgent care, lab, imaging, and other amenities. My colleagues are gnashing their teeth wondering if they’ll be forced out of business by yet another corporate takeover. First the hospitals, now this.
The CVS/Aetna partnership brings us HealthHUBs in CVS stores, a health care “destination” with nurse practitioners at the helm and a “care concierge” to direct the patient to CVS services. They are associated with physicians only as reviewers of the NPs, because this is required by Texas law. They are not even on the payroll, but act as consultants — a very distant role. These physicians are not involved in directing the company or directing the primary care at all.more