WeCare Clinics A Next Generation Employer Health Care Management Solution Oregon Coalition of Health...

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WeCare Clinics A Next Generation Employer Health Care Management Solution Oregon Coalition of Health Care Purchasers Portland Human Resource Management Association Brian Klepper, PhD June 20, 2012 1 2 3 4 5 6 7 8 9 10 $8,000 $9,000 $10,000 $11,000 $12,000 $13,000 $14,000 $15,000 $16,000 $17,000 $18,000 $19,000 $20,000 $21,000 A WeCare Clinic For Competitive Advantage Annual Per Employee Group Health Savings Advantage Grows Over Time Expected Expected with Clinic $2,830 per employee $4,025 per employe e $5,486 per employe e $7,264 per employe e $9,420 per employe e Years of Clinic Implementation

Transcript of WeCare Clinics A Next Generation Employer Health Care Management Solution Oregon Coalition of Health...

Page 1: WeCare Clinics A Next Generation Employer Health Care Management Solution Oregon Coalition of Health Care Purchasers Portland Human Resource Management.

WeCare Clinics

A Next Generation Employer Health

Care Management Solution

Oregon Coalition of Health Care Purchasers Portland Human Resource Management Association

Brian Klepper, PhDJune 20, 2012

1 2 3 4 5 6 7 8 9 10$8,000

$9,000

$10,000

$11,000

$12,000

$13,000

$14,000

$15,000

$16,000

$17,000

$18,000

$19,000

$20,000

$21,000

A WeCare Clinic For Competitive Advantage

Annual Per Employee Group Health SavingsAdvantage Grows Over Time

Expected

Expected with Clinic

$2,830 per employee

$4,025 per employee

$5,486 per employee

$7,264 per employee

$9,420 per

employee

Years of Clinic Implementation

Page 2: WeCare Clinics A Next Generation Employer Health Care Management Solution Oregon Coalition of Health Care Purchasers Portland Human Resource Management.

• Comprehensive Primary Care

• Fully Realized Medical Homes

• Medical Management Platforms

• Significantly Reduce Cost

• Improve Population Health Status

WeCare Clinics Are

Page 3: WeCare Clinics A Next Generation Employer Health Care Management Solution Oregon Coalition of Health Care Purchasers Portland Human Resource Management.

• Privately Held• 6 Years Old• Located In Longwood, FL (Orlando Suburb)• Principals: Career Clinician And HC Professionals• 26 Clinics – 67 To 3,200 Employees• Very High Participation Rates – Yr 1: 65% Across

Clinics• Very High Satisfaction – Volunteered Client/Pt

Testimonials On Each• Newest Clinics – Subaru Factory in Indiana. Hospital

Clinic in Ohio. 2 Corrections Clinics in Georgia.

Who We Are

Page 4: WeCare Clinics A Next Generation Employer Health Care Management Solution Oregon Coalition of Health Care Purchasers Portland Human Resource Management.

Effective Onsite/Near-site Clinic Characteristics

• Outside FFS, So No Financial Conflicts, Incentive is for Appropriateness

• Comprehensive Medical Management Platforms That Incorporate Other Key Mgmt Approaches and Influence Care Throughout The Continuum.

• Strong Incentives For Participation. Free Visits, Drugs, Labs. Capture Them, Engage Them, So You Can Manage Anywhere In The System.

• Provable, Significant Savings. Based on hard data, not soft, productivity estimates.

Page 5: WeCare Clinics A Next Generation Employer Health Care Management Solution Oregon Coalition of Health Care Purchasers Portland Human Resource Management.

Operational Approaches

• Prevention/Wellness Services Reduce Onset of Chronic Diseases

• Avoid Unnecessary/Inappropriate Care

• Appropriately Manage Necessary Care

• More Cost Effective Acquisition of Health Care Products/Services

Page 6: WeCare Clinics A Next Generation Employer Health Care Management Solution Oregon Coalition of Health Care Purchasers Portland Human Resource Management.

• Replace Higher Network Costs With Lower Clinic Costs

• Aggressively ID/Manage Chronic/Acute Care Opportunities

• Collaborate On & Influence Downstream Care & Cost

• Occupational Health: Workers’ Comp, Disability Mgmt, HR Testing, Retention/Recruitment, Lost Productivity

Major Savings Areas

Page 7: WeCare Clinics A Next Generation Employer Health Care Management Solution Oregon Coalition of Health Care Purchasers Portland Human Resource Management.

Impacts

Typical Year 1 Results, Net of the Clinic Investment, for Total Group Health Care Costs:

•1.9:1 - 3.0:1 Return On Investment (ROI)

•18%-30% Total Cost Reduction

Page 8: WeCare Clinics A Next Generation Employer Health Care Management Solution Oregon Coalition of Health Care Purchasers Portland Human Resource Management.

• Year 1 Savings -34%, $4 Million, Net of Clinic Costs

• Analysis Did Not Consider Occ Health

Case Study 1MidWest ManufacturerSelf-Funded, 1,165 Employees, 2,400 LivesClinic Opened April 2010

Page 9: WeCare Clinics A Next Generation Employer Health Care Management Solution Oregon Coalition of Health Care Purchasers Portland Human Resource Management.

1 2 3 4 5 6 7 8 9 10$8,000

$9,000

$10,000

$11,000

$12,000

$13,000

$14,000

$15,000

$16,000

$17,000

$18,000

$19,000

$20,000

$21,000

A WeCare Clinic For Competitive Advantage

Annual Per Employee Group Health SavingsAdvantage Grows Over Time

Expected

Expected with Clinic

$2,830 per employee

$4,025 per employee

$5,486 per employee

$7,264 per employee

$9,420 per

employee

Years of Clinic Implementation

Page 10: WeCare Clinics A Next Generation Employer Health Care Management Solution Oregon Coalition of Health Care Purchasers Portland Human Resource Management.

Facilitate Better Patient Care

Protect Our Clients’ Financial Interests

A DifferentPerspective