CVS and Teladoc collaborate to launch video medical services that allow patients to talk to their doctors

The Arterial Network was informed that the US CVS announced on August 9 that its app launch and doctor video access features allow patients to talk to their doctors via smartphones.

CVS Health's Minute Clinic will provide virtual medical care visits for patients who wish to treat minor illnesses and diseases such as colds, flu or skin diseases. This feature was launched by CVS in collaboration with Teladoc.

In the services offered by CVS and Teladoc, patients need to fill out a health questionnaire and then match the doctors in the state where a patient is located.

According to CVS requirements, the certified care provider that matches the patient will be relevant based on the individual's medical history before starting the consultation. During telemedicine , the doctor will assess the condition and determine the treatment plan, based on the patient's preferred pharmacy prescription.

If the patient needs further follow-up diagnosis, they will also make recommendations. The video consultation is available 24 hours a day, and is priced at $59. It is currently paid by credit or debit card and may be covered by insurance in the future. The remote care products are sold in nine states in the United States and are expected to be promoted throughout the United States by the end of 2018.

“We are excited to offer this innovative care option to patients,” said Troyen A., Executive Vice President and Chief Medical Officer of CVS Health. Dr. Brennan said in a statement, “At CVS Health, we are committed to providing quality care at the time and place that patients need and at the price they can afford. With this new telemedicine service, patients can now choose to seek More convenient care."

Teladoc CEO Jason Gorevic said in a statement: "This is an exciting development as we continue to advance the development of virtual medical services. CVS Health expands its healthcare model, including video access, for patients To come to more care options, Teladoc is proud to work with them on this service."

The transformation of CVS started very early, focusing on telemedicine, improving drug compliance, user health management and digital health technology companies to create a health service company that integrates retail pharmacies and pharmacy services.

For example, CVS and the Cleveland Clinic launched a business called “MinuteClinics” in Ohio in April 2016 and have since expanded to include more than 1,100 MinuteClinic clinics.

CVS与Teladoc合作推出视频就医服务

CVS与Teladoc合作推出视频就医服务

Arterial network mapping

Taking this as a clue, the arterial network combed the initiative of this American chain drugstore giant in digital health. The traditional pharmacy giant, with its wealthy advantages, the most common trick in the first 20 years was the acquisition, and the number of stores was expanded. However, since 2010, CVS has bought and bought a medical service system for “PBM+Pharmaceutical Retail+Health Insurance+Medical Services”.

Nowadays, they have more choices to cooperate with digital medical startups to improve the ecological layout details. In the past, they wanted to sell more drugs, and now they are working together to make consumers healthier. In 2014, CVS cut off the cigarette retail business and changed its name to CVS health, which shows the determination of CVS transformation.

CVS MinuteClinic has previously tested water on telemedicine services many times. In 2015, CVS established partnerships with three leading telehealth companies, Doctor on Demand, American Well and Teladoc, piloting telemedicine services in six states and utilizing different telemedicine companies in different regions of the country. CVS also updated its Minute Clinic app to make improvements in consumer wait times and remote appointments.

In addition to telemedicine, CVS has been opening the last mile of the user to the clinic.

In early May 2018, CVS teamed up with Buoy Health's AI chat robot. Provide health advice to users. When a user passes Buoy Health's online or application-based chat bot interface, the diagnostic results provided by the robot may recommend the user to the nearby CVS minute clinic.

The app locates the nearest minute clinic and provides navigation. This collaboration can lead CVS's minute clinics to direct some users who may not have thought about seeing a doctor to CVS's minute clinic.

Dr. Andrew Le, CEO of Buoy Health, said: "Working with CVS Minute Clinic is the first step towards recommending personalized medical services to users based on user needs."

In 2010, CVS launched its first mobile app, which allows CVS members to use the app to fill out prescriptions, view prescription order status, view prescription history, view drug costs, and find nearby pharmacies.

In addition to perfecting its own services, CVS has made itself more perfect, and its transformation path is still making users healthy.

In March 2018, CVS appeared in the New BCBS Institute of the US Blue Shield Insurance Company, the network car giant Lyft and another drug retail giant Walgreens cooperation news.

