1. Wal-Mart’s Perspective on Health Reform
Saving people money so they can live better
December 11, 2007
National Congress of Un and Under Insured
Wal-Mart’s Perspective on Health Reform
Linda Dillman Executive Vice President, Benefits, Risk Management and Sustainability

2. “We are continually faced with a series of great opportunities brilliantly disguised as insoluble problems.” John W. Gardner

3. 2008 2007 2006 Benefit Solutions Personalized choices (> 50)
Health care credits
>2400 generic drugs for $4
New lower cost options
And more…
2008
Discount on all drugs
10 % discount on fresh fruits and vegetables
Nurse hotline
Disease management resources
2007
Value Plan
Health Savings Accounts
Reduced waiting period for part-time associates
Available for children of part-time associates
2006

4. Where do Wal-Mart Associates Obtain Coverage?
As of January 2007:
90.4 percent of Wal-Mart associates reported having some sort of health coverage.
More than 1 million associates and family members are covered by Wal-Mart health plans.
76.3 percent of Wal-Mart associates were eligible for coverage.
53.2 percent of associates who signed up for insurance, didn’t have insurance before Wal-Mart.
9.6 percent remain uninsured.

5. Personal Sustainability Projects

6. $4 Generic Prescriptions
361 generic prescriptions covering up to 95 percent of prescriptions written in the majority of therapeutic categories.
Open to both uninsured and insured.
Nearly 30 percent of $4 prescriptions are filled without insurance – significantly higher than 10 percent industry trend.
$4 prescriptions now represent approximately 40 percent of all filled prescriptions at Wal-Mart.
More than $700 million savings to customers, employers and government programs in first year.

7. Convenient Clinics in Wal-Mart: Early Indicators of Customer Impact
Demographics
79% are visits for adults
21% are visits for children
Insurance Status
Approximately 55% uninsured
Alternative Considerations
40-50% PCP
20-35% urgent care
10-15% ER
5-10% would have foregone
treatment
Satisfaction
90+% overall satisfaction
Top reasons for visiting
* Convenient location
* No appointment
* Quick service
* Affordable prices
Service usage
25-40% stay well
(immunizations and screenings)
60-75% get well
(common illnesses)
Profile of Customers
Service, Usage & Experience
Source: Surveys collected and shared by clinic tenants

8. Health Information Technology
Lifelong Personally-Controlled Health Record - Founder
American Health Information Community Member
Health IT Conversation: Real Solutions for Real People
Center for Innovation in Healthcare Logistics - Founding Sponsor

9. “The crisis we face cannot be resolved by our present strategies or with the patchwork efforts of the past. Resolution will require comprehensive health system reform.”
- Dr. Henry Simmons
National Coalition on Health Care
Founding Member
Health Policy Forums prioritizing and refining a vision for the future of health care in America

10. Our Work Continues… What are the key challenges we all face?
Can we be doing more? In what areas?
What other services or products can we offer consumers?
How could our involvement with HIT help hospitals?
What other partnerships could we form?
What objectives do we share? What could we do in partnership with you?
What other ideas can we share?