Sundodger, I think the clinic is really the business decision here and the removal of tobacco products a means of freeing space, eliminating employees and expanding their market share in the ACA business. The announcement of the removal of tobacco as a moral decision was more marketing than altruism.
When the acquired Caremark, they acquired the mail order business that was serving many of the major corporation who often work in lockstep with one another. I retired as the early stages of the core business model was taking shape which translated to out sourcing, to other large businesses, anything that turn over to a third party, they were.
I see CVS and other large pharmacies becoming the first line of defense with health issues for the general population. These stores are in many neighborhoods and I'm sure the insurance companies would rather pay for a salaried PA, rather than an MD until they have to. I would think CVS has MDs that the PAs report to, but a single MD can oversee multiple PAs in multiple locations. Very economical for the new health care model.
Remember, last year they went after their own employees.
"Under the new policy, nearly 200,000 CVS employees who obtain health insurance through the company will have to report their weight, blood sugar, blood pressure and cholesterol to WebMD Health Services Group, which provides benefits support to CVS.
CVS Caremark will collect the information through what its calling a health screening and wellness review, according to the Boston Herald.
But if workers refuse the screening, they will be forced to pay the $600 annual penalty. The company will collect the fines by tacking on an additional $50 each month to the existing cost of the companys health insurance program.
Employees have until May 1 to submit to the company-sponsored wellness review."
CVS imposes health penalty if workers