Creating a positive Return on Investment with a corporate wellness program is a science. It is predictable, repeatable and duplicate-able. If you know what you are doing you can can create a 10 to 1 ROI but if you do not know what you are doing your wellness program can cost you hundreds of thousands of dollars in back-end profiteering from greedy health care providers.
This Return on Investment Study is a study of over 50 ROI white papers and reports from corporations the cross most industries. We put this together and will update it again in 2013 because no two corporations have the same populations, with the same health and wellness problems or with the same obstacles of creating a positive ROI. Therefore, we needed to study the studies in order to discover the commonalities between successful corporate wellness programs.
The secret to great ROI... Create sustainable behavioral change.
The dirty wellness industry secret... Out of network doctors who gain access to corporate employees through phony non-profits, health fair company fronts or simply taking advantage of good willed corporate nurses, HR or Benefits to gain access to high paying insurance networks.
You need to know what to do as well as what to avoid. In addition to this study here is a link to an article that describes this in much more detail:
http://www.healthfairsdirect.com/mktg/todays_economy_forces_corporations.pdf
Please reach out to me for more information and unbiased advice on how to create positive and provable ROI for your wellness program.
Part 2: Strategic Benefits--Flexible Work Arrangements (FWAs)shrm
SHRM’s 2014 Strategic Benefits Survey collected information on the use of FWAs, employee participation in FWA programs and whether organizations monitor employee use.
This research found that about one-half (52%) of respondents indicated their organization provided employees with the option to use FWAs; one-third of these organizations indicated the majority of employees were allowed to use the FWAs offered.
The Surprising ROI of Employee WellnessMedgate Inc.
If you see wellness programs as a nice-to-have, but not core to your employee health programs, you could be missing an opportunity to greatly improve your company’s bottom line. If you structure the program properly, show commitment, and promote it well, you could make huge cost savings while improving the overall health of your employees and their families.
In this case study webinar, Johnny White, Benefits, Medical and Wellness Leader at Logan Aluminum, will showcase the striking successes of its wellness program, which has been in place for over 20 years.
At Logan, the wellness data is so rich that their healthcare benefits provider has renewed at less the half the national average increase for thirteen years running. Logan’s employees make no contribution towards this coverage. That Logan is able to make these huge compound savings in a state that consistently ranks in the bottom ten for public health indicators makes it all the more remarkable.
Unless your health plan has "grandfathered" status, you are already subject to the Affordable Care Act (ACA) requirement that preventive services (as defined on this government website) be included in your plan, and come without any employee deductible, co-pay or co-insurance provisions.
Creating a positive Return on Investment with a corporate wellness program is a science. It is predictable, repeatable and duplicate-able. If you know what you are doing you can can create a 10 to 1 ROI but if you do not know what you are doing your wellness program can cost you hundreds of thousands of dollars in back-end profiteering from greedy health care providers.
This Return on Investment Study is a study of over 50 ROI white papers and reports from corporations the cross most industries. We put this together and will update it again in 2013 because no two corporations have the same populations, with the same health and wellness problems or with the same obstacles of creating a positive ROI. Therefore, we needed to study the studies in order to discover the commonalities between successful corporate wellness programs.
The secret to great ROI... Create sustainable behavioral change.
The dirty wellness industry secret... Out of network doctors who gain access to corporate employees through phony non-profits, health fair company fronts or simply taking advantage of good willed corporate nurses, HR or Benefits to gain access to high paying insurance networks.
You need to know what to do as well as what to avoid. In addition to this study here is a link to an article that describes this in much more detail:
http://www.healthfairsdirect.com/mktg/todays_economy_forces_corporations.pdf
Please reach out to me for more information and unbiased advice on how to create positive and provable ROI for your wellness program.
Part 2: Strategic Benefits--Flexible Work Arrangements (FWAs)shrm
SHRM’s 2014 Strategic Benefits Survey collected information on the use of FWAs, employee participation in FWA programs and whether organizations monitor employee use.
This research found that about one-half (52%) of respondents indicated their organization provided employees with the option to use FWAs; one-third of these organizations indicated the majority of employees were allowed to use the FWAs offered.
The Surprising ROI of Employee WellnessMedgate Inc.
