Understanding On-Site Clinics

An on-site clinic is where an employer offers one or more medical and wellness services to all or most of their employee population and other individuals who are eligible. These services provided at the clinics are all delivered by licensed providers and are more often referred to as “health and wellness centers” because of the variety of care ranging from first aid, occupational health, acute, primary, specialty, condition management, wellness and ancillary services. The clinics originally started as occupational health clinics, where they treated minor injuries and served workplace health and safety needs, but have now expanded in to primary care.

On-site clinics are usually apart of the health benefits that an employer offers to its employees. The objective for companies to have an on-site clinic is to provide easy access and immediate attention, at little or no cost, for a variety of services and products that an employee would normally have to leave the work location to receive.

Due to the fact that having on-site clinics cut down on time employees take to go to their doctor’s appointments, meaning more time for work, these on-site clinics are quickly gaining in popularity; especially among mid-large employers of all industries. These facilities can be sponsored by public or private employers, union groups or other plan sponsors. Even smaller employers can have a nurse or other provider offer screenings, preventive care, coaching or minor services at minimal cost and still reap the benefits.

Why?

With most industry sectors reporting the total cost of employee health care above $10,000 per employee and increasing at rates more than inflation doubled, the on-site clinic model would be a great investment. On-site primary care for all insured employees and their dependents combined with incentives for clinic use and better personal health are proving to save employers significant dollars, keeping their health care costs at or below inflation while reducing their employee’s point of care costs. The net results show that employers have more funds available to spend on retaining and recruiting quality talent and their current employees are healthier, happier and more productive.

Benefits of Having an On-Site Clinic:

  • Offering convenient access to health care services will reduce the lost productivity that results from a worker taking 3-4 hours to leave work, travel, wait for and see health care providers and to obtain drugs and services
  • Making first aid and critical services available at the work location will reduce the use and cost of hospital emergency rooms (highest cost setting for obtaining medical services)
    for non-emergency conditions
  • Providing low or no cost resources and treatment will increase use of preventive and wellness services and programs, lessening the severity of common illnesses, enhancing management of chronic conditions that require regular check ups, improving medication compliance and patient outcomes overall
  • Investing in the well-being of employees with workplace ‘health and wellness’ benefits can help attract and retain employees – clinics are often viewed as the most popular benefit by workers
  • Delivering medical, pharmacy and therapy services at the work location will reduce overaIl costs, as there will be no required revenue margins placed on top of the services or products provided to patients at the clinic

Nick Dealtry
October 1, 2018

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Surge in investment in primary care and on-site employer health clinics

Recognizing that primary care can play a significant role in reducing unnecessary tests, specialty provider visits, and even hospitalizations, private investors are increasingly supporting primary care practices as well as on-site employer health clinics. With healthcare costs increasing for both patient and provider, reducing those costs by providing quality primary care that is easily and conveniently accessed can make a significant difference for everyone involved.

On-site employer health clinics have shown steady growth since 2008. In the past five years, the number has increased from 24 percent of companies with more than 5,000 employees offering on-site clinics to 33 percent. More employers are realizing that employees who have access to on-site preventive care are healthier, more productive, and more apt to remain with the employer longer term.

Private investors, such as Carlyle Group LP, also recognize these facts and are putting “large sums” into workplace clinics, according to a recent article in BenefitsPRO, an employee benefits publication. Carlyle is investing approximately $220 million in One Medical. According to BenefitsPro, the company will use the funds to “more than double the number of clinics it operates, from 72 currently. The company operates in eight cities, and plans to expand to more locations as it seeks to sign up more employers.”

A group of investors is also boosting the financial resources of Paladina Health, an on-site employer clinic provider. Paladina also plans to use the money to expand its reach, including possibly providing care for Medicare patients, and build new clinics. The clinic provider currently has 53 employer clinics in 10 states.

Employers are realizing that on-site healthcare clinics benefit them as well as their employees. Particularly with rising healthcare costs, employees who are able to take advantage of the less expensive options of on-site healthcare are more apt to seek out preventive care. That, in turn, helps to lower the rate of absenteeism and presenteeism (showing up for work when feeling ill or contagious) for the employer. Investors are likewise recognizing these facts and are indeed putting “large sums” of money into this growing trend.

Nick Dealtry
September 25, 2018

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Key players and growth trends for on-site clinics

A study recently conducted and released by consulting firm HTF MI shows the predicted increase in on-site clinics globally and identifies nine of the most significant players in the industry. The market research report, Global On-site Preventive Care Market Size, Status and Forecast 2025, “studies the global On-site Preventive Care market size, industry status and forecast, competition landscape and growth opportunity.”