Several giants are preparing to jointly eliminate social barriers and allow consumers in more marginal areas to enjoy more health care services. For example, help consumers who are unable to get enough nutrition in the supermarket to motivate people to adopt a healthy lifestyle.

“More and more Americans live in areas where health care is not available, even if they have health insurance,” added Dr. Troyen Brennan, executive vice president and chief medical officer of CVS Health. “By working with the Blue Cross Blue Shield Institute, We are committed to solving problems that are inseparable from health outcomes, so that people can enter the pharmacy without getting sick."

In 2013, CVS announced that it will work with Vitality, a subsidiary of nantworks, to sell GlowCaps smart bottle caps that help people remember the history of medication. The two companies announced that they will conduct randomized controlled trials using GlowCaps to test for effectiveness to improve drug compliance.

Soon after, the company launched a new CVS iPad app, a virtual pharmacy that offers users a 3D virtual pharmacy, each pharmacy partition corresponding to the functionality of the app.

In July 2014, CVS added a drug interaction check to CVS mobile applications, alerting consumers that over-the-counter drugs may interact with other drugs. The company claims to be the first chain pharmacy to include this feature in mobile apps. In the same year, CVS launched a digital innovation lab in Boston.

In Boston's Innovation Lab, several health-related products were introduced in 2015, starting with an otoscope. This test otoscope allows the user to insert the ear directly into the ear and then talk to the doctor remotely for diagnosis. In addition, there is an application called “Allen”, which can be shared with family and friends. When the patient does not take the medicine in time, family and friends will receive a message.

Because Amazon has spent $1 billion to acquire the online pharmacy pillpack, CVS's move is seen as a response to the Amazon invasion. In fact, CVS began to lay out digital health before Amazon.

In November last year, CVS announced the acquisition of health insurance company Aetna for $69 billion, making it the largest acquisition in 2017. CVS has included Aetna Insurance to further complete the medical service system covering “PBM+Pharmaceutical Retail+Health Insurance+Medical Services”.

CVS uses mobile devices and programs to increase patient engagement on the digital health path. CVS's acquisition of Allianz is seen as a transformation of traditional pharmaceutical companies, not to provide services to patients, but to find their role in an era of increasing consumer power.

The CEO from sharecare believes that CVS's acquisition of Allianz is accelerating vertical integration, and CVS begins to control the entire value chain, once to defend against Amazon's invasion of the prescription drug market.

In this vertical integration, if CVS can form a data loop, using artificial intelligence, people will buy prescription drug data, beauty data, and claims data from insurance companies.

CVS can better understand consumers and create 360-degree consumer portraits. CVS can guide people on how to buy food, how to use over-the-counter drugs, and provide personalized medical and health services.

If they can use the data in the right way, there is an opportunity to integrate, analyze, and feed back data to healthy people with good behavior to do healthy things, which is changing the rules of the game. ”

CVS与Teladoc合作推出视频就医服务

Traditional pharmaceutical retail digital health partner

Walmart

Wal-Mart is one of the largest chain pharmacies in the United States and has opened more than 4,700 retail pharmacies across the United States. At the end of 2017, CB Insights compiled the 2012-2017 M&A data and found that among these chain drugstore giants, Wal-Mart's acquisitions occurred most frequently.

In 2014, Wal-Mart proposed to be the industry's premier health care provider, and Wal-Mart has done some fruitful work over the past decade. For example, the following measures:

Prescription plan: Wal-Mart offers consumers a prescription of $4 to help them reduce their cost;

Health care convenience: Wal-Mart provides health advisory services to consumers at the store, for a fee of only $40;

Primary clinic: Consumers can conveniently get a common prescription at Wal-Mart through a clinic set up in the store, for as little as $40 each time;

In the vertical integration of CVS, Wal-Mart did not fall. In March 2018, it was reported that Wal-Mart was considering the acquisition of the estimated 37 billion insurance giant Humana. Wal-Mart already has about 4,500 in-store pharmacies and 2,900 visual centers, but Humana's deal may speed up its efforts to develop in-store clinics.