If you see wellness programs as a nice-to-have, but not core to your employee health programs, you could be missing an opportunity to greatly improve your company’s bottom line. If you structure the program properly, show commitment, and promote it well, you could make huge cost savings while improving the overall health of your employees and their families.
In this case study webinar, Johnny White, Benefits, Medical and Wellness Leader at Logan Aluminum, will showcase the striking successes of its wellness program, which has been in place for over 20 years.
At Logan, the wellness data is so rich that their healthcare benefits provider has renewed at less the half the national average increase for thirteen years running. Logan’s employees make no contribution towards this coverage. That Logan is able to make these huge compound savings in a state that consistently ranks in the bottom ten for public health indicators makes it all the more remarkable.
Unless your health plan has "grandfathered" status, you are already subject to the Affordable Care Act (ACA) requirement that preventive services (as defined on this government website) be included in your plan, and come without any employee deductible, co-pay or co-insurance provisions.
Health is dominating the technology landscape at the moment, with fitness and wellbeing becoming more important than ever. We all like to think we are looking after ourselves, but how much do businesses consider the importance of health and fitness for their staff?
We commissioned research to find out the true value of health and wellbeing in the workplace - find out the results in our Health in the Workplace report.
At One4all Rewards, our passion is helping organisations create effective programmes for rewards and incentives.
This research (a study of over 1,000 workplaces in the UK) tests some theories of behavioural science in a workplace environment. We believe that our findings and conclusions can help organisations use their budget and bonus pots more effectively, as well as challenging established practices about how reward programmes are structured.
By applying a little science, you can learn a lot about how best to push the button for increased motivation and productivity.
Overcoming mental health and addictions within community and the workplace is not easy. Learn simple tools that community and workplace leaders can use to combat common mental health and addiction issues.
The Society for Human Resource Management (SHRM®), the world’s largest association devoted to human resource management, has collaborated with Globoforce® on a series of surveys about employee recognition. Our goal is to elicit trends among HR leaders and practitioners about what challenges they face and what strategies help them conquer those challenges. In the 2015 survey, 80% of organizations indicated they have an employee recognition program, and more than one-half (58%) have a program that is tied to their organization’s values. Overall, respondents said employee recognition programs had a positive impact on employee engagement, happiness and workplace relationships, but the impact was perceived to be greater for those with values-based programs.
SHRM Survey Findings: 2013 Employer Perspectives on Disability Benefits--Carr...shrm
This is part four of the five-part series conducted in collaboration with MassMutual. Three-fifths of organizations report their long-term disability program is an “extremely important” or “very important” element of their benefits offerings, from the employer’s perspective. Three-quarters of organizations report evaluating their long-term disability program on an annual basis.
Spending Accounts: The best kept secret in employee benefitsLeague Inc.
Spending Accounts are the secret weapon companies are using to offer employees the health benefits they really want – without breaking the bank. Covering everything from root canals to running shoes, learn the ins and outs of Spending Accounts and what their flexibility and choice can mean for your team.
This study looks at the impact of the Affordable Care Act (ACA) on organizations. Three-quarters of organizations (77%) had increased costs for health care benefits from 2014 to 2015.
Competitive Advantage Through Staff Retention - A Guide For SME Law FirmsWesleyan
In this guide you will discover:
- the latest research findings into what legal professionals want and need from law firms
- tactics for increasing well-being and job satisfaction amongst legal professionals
- initiatives you can put in place over the short-, medium-, and long-term to position your law firm as an employer of choice.
This eGuide will also help to evidence your continuing competence in line with the Solicitors Regulation Authority
requirements relating to “Establishing and maintaining effective and professional relations”.
Health in the Workplace Report - IrelandSam Wheway
Health is dominating the technology landscape at the moment, with fitness and wellbeing becoming more important than ever. We all like to think we are looking after ourselves, but how much do businesses consider the importance of health and fitness for their staff?
We commissioned research to find out the true value of health and wellbeing in the workplace - find out the results in our Health in the Workplace report.
The Rolling Mat Corporate programs transform your company culture by bringing in a strong, consistent, multi-level wellness initiatives to improve employee retention, productivity, and workplace morale.
