Monday, June 24, 2024
HomeHealth Law5 takeaways from the Amazon/One Medical transaction

5 takeaways from the Amazon/One Medical transaction


On July 21, 2022, probably the most high-profile acquisition within the well being care area in latest reminiscence was introduced, when Amazon publicized the acquisition of One Medical, a main care group, for $3.9 billion. Amazon’s curiosity within the large US well being care trade has been no secret in recent times, however that is undoubtedly their greatest wager so far. One Medical’s core enterprise is a subscription based mostly digital platform providing telehealth providers, however it has additionally made inroads in growing in-person brick and mortar clinics as properly. One Medical additionally affords its personal proprietary EMR system as employer-oriented choices (with Google recognized to be a significant shopper).

Given Amazon’s large scale and ambition, individuals within the area will little question be watching this transaction intently and listed here are 5 areas we will likely be being attentive to:

1. Main care is a sexy goal.

As many commentators have famous, so as to convey down prices and improve the standard of affected person care, innovators want a big inhabitants to gather information and unfold threat. Amazon tried this as soon as already with its notorious three way partnership, Haven. Between Amazon, Berkshire Hathaway and JPMorgan Chase, Haven had 1.2 million U.S. workers in its system, however as a result of these workers have been in broadly dispersed geographies, it lacked ample market energy to convey down the prices of well being care providers for its workers. Equally, well being care suppliers had little incentive to retrain their focus from offering (costly) episodic care to specializing in total well being care outcomes based mostly upon worth.

Not like the Haven three way partnership, the One Medical acquisition represents an funding in value-based main care which affords some distinct advantages. Whereas many non-public fairness investments concentrate on fee-for service and outpatient specialties, garnering a return on such an funding usually entails growing extra income streams by including ancillary services. However, main care suppliers are typically well-positioned to direct and handle the care of their sufferers because of the length and frequency of contact with them. Coupled with superior information analytics to enhance care administration and ship evidence-based care, many within the well being care trade imagine that main care has the potential to revolutionize care supply in america, shifting away from costly, procedure-based care to patient-centered care led by physicians. Lastly and maybe most critically, One Medical’s current attributable Medicare lives provide a chance for Amazon to interrupt into the value-based Medicare mannequin at a scale that may be not possible with its personal workers.

2.  Well being programs – be cautious.

The One Medical acquisition has repercussions past the individuals to the transaction. Direct Main Care has seen an explosion of curiosity in recent times, and One Medical doesn’t place itself as a competitor to well being programs. Nonetheless, if One Medical is ready to enhance the standard and entry to care and higher handle high quality of care, it’s prone to scale back the necessity for the episodic care supplied by hospitals and different dearer actors.  

3. Improvements in employer choices.

Whereas this acquisition could be seen in some ways as a departure from Amazon’s earlier forays into well being care, it’s essential to notice probably the most helpful factor Amazon brings to this transaction continues to be its large worker base. If Amazon began with their worker base within the Haven three way partnership, right here they’re beginning with a confirmed main care mannequin and plugging their worker base into that.  

Even past that, nevertheless, Amazon now has an incredible alternative to innovate with respect to the employer’s function within the supply of well being care providers with out the strain of that being the core of the enterprise. New alternatives on this area embody the addition of localized clinics being positioned subsequent to main workplaces (assume Amazon warehouses).  If Amazon can create its personal market strategically, they might drastically make inroads in one of many greatest alternatives within the well being care area – the roughly one quarter of American who don’t have a main care physician.

4. Improvements in information and supply.

Many doctor practices, both as stand alone entities or when operated by hospitals or well being care programs, undergo from lack of assets to develop and innovate in info programs, information administration, and growth of scientific protocols, significantly as a result of, as famous above, there’s normally a robust concentrate on offering extra profitable episodic care to the detriment of preventive medication. We’ve no doubts that Amazon will additional One Medical’s information analytics capabilities in a manner that can allow it to handle well being care and price information throughout the heath care continuum. Equally, we anticipate that One Medical will proceed to offer (and even increase) its choices of telehealth and different providers which might be price efficient, handy, and allow the immediate administration of affected person well being to attenuate subsequent, pricey interventions.

5. Enticing to physicians.

The One Medical follow mannequin is prone to seem engaging to many main care physicians as a result of it locations them on the middle of well being care decision-making for his or her sufferers. It’s broadly documented that the variety of physicians in unbiased follow is reducing. On the similar time, many main care physicians are leery of turning into employed by well being programs as a result of a lot well being system income relies on hospital providers – which means that the physicians are in a secondary place with respect to their skill to command monetary and administration assets. Amazon and One Medical are positioned to reap the benefits of these dynamics. With One Medical’s current infrastructure and Amazon’s market penetration and presence throughout america, they need to be enabled to draw sufferers whereas on the similar time relieving physicians of administrative burdens that overwhelm many well being care suppliers.

Eric Tower and Nathan Viehl are members of Thompson Coburn’s well being care follow.




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