On- And Near-Site Clinics: - PowerPoint Presentation

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On- And Near-Site Clinics:

A Way To Reduce Healthcare Costs

Barriers We Face To Providing The Best Possible Employee Healthcare

There are three main factors working against us:

Skyrocketing Costs

Employer cost to provide health benefits is expected to increase another 5% in 2019. Driven by uncertainty with ACA and specialty drug costs. (National Business Group on Health).

Aging Population 

The American workforce gets older every year. At the same time, chronic diseases like obesity, heart disease, and cancer are on the rise.

Sick Care System

The healthcare industry focuses on treating those who are already sick, rather than helping people avoid sickness in the first place.

Costs Are On The Rise

All organizations are facing tough decisions because their costs are rising

Industry Trends

In 2018, Mercer reports that average total health benefit cost per employee rose 3.6% and continues to outpace inflation. Employers with more than 1,000 employees experienced 4.3% healthcare cost inflation.

Strategy with the most momentum? Creating a culture of health. Foregoing the short-term savings offered by cost-shifting and turning to strategies addressing care delivery and health management. Prescription drugs remained the top cost driver for employers, rising 7% overall and 12% for specialty drugs.Our NumbersIn 2018, we experienced <insert your % here> healthcare cost inflation.

Source:

https://www.mercer.com/newsroom/mercer-national-survey-affordability-concerns-lead-more-employers-to-future-focused-strategies-to-manage-health-benefit-cost.html

Why An On- Or Near-Site Clinic Is A Smart Choice For Us

And Our Workforce

For our organization

For our workforce

Overall

Drives down overall claims, sustainably.

A top vendor offers a 100% guarantee on meaningful ROI which minimizes our risk.

Improves health and well-being.

Productivity

Improves employee work attendance, productivity, recruitment, and retention. Reduce stress and time needed to go to doctor’s office.

Consistent care close to workplace offers access to medical care without taking sick days.

Program Management

Reduces complexity of our overall benefits program.

80-90% of all medical needs can be addressed in a clinic.

The right model with the right partner empowers individuals to take control of their health.

Access To Care

Centralizes care within on-site clinic while coordinating care when needs extend outside the clinic.

Improves satisfaction with us as an employer.

Engagement

80-90% engagement is possible with the right partner and has the power to drive well-being deep into the org and change our culture.

Employees are happier and healthier, take power over their health outcomes.

Real Results Are Possible With The Right Partner

The problem:

Seattle Children’s faced 7-10% PMPM rising medical claims and $3-4 million loss every year with no way to control trend.

The solution:

Hired Vera Whole Health to develop and operate a near-site primary and occupational health clinic with health coaching. Encouraged preventive care through integrated team approach.The outcome: Net savings of over $5 million and 166% ROI in first three years (clinic currently in 6th year of operation).  50% of high risk employees engaged in first 12 months. Vera-engaged patients experienced 80% less inpatient days.

A Patient-Centered Medical Home Model Addresses 80-90% Of Our Needs And Reduces Complexity

Before

After

How It Works

Full-time, on-site providers

Maximizes the number of patients that can be seen, reducing traditional insurance claims. By getting to know patients over time, providers can provide a higher quality of care.

Broad scope of services

A full-investment clinic contains costs by offering primary care, preventive care, urgent care, occupational health, and generic drug dispensary under one roof.

Proactive engagement programs to maximize participation

Monetary incentives, employee-led clinic feedback forums, and clear communication maximizes engagement, again reducing reliance on traditional insurance.

On-site health coaches

Full-time health coaches partner with patients to change behaviors and support goals for better health.

Typical Savings With An On- Or Near-Site Medical Home Model

Based on National Business Group on Health (NBGH) PEPY medical claim estimates and savings estimates provided by Vera Whole Health show that companies like ours have saved an average of 12.5%, reversing claim inflation.

Provides average savings of

$X

after 3 years. (Use value from worksheet calculation).The Vera Whole Health model guarantees fees 100%.

Key Takeaways From On-Site Clinic Consultation

In my meeting with an on-site clinic expert, I had these key takeaways for our organization:

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Next Steps

Let’s continue to evaluate if an on-site clinic is right for us. In the coming weeks we should:

Request a business case and cost savings analysis from

vendor w/proven xyz model and xyz.

Have initial conversations with a few on-site clinic vendors or a broker with experience in implementing full service on- or near-site clinics (not urgent care approach).Build a plan for internal consensus.

Resources

On- Or Near-Site Clinic Resources

eBook:

The Definitive Guide To Evaluating On-Site Clinics

National Association Of Worksite Health CentersMercer Health Plan SurveyeBook: The Definitive Guide To Evaluating On-Site ClinicsWhite Paper: Benefit Strategy Design: Solving An Impossible Task

Contact Vera Whole Health Today

Verawholehealth.com