Health is dominating the technology landscape at the moment, with fitness and wellbeing becoming more important than ever. We all like to think we are looking after ourselves, but how much do businesses consider the importance of health and fitness for their staff?
We commissioned research to find out the true value of health and wellbeing in the workplace - find out the results in our Health in the Workplace report.
At One4all Rewards, our passion is helping organisations create effective programmes for rewards and incentives.
This research (a study of over 1,000 workplaces in the UK) tests some theories of behavioural science in a workplace environment. We believe that our findings and conclusions can help organisations use their budget and bonus pots more effectively, as well as challenging established practices about how reward programmes are structured.
By applying a little science, you can learn a lot about how best to push the button for increased motivation and productivity.
Overcoming mental health and addictions within community and the workplace is not easy. Learn simple tools that community and workplace leaders can use to combat common mental health and addiction issues.
The Society for Human Resource Management (SHRM®), the world’s largest association devoted to human resource management, has collaborated with Globoforce® on a series of surveys about employee recognition. Our goal is to elicit trends among HR leaders and practitioners about what challenges they face and what strategies help them conquer those challenges. In the 2015 survey, 80% of organizations indicated they have an employee recognition program, and more than one-half (58%) have a program that is tied to their organization’s values. Overall, respondents said employee recognition programs had a positive impact on employee engagement, happiness and workplace relationships, but the impact was perceived to be greater for those with values-based programs.
SHRM Survey Findings: 2013 Employer Perspectives on Disability Benefits--Carr...shrm
This is part four of the five-part series conducted in collaboration with MassMutual. Three-fifths of organizations report their long-term disability program is an “extremely important” or “very important” element of their benefits offerings, from the employer’s perspective. Three-quarters of organizations report evaluating their long-term disability program on an annual basis.
Spending Accounts: The best kept secret in employee benefitsLeague Inc.
Spending Accounts are the secret weapon companies are using to offer employees the health benefits they really want – without breaking the bank. Covering everything from root canals to running shoes, learn the ins and outs of Spending Accounts and what their flexibility and choice can mean for your team.
This study looks at the impact of the Affordable Care Act (ACA) on organizations. Three-quarters of organizations (77%) had increased costs for health care benefits from 2014 to 2015.
Competitive Advantage Through Staff Retention - A Guide For SME Law FirmsWesleyan
In this guide you will discover:
- the latest research findings into what legal professionals want and need from law firms
- tactics for increasing well-being and job satisfaction amongst legal professionals
- initiatives you can put in place over the short-, medium-, and long-term to position your law firm as an employer of choice.
This eGuide will also help to evidence your continuing competence in line with the Solicitors Regulation Authority
requirements relating to “Establishing and maintaining effective and professional relations”.
Health in the Workplace Report - IrelandSam Wheway
Health is dominating the technology landscape at the moment, with fitness and wellbeing becoming more important than ever. We all like to think we are looking after ourselves, but how much do businesses consider the importance of health and fitness for their staff?
We commissioned research to find out the true value of health and wellbeing in the workplace - find out the results in our Health in the Workplace report.
The Rolling Mat Corporate programs transform your company culture by bringing in a strong, consistent, multi-level wellness initiatives to improve employee retention, productivity, and workplace morale.
WMS Benchmarking presentation and results, from the FOSS4G 2010 event in Barcelona. 8 different development teams participated in this exercise, to display common data through the WMS standard the fastest. http://2010.foss4g.org/wms_benchmarking.php
Companies are under attack! Not from rising energy costs, foreign competition, or regulatory pressure, but from a steady decrease in employee health & happiness. The "weight" of this problem is falling on the bottom lines of companies in the form of rapidly increasing costs and rapidly decreasing employee productivity and engagement. Once thought to be an involuntary benefit, Employee Wellness is now being discussed in corporate board rooms all over the world as a critical element of business strategy. HR is expected to understand and manage the risk associated with this problem and create a sustainability strategy that includes health & happiness. This eBook discussed the economics of this fight and how the war talent is now happening in the gym and cafeteria.
Who is the Wellness Consumer? Why Health and Wellness is Influencing Consumer...Women's Marketing, Inc.
Through research conducted with Rodale Publishing, Women's Marketing looks at the wellness lifestyle trend that's impacting every aspect of life for women. This includes fashion, beauty, food and beverage, personal care, nutritional supplements and so much more. Marketing to women has never been healthier!