The largest on-site clinic market share in the study’s base year, 2017, was held by Healthcare Solutions Centers, followed closely by OnSite Care. RepuCare and Premise Health rank third and fourth, respectively. Globally, North America was the leader, with a share of 37.0% in the global on-site preventive care market. Western Europe followed closely behind.

Market segment by type was also included in the market study. Acute care accounted for 47% of the global on-site preventive care market share. Chronic disease management was identified as the second type of preventive care most provided in the global on-site market. Employees who are able to visit an on-site clinic for injuries or illnesses without having to leave their workplace are more likely to take advantage of the services provided there.

A research analyst from Future Market Insights states that the on-site market is growing considerably, given the convenience to employees, the “surging instances of chronic disorders among a growing working population,” and the “deepening penetration of various workplace wellness programmes.” FMI adds that “it is most likely that the market for on-site preventive care will experience robust growth in near future.”

Researchers at HTF MI further explain the growth of on-site clinics in terms of benefits for both employer and employee. “The services that are incorporated in on-site preventive care help reduce the risk of future illness among employees, addressing their present concerns, vaccinations, physical routines, screening of health issues such as anxiety, hypertension, etc., and identifying future risks.”

Nick Dealtry
September 21, 2018

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The impact of employee wellness clinics on bottom line performance

Employers that offer wellness options to their employees may see happier and healthier employers as well as a healthier bottom line for the organization as a whole. Many employers who provide the services of on-site clinics to their employees augment those services with health management programs. The convenient access of those benefits entices employees to take advantage of them and, as a result, to become healthier and more productive.

A number of research studies and surveys point to the return on investment (ROI) employers realize when they provide employee wellness clinics and other health programs. In fact, a study conducted in 2013 found that “companies that have exemplary safety, health and environmental programs outperformed the S&P 500 by between 3 and 5 percent.”

Absenteeism and presenteeism are significant challenges for many organizations. The Centers for Disease Control and Prevention (CDC) reported in 2015 that “productivity losses linked to employee absenteeism due to illness cost employers $225.8 billion annually in the United States, or $1,685 per employee.” That figure does not include the impact of presenteeism, “losses due to employees who come to work ill or suffer from poor sleep or nutritional habits or work-induced stress.”

The Society for Human Resource Management (SHRM) reports that the ROI “related to employee wellness programs typically includes the overall health care cost-savings achieved, as well as productivity increases due to a reduction in sick days taken by employees. Calculating the ROI based on the hard savings numbers provides most companies with the justification for implementing such programs.”

On-site or near-site health clinics, combined with employee wellness and health programs, can generate a significant impact on a company’s bottom line performance, through improved productivity and reduced absenteeism. On-site wellness clinics, in particular, are convenient for employees and that encourages them to sue the benefit, resulting in happier, healthier employees and a positive ROI for the employer.

Nick Dealtry
July 30, 2018

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New study highlights benefits of on-site clinics for school districts

Worksite clinics have proven effective for businesses, in reducing healthcare costs and improving productivity. A recent study conducted by the RAND Corporation and published in the Journal of Occupational and Environmental Medicine, demonstrates that on-site clinics are also beneficial to school systems when the healthcare option is provided to teachers by the school district.

In the first study ever to examine the effects of on-site clinics for teachers, RAND initially set out to “examine the impact of worksite clinics on healthcare utilization and cost, self-reported health status, and student achievement growth in a public school district.” Although they were not able to identify any change in student achievement, the study did reveal that the use of on-site clinics reduces healthcare costs for teachers and improves their absenteeism rate.

RAND used “insurance claims, health risk assessment, and student achievement growth data for active teachers during 2007–2015” for the study. In their research, they found that, when compared to teachers’ use of a community-based clinic, “using a worksite clinic was associated with significantly lower inpatient admissions (53 vs. 31 per 1,000 teacher years), annual healthcare cost ($5,043 vs. $4,298 in 2016 US dollars, a difference of $62 per teacher per month), and annual absent work hours (63 vs. 61).”

The study examined healthcare provided for teachers in a large school system, the Metro Nashville Public Schools, that includes 120 schools and approximately 6,000 teachers. Harry Liu, a RAND policy researcher and the study’s senior author, said “Our findings suggest opening onsite health clinics may be one promising action that school organizations can take to help lower their health care costs.”

