MCC insurance committee clinic presentation
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MCC insurance committee clinic presentation MCC insurance committee clinic presentation Presentation Transcript

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