This program is now what we have installed for clients to help take control of their health insurance costs. This program sheds light on the true drivers of health care costs.
Breaking Down Benefits: How to Leverage Data to Better Your Employees' Health...Aggregage
We need to shift away from the focus on purchasing healthcare and instead, focus on how we can create health for our employees. By incorporating dashboards in our benefits selection process, we can watch for trends in benefits and leverage that data to lower costs, retain employees, and attract new talent. Join Darrell Moon, CEO of Orriant, to learn if your benefits selection is meeting your employees' needs.
Today's companies must begin to look at employee health, not as a cost, but an investment. Data show conclusively that the health status of a company's employees is directly correlated to the profitibility and competitiveness of the company. This is not an American challenge, but a global challenge and responsibility. This was a keynote address to a dozen major US corporations in May, 2008. I'm happy to discuss with anyone of interest.
Worksite Wellness: Small Steps to Healthier Employeesszapp
Many chronic health problems are caused by unhealthy, modifiable risk factors. Learn the importance of a health lifestyle and how implement a healthy behavior change program within your workplace.
T. Rowe Price has provided a article for Advisors regarding Financial wellness programs:
an opportunity to differentiate your practice and broaden your reach. Employers are increasingly seeking to offer holistic financial education that benefits both the employees and the company itself.
1. PRESENTED BY: ROD REASEN, CEO HEALTHIEST EMPLOYERS
HR.COM
WELLNESS SURVEY STUDY
RESULTS
2. CONTRIBUTORS
1. William McPeck, Director Employee Health & Safety, Maine State
Government
2. Janet McNichol, Human Resources Director, American Speech-
Language-Hearing Association
3. Don Powell, President and CEO, American Institute for
Preventative Medicine
4. Fiona Gathright, President and CEO, Wellness Corporate Solutions
5. Robert Kramer, Vice President, Wellness/EAP Business
Development, Ceridian Corporation
6. Lynn Lievonen, Community Facilitator, HR.com
7. Tara Butt, Community Facilitator, HR.com
3. Questions during presentation
During this webinar you may have a question about a particular number, graph or
statement. Please use the question box provided by GoToMeeting to submit your
question. I will do my best to answer these throughout the webinar.
Since this is a review of statistical data from our HR.Com Wellness Survey we feel
that q&a can be done during the presentation.
-Presentation is available at HR.com
-A whitepaper is currently in production and will be available in a few weeks. You
will receive an email notifying you of availability for download.
4. ABOUTTHESURVEY
About the Survey
Purpose: Understand basic perception and offerings of today’s workplace wellness programs.
Metrics:
- HR.Com and affiliates sent emails requesting participation in survey
- 239 total respondents from November 2011 – January 15, 2012.
- 10 questions with multiple select, ranking and yes, no answers.
- Nearly 1.8 million employees represented by participating employers
24.7% 24.3%
18.0%
13.4%
19.7%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
5. THESURVEY
Question 1 – What is your Greatest challenge in getting results from your wellness program?
63.18%
47.28%
34.73%
33.89%
33.47%
31.38%
23.43%
21.76%
20.50%
20.08%
20.08%
14.64%
10.88%
8.37%
7.11%
0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00%
Engaging Employees
Financial limitations / budget
Lack of time
Lack of employee interest
Scattered / Diverse workforce
Engaging Senior Leadership
Lack of resources (non-financial)
Personal benefits not understood
Unsure of correct path / no wellness education
Corporate Culture not focused on health
Communicating the purpose
Lack of energy / motivation
Privacy and confidentiality
Lack of C-Suite interest
Lack of interest by HR Team
6. THESURVEY
Question 2 – Please rank the following statements that best describe the objective
of your workplace wellness program?
