Volume 13| February 14, 2018
Insights-Trends-Opinions
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Amazon's Latest Ambition: To Be a Major Hospital Supplier
Another interesting article in the Wall Street Journal about Amazon pushing into healthcare. A couple observations on what this means to National Accounts Executives, in no particular order:

  1. The national media continues to highlight Amazon's push into healthcare, but not much new is being learned.
  2. Amazon is doing something different -- not just trying to de-throne legacy distribution. Chris Holt says as much: “Our goal is to be something new. We’ve been actively building out new capabilities and features.”
  3. Northwell admits they are concerned about supply disruptions from Amazon and the marketplace it is creating.
  4. Premier states its prices are better than Amazon.

Here is some more food for thought:
  1. Customers are willing to pay for convenience. I am not sure Amazon needs to be the cheapest if they are a more convenient supplier.
  2. The buyer of tomorrow wants a different experience than what today's supply chain offers.

Below is a link to the full article. You may need a WJS subscription to access.

Premier announces new initiative to decrease spend, increase value in return for commitment
Attention Suppliers: There will be winners and losers in this new contracting strategy by Premier. It is very simple math for the IDN, greater commitment gets greater contract value.

For the Supplier, it's a little dicer, right? If you are on the inside you get more volume, if not you get less. The scary part for Suppliers is what if they belive they would be awarded those units anyway?

David A. Hargraves, Senior Vice President of Supply Chain at Premier explains the new program: "This program is a way for Premier to provide a contracting platform for our most committed members based on their ability to drive standardization and transform the supply chain ... scaling these supply chain best practices across our alliance will provide a new benefit to both our members and our contracted suppliers.”

It will be interesting to see how this program is differentiated from ASCEND. It is very clear to me that commitment by IDNs always gets more value from Suppliers and it looks like that is exactly what Premier is trying to harness here.

Raymond Davis of Universal Health Services on Healthcare Supply Chain Radio
click here to listen to the podcast n this episode we talk to Raymond Davis, Vice President Supply Chain, of Universal Health Services.

One of the nation’s largest and most respected hospital companies, UHS has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. In 2017, UHS was recognized as one of the World’s Most Admired Companies by Fortune: ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of America’s Top 500 Public Companies.

Headquartered in King of Prussia, PA, UHS has more than 81,000 employees and through its subsidiaries operates more than 320 acute care hospitals, behavioral health facilities and ambulatory centers in the United States, Puerto Rico, the U.S. Virgin Islands and the United Kingdom.


Largest not-for-profit, integrated health care system reports more than 10 percent membership growth
One of the most common questions I get is "What does the IDN of the future look like?" I wish I knew, but National Accounts Executives would be wise to pay attention to Kaiser Permanente , and they just released their 2017 results.

2017 KP by the numbers:
  • Revenue in 2017 was $72b up from $64b in 2016
  • Net Income rose to $2.2b from $1.9b in 2016
  • Capital Spending was $3.3b in 2017 up from $2.8b in 2016

For more results click below.

"Systemness" at the core of Baylor Scott & White's contracting success, GPOs accused of inflating prices and IDN owned GPOs
Tony Johnson has made great progress since joining Baylor Scott & White a couple years ago as Senior Vice President and Chief Supply Officer.

Modern Healthcare covered his progress it in its February 3, 2018 issue.

In March, the 48-hospital system bundled total joints and cardiovascular devices and supplies, saving $32 million. In August it launched a new wave of categories that has saved it $20 million. 

"It takes time but I don't think anyone can argue with $32 million," Johnson said. "On top of that, it is helping to evolve our health system's thinking and 'systemness."

The article also eluded to GPOs actually having upward pressure on pricing.

Some providers, fed up with what they say are inflated GPO prices, have sought bargains elsewhere. "GPOs are really dinosaurs in the industry," said Rob Austin, associate director at consultancy Navigant.

Then the article explores the trend of big IDNs creating their own GPOs, citing examples of UPMC, Intermountain and Mercy.

I know this contracting arena is hard for writers who are not in it everyday to understand, and the nuances are difficult to grasp. I think this article does a nice job identifying the questions, but doesn't really finish with solutions.

I am always amazed how much is written about GPOs without direct comment from them. From what I can tell their contracted volume continues to increase and their relevance to their clients and owners gets wider.

People on the move!
Robert M. Rossell is now Chief Commercial Officer at UVBiotek
Tim Mikac is named General Manager, EVP MiniBarRX, Division of FFF Enterprises
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John Pritchard


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