Walmart Health and WellnessAmerican College of Cardiology Population Health RetreatJuly 27, 2015

Daniel Stein, MD, MBA

Walmart Care Clinic 2

Walmart is the nation’s largest retailer

• Over 140 million Americans shop >6,000 Walmart stores each week• Third largest pharmacy in U.S. with over 5,000 pharmacy locations• Second largest vision center operator over 3,000 locations• Largest retailer of OTC medications and products

Walmart Care Clinic 3

Walmart is also largest private employer in the U.S.

Commitment to Innovation -- Centers of Excellence

Cancer CareTransplants

Cardiac and Spine Surgery

Employee health plan

• Over 1.1 million Associates and family members on Walmart health plan• Facing escalating costs like most other payers in the U.S.

Walmart Care Clinic 4

Walmart Care Clinic fills an important gap in the primary care landscape

Primary Care Provider Shortage 1,2

Shifting Cost to Patients3, 4

65 Million The estimated number of people that live in officially designated primary care shortage areas

$1,470 The increase per household in patient responsibility for health care costs from 2009-2015

Unaffordable Care5

46% The share of Americans who forego care they need because of cost

The NeedHigh quality,

affordable primary care offer that satisfies unmet customer and

associate demand for primary care

2009 2015 $-

$1,000

$2,000

$3,000

$4,000

$2,162

$3,633

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Go With-out Care;

46%Get Care

When Needed;

54%

1- Seattle Times analysis of Health Resources and Services Administration data regarding medically underserved areas in the United States 2- Health Affairs, Sept 2010. Patient Centered Medical Homes3- JP Morgan 2013 Key Trends in Healthcare: Patient Payment4- US Census Bureau5- PricewaterhouseCoopers, Nov 2011. Top Health Industry Issues of 2012

Walmart Care Clinic Walmart Care Clinic 5

Walmart-Owned Clinic Expanded Primary Care Affordable Pricing

~1000 sq ft, 3 exam rooms

Wellness + Preventive

Management of Chronic Conditions

Acute

Lab testing + Immunizations

for Walmart Health Plan members

18 total clinics to date in GA, SC, and TX

$59 per visit

$4 per visit

Walmart Care Clinic 6

A glimpse inside the Care Clinic