Gurpreet Singh, a partner in the consulting firm PwC's health services division, said the acquisition of Humana will also give Wal-Mart a deeper understanding of the health care needs of its customers. By accessing Humana's medical data, Wal-Mart can gain a deeper understanding of its customers and those who live around its stores.

For example, if a community has a high incidence of heart disease or diabetes, then Wal-Mart can show and promote projects that address these issues more prominently.

"In addition to selling prescription drugs, Wal-Mart can also develop a very attractive business through a walk-in or appointment-based clinic," said Eric Gordon, a professor at the University of Michigan's Ross School of Business.

Wal-Mart's identity is not only the world's largest retailer, but also the world's largest private employer. As of 2017, Wal-Mart has 2.3 million employees and Amazon's employees are 540,000. It can be said that Wal-Mart has solved the medical health problems of internal employees and it is already a feat.

In May 2018, Wal-Mart announced a partnership with Sharecare to improve the health of its employees and communities. Sharecare is a health and wellness engagement platform that provides consumers with personalized information, programs and resources to improve their health.

The online platform will provide users with the tools to track and understand their health. It also allows users to develop workable plans to improve their health and provide participants with health trackers, health content and health tips.

Last year, Wal-Mart also adopted the ZP Challenge to cover the health and well-being of its employees. This is not the first time that the retail giant has used digital health to solve employee health problems.

Four years ago, the company launched the ZP Challenge, a rewards program designed to encourage people's overall well-being in fitness, family, diet and spending. Wal-Mart said that ZP users can now use Sharecare to provide them with more health tools and health programs.

Walgreens

Walgreens is one of the nation's largest pharmaceutical retailers, with IBISWorld data showing that CVS has a 58% share of the US retail pharmacy market, while WBA and Rite Aid hold 31% and 10%, respectively. Rite Aid lags behind Big Brother CVS and second brother Walgreens in digital transformation. Rite Aid did not launch a similar program until 2012 when CVS and Walgreens launched their pharmacy app as early as 2010.

Walgreens' eye-catching action was also planned to spend $9.4 billion in 2015 to acquire Rite Aid, the third-largest pharmacy in the US at the time, but failed to obtain antitrust approval. But the company said it will buy nearly half of its US stores for $5.18 billion.

Walgreens' most compelling digital health project may be its Balance Rewards program, which was launched in 2012. Currently has 82 million active members. Initially a typical retail consumer rewards program, it has evolved into a behavioral change platform that promotes healthy activities while tracking and recording health information. Walgreens also works with Qualcomm Life, Misfit and Joint Healthcare to increase balance rewards.

Walgreens also has its own mobile app that allows users to sign up for pharmacy accounts to order prescription drugs from the app. Users can identify drugs by visiting their account or by scanning a prescription number. The app also includes a medication reminder that alerts the user to take medication in a timely manner. The app also provides a preferred pharmacy based on geographic location, and navigation services are available once the user has identified the pharmacy. It also allows data to be exported to share the drug list with the patient's prescriber.

In telemedicine, Walgreens and WebMD reached an in-depth collaboration. Walgreens has built-in Live Doctor Consultation and Pharmacy Chat features in the app, and MDLive, which provides remote conversations with doctors across the US. However, these services are only available for non-emergency medical treatments such as acne, allergies, urinary problems, etc. The price per medical visit service is $49.

The collaboration between Walgreens and WebMD goes beyond telemedicine collaboration. Health advice can also be provided to Walgreens from WebMD. Consumers can access Walgreens. Com, a digital health consultant, a virtual health consultant program powered by WebMD, aims to create customized goals and action plans that support lasting lifestyle changes. Participants can participate in interactive programs that help to quit smoking, weight management, nutrition, exercise and emotional health. Walgreens Pharmacy Chat health experts also provide on-site guidance to help encourage positive lifestyle choices and healthy behaviors. Participants in the Digital Health Consultant will receive Walgreens Balance Rewards points to make progress towards their goals.

In addition, Walgreens and WebMD have extended the prescription transfer service. Consumers can now access Walgreens' supplemental and transfer prescription services from WebMD's iPhone app. Consumers can simply scan the barcode on the prescription or manually enter the information and refill the prescription at the local Walgreens pharmacy. The service will also introduce WebMD's desktop services later this year.

