MCC insurance committee clinic presentation

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MCC insurance committee clinic presentation

  1. 1. Innovations in Employee Benefit Programs<br />
  2. 2. Trends in increased employer engagement <br />Trends<br />Onsite Clinics<br />Near-site or shared clinics<br />Concierge physician relationships with local providers or health systems<br />Wellness clinics<br />Increased adoption of these services as cost saving measures in the public sector<br />Why are employers employing these options as part of an outcomes-based strategy?<br /><ul><li>Improve access to quality care for their employees in light of healthcare reform
  3. 3. Healthcare reform does not address the rising cost of healthcare, it address access
  4. 4. Provide the necessary access to enable employees to be accountable for their health
  5. 5. Creation of a predictable and fixed liability for services performed in these arrangements
  6. 6. Cost savings through reduction of over-utilized and expensive services
  7. 7. Improve employee recruitment and retention during tough economic times
  8. 8. Improve access to preventative services
  9. 9. Improve the quality of the employee and provider relationship—personalize the approach
  10. 10. Creation of a happy and healthier workforce
  11. 11. Provide a consistent and trusted relationship to employees, improving the healthcare experience</li></ul>1<br />
  12. 12. Benefits<br />Onsite Clinic Benefits to Employees and Dependents<br /><ul><li>Convenience and ease of use
  13. 13. Cost savings through drug cost and copay reduction
  14. 14. Increased access to preventative services
  15. 15. Improved management of chronic health conditions
  16. 16. Improved access and time with healthcare providers
  17. 17. Improved health and well being
  18. 18. Increased access to additional wellness services
  19. 19. Assistance with navigating the healthcare system for complex health conditions</li></ul>Onsite Clinic Benefits to the Employer<br />Direct cost savings through a reduction in ER, Urgent Care and Specialist visits<br />Direct cost savings associated with improved prescription drug compliance and generic substitution<br /><ul><li>Direct cost savings associated with preventative care performed within the clinic
  20. 20. Reduction in pre and post employment testing and occupational medicine
  21. 21. Employee recruitment and retention
  22. 22. Decreased expense associated with replacement staffing costs
  23. 23. Indirect cost savings associated with improved productivity and reduction in health risk factors</li></ul>1<br />
  24. 24. Onsite Clinic Profile and Considerations<br />Characteristics of Organizations implementing onsite clinics<br />Organizations with 750- 1000 or more employees or a large percentage of retirees or dependents<br />High prevalence of chronic conditions within the population<br />Low utilization of primary care and preventative services<br />ER and specialist visit utilization is high<br />Occupational medicine costs are high or are not decreasing<br />Health risk factors in the population are not decreasing, despite wellness programs<br />Implement or are willing to consider consumer driven plans<br />High absence or lost time replacement costs<br />Population with high prevalence of chronic conditions<br />High pharmacy utilization, or low generic or therapeutic alternative utilization<br />Onsite Clinic Considerations<br /><ul><li>Feasibility
  25. 25. Cost and Measuring Return on Investment
  26. 26. Staffing Model
  27. 27. Scope of Services to offer
  28. 28. Who will have access to utilize the clinic
  29. 29. Will you charge for use of the clinic
  30. 30. What is your primary objective for opening a clinic
  31. 31. Compliance and Regulatory issues
  32. 32. Funding arrangement</li></ul>1<br />
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