亚马逊整顿医疗保健

2020-11-19 08:03

Amazon Shakes Up Health Care XAG世界播

亚马逊整顿医疗保健XAG世界播


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A worker assembles a box for delivery at the Amazon fulfillment center in Baltimore, Md., April 30, 2019. XAG世界播

2019年4月30日,在马里兰州巴尔的摩的亚马逊配送中心,一名工人正在组装快递箱子XAG世界播


Amazon has driven innovation and competition across the retail industry from supermarkets to books. Now it’s gunning for pharmacies, which could force healthy changes across America’s sclerotic health-care system. XAG世界播

亚马逊推动了从超市到图书的整个零售业的创新和竞争。现在,它瞄准了药店,这可能会迫使美国僵化的医疗保健系统进行健康的变革。XAG世界播


On Tuesday the retail and cloud-computing giant announced it is launching an online pharmacy that will deliver common medications, including insulin and asthma inhalers, with free two-day shipping for its Prime members. The move was facilitated by its purchase two years ago of PillPack, the online pharmacy startup that sorts, packages and delivers medication. XAG世界播

周二,这家零售和云计算巨头宣布,它将推出一家在线药房,提供包括胰岛素和哮喘吸入器在内的常见药物,并为其Prime会员提供免费的两天送货服务。这一举措得益于两年前收购了在线药房初创公司PillPack,PillPack是一家对药品进行分拣、包装和递送的在线药房初创公司。XAG世界播


PillPack came with licenses to operate in 49 states, as well as technology and logistical infrastructure that Amazon has further developed. Amazon’s success in the highly regulated prescription drug market is by no means guaranteed. But its entrance has made muscular incumbents take notice and raise their game. CVS and Walgreens now offer fast and free prescription drug delivery. XAG世界播

PillPack拥有在49个州运营的许可证,以及亚马逊进一步开发的技术和物流基础设施。亚马逊在监管严格的处方药市场的成功绝非板上钉钉。但它的加入让实力雄厚的在位者注意到了这一点,并提高了他们的水平。CVS和Walgreens现在提供快速和免费的处方药递送服务。XAG世界播


Retail pharmacies have been also been adding services in their stores to increase value for customers. CVS has expanded its MinuteClinics that provide urgent care and is launching 1,500 HealthHUBs that offer screenings and blood tests for chronic conditions. XAG世界播

零售药店也一直在其门店增加服务,以增加顾客的价值。CVS扩大了提供紧急护理的MinuteClinics,并推出了1500家HealthHUB,为慢性病提供筛查和血液测试。XAG世界播


Walmart is launching health-care clinics that provide primary and dental care and psychiatric counseling with low out-of-pocket costs. Fees for primary-care visits are a flat $40. Customers can get lab services and medical imaging on site. Walgreens this summer also announced plans to attach 500 to 700 full-service doctors’ offices to its stores over the next five years. XAG世界播

沃尔玛正在推出医疗诊所,以较低的自掏腰包费用提供初级和牙科护理以及精神咨询。初级保健就诊的费用是固定的40美元。客户可以在现场获得实验室服务和医疗成像。沃尔格林今年夏天还宣布,计划在未来五年内在其门店增设500至700个提供全方位服务的医生办公室。XAG世界播


Pharmacy clinics have been helping test and treat for Covid-19, and they will be even more important in rolling out vaccines. Their expansion is also providing competition for large hospital networks that have consolidated market share by acquiring physician practices and have contributed to higher health-care costs. XAG世界播

药房一直在帮助新冠肺炎进行检测和治疗,他们将在推出疫苗方面发挥更重要的作用。它们的扩张也给大型医院网络带来了竞争,这些网络通过收购医生诊所巩固了市场份额,并导致了更高的医疗成本。XAG世界播


Clinics can provide less expensive care by employing physician assistants, nurse practitioners and even pharmacists to treat uncomplicated problems and chronic conditions. Medical cartels have tried to protect their turf, but one hope is that the combined might of the large pharmacies and Amazon can push state lawmakers to relax regulatory barriers to competition. XAG世界播

诊所可以通过聘请医生助理、执业护士,甚至药剂师来治疗不复杂的问题和慢性病,从而提供成本较低的医疗服务。医疗卡特尔试图保护自己的地盘,但一个希望是,大型药店和亚马逊的联合力量可以推动州立法者放松对竞争的监管障碍。XAG世界播


PillPack, for instance, has pushed changes in states that would let pharmacy technicians transfer medications from other pharmacies. Like other pharmacies, Amazon will have to negotiate with pharmaceutical benefit managers that set pharmacy reimbursements, drug formularies and out-of-pocket costs for insurance plans. But Amazon’s heft may reduce the market power of the large PBMs and could even create more transparency in drug prices. XAG世界播

例如,PillPack推动了各州的改革,允许药房技术人员从其他药店转移药物。与其他药店一样,亚马逊将不得不与药品福利经理谈判,后者为保险计划设定药房报销、药物处方和自付费用。但亚马逊的影响力可能会削弱大型PBM的市场力量,甚至可能在药品价格方面创造更多的透明度。XAG世界播


It’s hard to predict how health-care markets will evolve in response to Amazon’s entrance, but increased competition will no doubt produce benefits for consumers. And while Amazon’s critics often complain about its size, its main competitors in health care aren’t exactly pipsqueaks. XAG世界播

很难预测医疗保健市场将如何应对亚马逊的进入,但竞争加剧无疑会给消费者带来好处。虽然亚马逊的批评者经常抱怨它的规模,但它在医疗保健领域的主要竞争对手并不完全是卑鄙小人。XAG世界播

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