In motivating user health, in the Walgreens app, iPhone users can connect Apple Health to the Walgreens app and receive additional bonus points for setting and meeting health-related goals such as exercise and blood pressure. This feature is supported by WebMD.

In December 2017, Walgreens also partnered with the New York Presbyterian Hospital (NYP), one of the best hospitals in the United States, to launch telemedicine services. NYP doctors will be able to remotely consult patients with non-fatal diseases through Walgreens' online portal and self-service kiosks at select stores in Duane Reade, New York.

This partnership with NYP is Walgreens' extension of the OnDemand platform for telemedicine and mobile healthcare in 2016. The service costs $99 each time and patients can access a secure private phone booth for inspection by a doctor via video chat. The kiosk also installed connection check equipment, including blood pressure cuffs, forehead thermometers and leather masks. The doctor can also send the prescription to the patient's preferred pharmacy. In 2013, Walgreens has allowed users to talk directly to Walgreens pharmacists through the app. This technology is supported by telemedicine technology from American Well.

Cardinal Health

Cardinal Health is a global multinational group that combines healthy nutrition, health food production, production and healthcare. Cardinal Health is a supplier of 90% hospital medicines and nutritious foods in the United States. In 2016, Cardinal Health acquired TelePharm, a digital health startup for pharmacies.

TelePharm has two core technologies, the first being to provide medical education to pharmacy employees. It is not necessarily a doctor who prescribes drugs in the United States, but a licensed nurse can also provide diagnostic services and prescribing services. And registered nurses and professional nurses. TelePharm has several different businesses that help pharmacists spread their expertise to multiple pharmacies. This allows local chain pharmacies scattered across rural pharmacies to significantly reduce their spending. One business is TeleCheck, which allows remote verification of drugs, which is one of the most important and time-consuming tasks for pharmacists.

Another service, called TeleCounsel, actually allows pharmacists to interact directly with patients. It is used by hospitals, and a pharmacist's staff provides discharge advice for patients leaving the hospital. Talking to a pharmacist before leaving the hospital allows the patient to better adhere to the treatment, but this is often difficult because it requires a pharmacist to work in many different places in a large hospital or hospital system. With TeleCounsel, pharmacists can talk to many different patients and even consult patients after they return home.

Traditional medicine retailing internal and external troubles, turning to value-based services

From the above combing, we can find that the digital health participation of many traditional pharmacy giants has been integrated with multiple digital medical industry chains. From a single drug supplier, start to turn to a user-centered recommended health care provider. Their activities also provide a landing model for entrepreneurs of digital healthcare. In order to completely transform itself into a health care provider, CVS has drastically cut off cigarette retail services. Traditional pharmacy retail giants face health care payments.

After vertically integrating the value chain, traditional pharmacies can reduce the rate of rehospitalization and improve chronic diseases by stimulating healthy behavior through strong data analysis capabilities and offline pharmacies that have spread throughout the United States. Consumers are now making more of their own medical decisions because of high deductible health insurance plans and rising premiums, which is also driving industry trends. Negotiations from pharmacies and health care have also made the US prescription drug market profit margins smaller. Even if the traditional pharmacies do not work hard, there are Amazons working hard for them.

Although CVS's earnings data in the latest quarter, CVS's revenue exceeded market expectations. But growth is still mainly from the prescription drug market, business performance from Omnicare and PBM is sluggish, and Omincare's business focus on long-term care is not as good as expected. CVS's PBM business is also experiencing the downward pressure on prices and the negative impact of more generic drugs on revenue.

But such ups and downs are better than the impact of Amazon's shots. After Amazon announced the acceptance of online pharmacy pillpack, Walgreens Boots, CVS Health and Rite Aid, drug distributors Cardinal Health, AmerisourceBergen and McKesson evaporated about 14.5 billion. Dollar. At the same time, Wal-Mart failed to bid for PillPack, and its market value shrank by $3.04 billion on Thursday.

This merger is largely the result of a shift to value-based healthcare services, in which health care providers are increasingly responsible for improving the quality of care and reducing costs.

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