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

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Presentation on theme: "WeCare Clinics A Next Generation Employer Health Care Management Solution Oregon Coalition of Health Care Purchasers Portland Human Resource Management."— Presentation transcript:

1 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 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

2 Comprehensive Primary CareComprehensive Primary Care Fully Realized Medical HomesFully Realized Medical Homes Medical Management PlatformsMedical Management Platforms Significantly Reduce CostSignificantly Reduce Cost Improve Population Health StatusImprove Population Health Status WeCare Clinics Are

3 Privately HeldPrivately Held 6 Years Old6 Years Old Located In Longwood, FL (Orlando Suburb)Located In Longwood, FL (Orlando Suburb) Principals: Career Clinician And HC ProfessionalsPrincipals: Career Clinician And HC Professionals 26 Clinics – 67 To 3,200 Employees26 Clinics – 67 To 3,200 Employees Very High Participation Rates – Yr 1: 65% Across ClinicsVery High Participation Rates – Yr 1: 65% Across Clinics Very High Satisfaction – Volunteered Client/Pt Testimonials On EachVery High Satisfaction – Volunteered Client/Pt Testimonials On Each Newest Clinics – Subaru Factory in Indiana. Hospital Clinic in Ohio. 2 Corrections Clinics in Georgia.Newest Clinics – Subaru Factory in Indiana. Hospital Clinic in Ohio. 2 Corrections Clinics in Georgia. Who We Are

4 Effective Onsite/Near-site Clinic Characteristics Outside FFSSo No Financial Conflicts, Incentive is for AppropriatenessOutside 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.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.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.Provable, Significant Savings. Based on hard data, not soft, productivity estimates.

5 Operational Approaches Prevention/Wellness Services Reduce Onset of Chronic DiseasesPrevention/Wellness Services Reduce Onset of Chronic Diseases Avoid Unnecessary/Inappropriate CareAvoid Unnecessary/Inappropriate Care Appropriately Manage Necessary CareAppropriately Manage Necessary Care More Cost Effective Acquisition of Health Care Products/ServicesMore Cost Effective Acquisition of Health Care Products/Services

6 Replace Higher Network Costs With Lower Clinic CostsReplace Higher Network Costs With Lower Clinic Costs Aggressively ID/Manage Chronic/Acute Care OpportunitiesAggressively ID/Manage Chronic/Acute Care Opportunities Collaborate On & Influence Downstream Care & CostCollaborate On & Influence Downstream Care & Cost Occupational Health: Workers Comp, Disability Mgmt, HR Testing, Retention/Recruitment, Lost ProductivityOccupational Health: Workers Comp, Disability Mgmt, HR Testing, Retention/Recruitment, Lost Productivity Major Savings Areas

7 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)1.9:1 - 3.0:1 Return On Investment (ROI) 18%-30% Total Cost Reduction18%-30% Total Cost Reduction

8 Year 1 Savings - 34%, $4 Million, Net of Clinic CostsYear 1 Savings - 34%, $4 Million, Net of Clinic Costs Analysis Did Not Consider Occ Health Analysis Did Not Consider Occ Health Case Study 1 MidWest Manufacturer Self-Funded, 1,165 Employees, 2,400 Lives Clinic Opened April 2010

9 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

10 Facilitate Better Patient Care Protect Our Clients Financial Interests A Different Perspective


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