Published on: July 26, 2022
As reported last Thursday, Amazon will spend $3.9 billion to acquire 1Life Healthcare Inc., which under the name One Medical provides membership-based primary healthcare services to employees for more than 8,000 companies in a dozen major US markets. This is Amazon's third largest acquisition, after Whole Foods ($13.7 billion in 2017) and MGM ($8.5 billion earlier this year).
Some analysis from various sources…
• From CNBC:
"These deals underscore how Amazon and other Silicon Valley giants like Google, Facebook, and Apple have transformed into 'modern day conglomerates' in pursuit of continued growth from their already enormous bases, according to Emilie Feldman, a management professor at the University of Pennsylvania’s Wharton School.
"'What they’re doing is a strategy in search of growth in adjacencies to this core area that might be a bit constrained in and of itself,' said Feldman. 'So e-commerce is e-commerce, but can we kind of search for niches that might be faster growing like health care, or can we accelerate our ability to get before people’s eyeballs through ads or something like that through MGM.'
"'They need to get into new areas where they can find growth, and health care is ripe,' agreed Lisa Phillips, a principal digital health analyst at Insider Intelligence. 'With this acquisition here, they’re saying we’re in this to win it now.'
"Amazon also can’t make acquisitions in its core markets, lest it risk angering regulators who are already eager to scrutinize its market power. Instead, the company has to buy big in areas where it has less of a presence, like healthcare or autonomous driving."
• From MarketWatch:
"The One Medical deal will place Amazon in the increasingly popular field of primary care. Long viewed as the center of American medicine, the place where patients can talk directly to their doctors about their health, it’s also become ripe for investment in recent years. CVS, UnitedHealthGroup, Walgreens Boots Alliance and Walmart all operate clinics that offer primary-care services.
"That said, healthcare is a very small slice of Amazon’s revenue. A search of the company’s most recent 10K doesn’t yield a single mention of any of its healthcare or medical businesses, including Amazon Care and Amazon Pharmacy, the rebranded PillPack business.
"'While One Medical will not be a meaningful contributor to revenue near term, it provides AMZN more touch points with patients, particularly early on while medical decisions are being made, both preventative and reactionary,” JMP analysts told investors on Thursday.
"The deal will also give Amazon new options to bundle services. Wall Street analysts say they expect Amazon Care, if it includes One Medical services, to eventually be included in Amazon Prime memberships."
• From the Washington Post:
"Krista Brown, a senior policy analyst at the American Economic Liberties Project, a nonprofit advocacy group that supports antitrust causes, called the acquisition 'terrifying' in a statement.
"'Acquiring One Medical will entrench Amazon’s growing presence in the health care industry, undermining competition.' Brown said. 'It will also pose serious risks to patients whose sensitive data will be captured by a firm whose own Chief Information Security Office once described access to customer data as ‘a free-for-all'."
• From the New York Times:
"Health care has been tantalizing to Amazon executives who believe it is an immense market, rife with inefficiencies and generally lacking the kind of customer-focused approach that Amazon tries to take with its businesses. But none of the company’s forays into health care have had notable success nor have they been as big as the One Medical acquisition.
"'We think health care is high on the list of experiences that need reinvention,' Neil Lindsay, the senior vice president of Amazon Health Services, said in a statement announcing the deal.
"Mr. Lindsay ticked off some of the annoyances of modern health care: booking appointments, sitting in waiting rooms, traveling to a pharmacy, even finding a parking spot. Amazon’s notion of seeing a provider could include more virtual or online care, which health care companies like One Medical and Kaiser Permanente are already doing.
"Amazon wants to be the 'front door' through which customers access health care, said Christina Farr, an investor in health care with OMERS Ventures. 'They want to nail the consumer experience'."