845 819 813
719 705 699 695 669 639
0
100
200
300
400
500
600
700
800
900
Create a
healthy
worksite
environment
Improve
health and
well being of
employees
and
dependents
Educate
employees
about
personal
benefits of
living healthy
Support
company
effort to be
viewed as
employer of
choice
Improve team
cohesiveness,
team work
and morale
Contain
healthcare
costs / used as
cost
management
strategy
Enhance
productivity
Reduce
absenteeism
Improve
recruitment
and retention
6th Place
1st Place
7. THESURVEY
Question 3 – Which of the following do you offer at your organization? (select all that apply)
61.51%
60.25%
57.74%
55.23%
55.23%
46.86%
43.10%
41.84%
41.42%
39.75%
38.91%
35.15%
33.89%
33.89%
27.20%
26.36%
23.01%
20.50%
17.57%
16.74%
10.88%
0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00%
Flu shots
Newsletters, flyers, posters, etc
Health & Wellness publications / materials
Nutritional education
Health risk assessment
Weight loss initiatives
Biometric screening
Healthy Vending Options
Stress management
Tobacco cessation
Education on obesity
Wellness coaching telephonically or through email
On Site fitness center
Disease management
Fitness tranining
Cardiovascular health education
Wellness coaching in person
other
Medical Self-Care
On Site medical clinic
Metabolic syndrome advice
Other items included: health fairs, stair programs, Healthy cafeteria, ping pong, volleyball and other recreational
activities, showers, fitness challenges and mammography clinics
8. THESURVEY
Question 4 – What incentive types do you find “most effective” in encouraging
participation in your workplace wellness program? (select all that apply)
35.15%
32.22%
31.38%
24.69%
24.69%
22.59%
21.34%
20.08%
19.25%
18.83%
16.74%
15.06%
13.81%
6.69%
5.02%
0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00% 40.00%
Giveaways
Gift Cards
Cash
Merchandise (water bottles & t-shirts)
Do not use incentives
Drawing for large prize
Vacation or Time off
Discounts
Premium Discounts
Peer recognition
Gym or fitness center memberships
lunch
Points towards rewards
Company contribution to H.S.A, HRA or HIA
other
9. THESURVEY
Question 5 – Have you had any internal discussions around how the health reform law will impact your business?
52.30%
47.70%
Yes No
1. Small employers will have a federal
grant available to bolster wellness
programming. Several states have
already adopted legislation to offer
tax credits against wellness costs.
2. Increase of wellness discounts /
surcharges from 20% to 30% with
possibility of going to 50%.
3. Requirement of preventive services
with no copayment by 2018
4. HIPAA 5 Standard Based Restrictions
- Incentives not to exceed 20%
of cost of coverage
- Program must be designed to
promote health or prevent
disease.
- Annual qualification
- Availability
- Reasonable alternatives
Please consult a licensed attorney or hr consulting firm
before implementing any changes. It is your
responsibility to comply with all necessary state and
federal laws. This presentation should be used for
concept purpose and is not to be used as legal advice.
10. THESURVEY
Question 6- How do you anticipate healthcare reform affecting your business?
36.92%
27.96%
12.90%
11.11%
6.09%
2.87%
1.43%
0.72%
0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00% 40.00%
We will continue to offer health insurance to employees
We will continue to offer wellness offerings to employees
We have had minimal discussions around how this will
affect our wellness programming
We will expand the dollars used for wellness programming
It will have no impact on what we offer to employees
We will be changing our definition of full time employment
We will drop health coverage for employees
We will drop wellness offerings to employees
11. THESURVEY
Question 7 – How do you measure the effectiveness of your wellness program?
(select all that apply)
27.84%
18.75%
13.64%
10.80%
10.23%
7.95%
6.25%
4.55%
0.00%
0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00%
We do not calculate a return on investment
Claims over previous year
Internal or external ROI calculation
Guesstimate
Changes in biometric data
Changes in HRA data
Other
General anecdotal
Extrapolated from larger studies
12. THESURVEY
Question 8 – Where do you turn FIRST for corporate wellness advice? (Please
select only one)
25.94%
19.25%
18.41%
15.90%
10.88%
9.62% Broker/ consultant
Insurance carrier
Wellness vendor
Internet
Association
Friend or colleague
1st
2nd
3rd
4th
5th
6th
13. THESURVEY
Question 9 – What do you see as the biggest hurdle for a corporate wellness
program’s long term sustainability? (select one response)
55.41%
26.84%
6.93%
5.19%
3.03% 2.60%
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
Keeping employees
engaged
Convincing
leadership to
support monetarily
Changing business
practices
Nothing Environmental
factors
Healthcare reform
14. THESURVEY
Question 10 – Have you made any HR policy changes that support your wellness
program?
