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  #21  
Old 03-30-2018, 12:19 PM
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Childish Gambino Childish Gambino is offline
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The public never blames the providers. They have such a PR edge it's ridiculous. They are on the ground speaking directly to the patients. Plus, they are healers in lab coats which basically means they are infallible. No shows on ABC about an Actuary trying to mitigate trends set to a heart-wrenching soundtrack.
God, it sounds terrible. I wouldn't even watch it.
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  #22  
Old 03-30-2018, 12:28 PM
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Other reasons why providers should be worried:
1.) Wal-Mart will most likely post prices (transparency)
2.) Primary/Essential Care can be provided there (Is primary care a big profit???)
3.) What's to stop Walmart from expanding into Lab, Radiology? They have the property
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Last edited by T-roy; 03-30-2018 at 12:35 PM..
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  #23  
Old 03-30-2018, 12:32 PM
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Originally Posted by T-roy View Post
Other reasons why providers should be worried:
1.) Wal-Mart will most likely post prices (transparency)
2.) Primary/Essential Care can be provided there (Is primary care a big profit???)
3.) What's to stop Walmart from expanding into Lab, Radiology?
Re 2 and 3 (even #1): What is stopping them now? Instead of buying an insurer, should buy an IPA. (No, not a shitty tasting beer. Independent Provider Association.)
Can make it a loss leader to get customers in the aisles. This is where Toys R Us screwed the pooch.
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  #24  
Old 03-30-2018, 12:32 PM
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Other reasons why providers should be worried:
1.) Wal-Mart will most likely post prices (transparency)
we can only hope
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  #25  
Old 03-30-2018, 01:26 PM
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Activists keep saying the U.S. spends too much on health care. Well, this is one solution.
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  #26  
Old 03-30-2018, 04:16 PM
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Originally Posted by T-roy View Post
Other reasons why providers should be worried:
1.) Wal-Mart will most likely post prices (transparency)
2.) Primary/Essential Care can be provided there (Is primary care a big profit???)
3.) What's to stop Walmart from expanding into Lab, Radiology? They have the property
1) True, they will only likely be able to do that with their own primary care group though. They must have hospitalist and specialist contracts to actually provide insurance with network adequacy requirements. If they want competitive contracts they'll be required to mask some of those costs, I'd bet. There are also rules, in some states, about sharing what's in a provider network contract for price-fixing reasons.

2) probably not on it's own but if they have to come to Walmart they can see their doc and get that stuff they were going to get on Amazon from Walmart. Most of Amazon's play is a slight reduction in drug prices (their new contracts) for the 1M employees of Amazon, BH, and JPM. The synergy there is Amazon needing insurance for it's new shipping operation, BH wanting to get that contract, and Amazon's offering credit cards through JPM. It's less about revolutionizing healthcare than good PR, imo.

3) Lab & radiology would be a logical next step but hospitalists will still use the prefered lab/radiology departments for their patients which is where a significant chunk of those claims originate. Independent labs will have a hard time but I imagine they were already before this.

4) I'd assume this affects the midwest & rural american states more (where Walmart has it's most prolific footprint) where competition in those markets was already low and this doesn't add much of a competitive layer outside of primary care. The real monopolies in those areas are specialist providers (dialysis centers are the easy one to point to) and hospitals groups. I don't think it will do as much as people think but will potentially give Walmart the in to PBM level contracts to be keeping up with the joneses, or rather the bezoses at this point.

Those are my opinions, not any sort of actuarial communication.
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  #27  
Old 03-30-2018, 04:19 PM
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This makes sense because of the clear synergy between building medicare advantage bids and bargain bin DVD sorting.
Think about the two target audiences and it makes sense. People on fixed incomes that are seeing property tax increases, seeing lower than average investment returns, and aren't seeing social security increases see Walmart as a solution to their tight budgets. That's a large population of retired people in the midwest/south to target where Walmart is nearly an absolute king of the hill.
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  #28  
Old 03-30-2018, 04:22 PM
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Talk about a conglomerate, I wonder if they'd have anti-trust issues
As we've seen with Amazon there's no such thing as "too big" in anti-trust law so long as the acquisitions are not in prior competitive spaces. I don't see any anti-trust concerns being raised that pass muster.

I think it's interesting that most corporate financial textbooks say that for public companies that it doesn't make sense to diversify outside of your core business because investors can do that more efficiently than a corporation can. It must be a weakness to how little corporate finance work I've actually looked into, though I sort of recall it being beneficial dependent on executive compensation schemes for the executive to diversify even if it doesn't add shareholder value.
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  #29  
Old 03-30-2018, 04:51 PM
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oh the humanaty!
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  #30  
Old 03-30-2018, 05:15 PM
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Am I the only one who read the thread title as "Walmart to Acquire Humans"?
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