What Are the Next Generation of Healthcare Cost Containment Tools?

What Are the Next Generation of Healthcare Cost Containment Tools?

What Are the Next Generation of Healthcare Cost Containment Tools? Read more at www.inhousephysicians.comHats off to the National Association of Worksite Health Centers (NAWHC), with support from PwC US in conducting a recent survey of 255 employers regarding worksite clinics.

Worksite Clinic Survey Results

Key findings of the survey included:

  • Onsite clinics are not just for jumbo employers. Those employers of even less than 500 employees are successfully operating worksite clinics.
  • A majority of respondents of all sizes said the financial objectives for their onsite clinics are being met, with 64 percent seeing a reduction in medical care costs.
  • Employers offering clinics are also seeing enhanced integration of health management services and higher employee engagement in health management programs.
  • Telemedicine is an emerging trend for many using onsite clinics, especially in the areas of acute care, wellness and behavioral health.
  • Acute care, emergency or first aid, preventive and wellness are among the top services offered at employer clinics.
  • Over 30 percent of onsite clinics now provide primary care services and this number is expected to grow in the future.
  • Nurse practitioners/RNs and physician assistants are the main providers for the clinics.

 

But What’s Missing?

However, what is noticeably missing from this survey was any meaningful discussion regarding the “next generation” of cost containment tools offered by the most progressive worksite vendors. These tools dwarf any traditional savings from worksite clinics and those vendors that offer these advanced ROI tools will dominate the future worksite clinic market.

Some of these tools include:

  • Predictive modeling and population health management
  • Price and quality transparency services
  • Patient advocacy services
  • Proprietary narrow networks of high performance providers
  • Negotiated, bundled case rates for high cost drivers
  • Contracts with centers of excellence
  • Telemedicine

To successfully deliver these tools and achieve superior ROIs for employers, clinic vendors will need to build a collection of teams specialized in delivering each aspect listed above. In addition, it will necessitate the integration of all of these tools in order to optimize savings. Gone will be the days when the singular focus was on the care delivered in the clinic. An equally keen focus will have to be on steering specialty care to value based providers and coordinating care in a medical home model.

For those employers that recognize the difference and choose the next generation of worksite vendors, the rewards will be significant and be realized in the form of much greater ROI numbers and superior healthcare outcomes that matter most to health plan members.

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Author Info

Jonathan Spero

Dr. Spero is the CEO of InHouse Physicians and a thought leader in the area of cost containment solutions for self-insured employers. Dr. Spero graduated medical school from the University of California, Davis. He completed his residency in Internal Medicine from Scripps Mercy Hospital in San Diego and has practiced both internal and emergency medicine. Dr. Spero is an expert speaker on employee health care cost containment strategies, energy and performance, as well as medical risk management for corporate meetings and events. Dr. Spero resides in Chicago, Illinois.

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