Worksite clinics are not just for mega-companies according to industry association

When we think of employer sponsored worksite health clinics that are provided as a benefit to employees, we often think of large, “mega” companies. However, a study conducted by the National Association of Worksite Health Centers (NAWHC) found that to not necessarily be the case. The number of worksite clinics is growing, among employers of all sizes.

NAWHC’s study was conducted of 255 employers of varying sizes, from those in the “under 200 employees” category to those in the “greater than 25,000” category. Of the employers participating in the study, “75% said they offered some form of worksite health program or providers,” and “43% indicated that they have an onsite or near-site clinic.”

As to the sizes of the employers who offer some form of worksite healthcare, the study found:

  • 37% of respondents in the 500-1,000 employee category have an onsite/near-site clinic and 49% have an onsite fitness center
  • 48% of respondents in the under 200 employee category have some sort of worksite health program in place, including multi-employer facilities, tele-health services, and mobile units.

The return on investment (ROI) for these clinics was found not in the size of the employee base but in factors that encouraged use of the clinic. NAWHC states that the greatest return was found among those employers of all sizes who “experience high emergency room use for non-emergency conditions, show high levels of lost time from unscheduled medical issues, or have covered populations that show low utilization of existing primary care, preventive screenings or condition management programs and services.”

While emergency and preventive care ranked at the top of the services offered by the clinics, about a third of those employers surveyed said that their worksite clinic offers primary care services. Most understood that patient/employee confidentiality was paramount in providing medical services, but many were unclear as to the effect the Affordable Care Act (ACA) and employees’ use of a health savings account (HSA) would have on their use of the clinic as a benefit.