56.90%
28.45%
14.64%
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
No Yes I don't know
How are you doing this?
1. Tobacco free workplace
2. Volunteerism
3. Increased screenings – OSHA, CDL, workplace
4. Stopped hiring smokers
5. Implemented community service leave policy
6. Expanded focus on both health and safety linked
with wellness
7. Created a dedicated wellness department with
staff
Ideas:
1. Tobacco free policies
2. Tracking absenteeism cause – sickness, family,
tired, etc
3. Sick Policy – “No Sharing Policy” - If you have the
flu, please don’t come to work today.
4. Follow the 5 standard-based wellness program
restrictions of HIPAA
15. FOR MORE INFORMATION: RREASEN@HEALTHIESTEMPLOYERS.COM
Thank you for your
participation!
Editor's Notes
Welcome everyone from the Super Bowl City of Indianapolis, Indiana. My name is Rod Reasen and I am the President of Healthiest Employer, LLC. I’m happy to be your presenter today!
Before we get started I’d like to cover a few items:
1. A special thanks goes to our contributing panel (CHANGE SLIDE)
The Institute for Human Resources has created several advisory panels. The wellness advisory panel is made up of
(READ ABOVE)
The panel was asked to create a short survey to help identify current trends and feelings in the market place. Thank you to each of you for your contributions to this webinar.
As a bit of housekeeping…
During most webinars participants can sit back and listen as the presenter tells their story. Since the topic today is focused on the statistical results of this study, I would ask that you participate by asking questions via the chat box during the presentation.
We will take questions at the end if you feel more comfortable waiting.
The complete presentation is available for download at HR.Com.
We are also developing a complete whitepaper about this study that will be completed in the coming weeks. To make sure you receive this please feel free to email me directly of check back to HR.Com.
Let’s begin!
The purpose of this study was to understand basic perceptions and offerings of today's workplace wellness programs.
This study was by no means meant to be exhaustive in nature but to provide a basis for upcoming events and surveys.
Metrics: ABOVE
Charts:
Question 1 – read
The overwhelming response centered around engagement. You will notice two answers made available focus specifically on this topic.
HR Professionals roles are changing – Many are being asked to take on this new responsibility of managing the wellness program with little to no training.
We see a growing trend and creation of a new job title of Chief Wellness Officer, Wellness Director, Wellness Coordinator and the like.
Personal benefits not being understood goes directly to the engagement discussion. We as wellness professionals know that the greatest way to affect change individually is for that individual to get involved. Unfortunately it often takes a significant personal life event for many to begin the journey of personal wellness. Our goal is to help these folks see the oncoming train and to help them avoid disaster.
A good portion of the respondents are still unclear of the proper path to take in creating an effective wellness program. For those of you in the audience that fit this demographic, let me encourage you to seek advice from a qualified professional in your area. Listen often to these web conferences and get involved.
This question was a ranking from 1 to 9 with 9 being the highest answer. We summarized the scores of each answer and were able to calculate the prevailing factors that drive the creation of programming.
For those of us who have been in this space for 10+ years we have seen a dramatic shift in purpose. I personally find it very encouraging to see that the respondents ranked the “creation of a healthy worksite environment” as number one. You will see that Reducing healthcare costs fell to #6. As employers nationally begin to see the effects of wellness on the workplace I believe we will see this fall even farther.
There is certainly a tie to reducing healthcare costs but the overall impact runs much deeper.
Absenteeism –
Recruiting – mention that the younger generation is looking for this and we see this growing!
Biometric screening continues to grow. We see this trend increasing to be a major staple of successful wellness programs.
HRA are actually shrinking. Some studies show that the one time anchor in corporate wellness programming is feeling some growing pains. We know many organizations that are dropping these or significantly modifying the questions that are being asked.
Middle of the pack are two of the top drivers of reduced productivity and healthcare costs. We would love to see these two items move towards greater implementation among workplaces.
A growing trend is the offering of On site or near site medical clinics. A trend I would watch to see over the next few years. There are certainly some compelling reasons to consider creating one for your organization but you must make sure this fits for your workforce and meets your goals.