In the case of the Metro Nashville district, “on-site” was defined as a healthcare clinic that was accessible within a 15-minute drive. Typically, in a business setting, on-site clinics are located on the company’s property. On-site clinics are designed to provide accessible, convenient healthcare, encouraging the use of primary care and preventive services.

Roy Steiner
July 3, 2018

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On-site preventive care market drivers

The number of on-site employer-sponsored healthcare clinics is increasing and is projected to continue increasing over the next several years. Employers have realized the benefits of providing on-site clinics for their employees, including healthier employees, increased productivity, and an added incentive for recruiting and retaining talent. Employees enjoy the convenience of on-site healthcare and tend to use it more frequently because of that available access.

A study recently published by Future Market Insights (FMI) “On-site Preventive Care Market: Global Industry Analysis (2012-2016) and Opportunity Assessment (2017-2027),” points out that on-site healthcare incorporates “Wellbeing screenings (e.g. hypertension or cancer), vaccinations, routine physical exams to screen wellbeing and survey future risk of developing conditions, instruction about legitimate nourishment and exercise, administration of existing conditions to expand personal satisfaction and decrease risk of future entanglements.”

The FMI study also identifies anticipated major growth drivers for the on-site preventive care market, including the “increasing incidence of life-threatening diseases such as cancer, cardiovascular and infective diseases.” Other factors identified include the “growing number of on-site preventive care centers worldwide, extending medical applications at workplace, increasing number of qualified physicians for on-site preventive care, expanding aging demographics etc.”

Particularly with rising healthcare costs, employees who are able to take advantage of the less expensive options of on-site healthcare are also more apt to seek out preventive care. That, in turn, helps to lower the rate of absenteeism and presenteeism (showing up for work when feeling ill or contagious) for the employer. Likewise, employees with chronic or complex conditions have access to convenient healthcare to treat illnesses that could otherwise become more significant issues for them and for their employer.

As the report states, “The global market for on-site preventive care is expected to flourish over the forecast period of 2017-2027 due to increasing awareness about physical, social and psychological, needs of patients with life-threatening diseases and their families.”

Nick Dealtry
June 29, 2018

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What is the value of on-site clinics?

Value can be calculated in a number of ways. Employers typically calculate value in terms of their bottom line. Employees may view value in terms of how something benefits them or makes their life better. The value of on-site clinics can actually be calculated both ways.

As the National Association of Worksite Health Centers (NAWHC) states, “Leading employers are beginning (to) realize that by offering the services that force employees to leave work, they can reduce the cost and better manage the health of their covered populations, while improving productivity, since they’ll have reduced the number of situations and the time off the job by workers seeking medical care.”

In addition, “onsite clinical staff increase the engagement of their workers in the multiple preventive and condition management programs they offer. This type of population health approach effectively identifies unnecessary services, gaps in care, opportunities for savings and quality variations to be addressed.”

On-site clinics help to increase employees’ health as well as their satisfaction with their job. The added benefit of convenient access to healthcare encourages them to become more engaged in their own health management. Employees who visit the on-site clinic for preventive services, well checks, immunizations, and other basic primary care services spend less time out of the office and more time focused on their health outcomes.

For those employees who do not have a primary care physician, the on-site clinic can serve as such. For those who do, the clinic staff can share information that leads to a more integrated and more effective healthcare treatment plan for employees. As the NAWHC states, “Worksite centers need to connect and share patients data with a patient’s own physician. It also offers a source of primary and acute care for those 40-60% of employees who don’t have a personal physician.”

On-site clinics provide value to both employer and employee, offering cost savings, convenient access, and incentives for a healthier workforce.

Roy Steiner
June 26, 2018

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On-site preventative care is set to grow steadily

Workplace clinics have been steadily growing in popularity among employers and employees over the past several years. A recent report published by Future Market Insights (FMI) states the number of on-site clinics, particularly those providing preventative care, will continue to increase among businesses throughout the US, at least over the next ten years.

The FMI report, “On-site Preventive Care Market: Global Industry Analysis (2012-2016) and Opportunity Assessment (2017-2027),” states that “the standards set in the workplace for the safety of workers and the need to adhere to workplace norms have triggered the demand for on-site preventive care.” In addition, the increase of workplace illnesses has “made it an obligation for employers to follow employee safety codes and adopt on-site preventive care.”

Increased productivity, reduced costs, and even improved morale are being realized by companies that offer their employees on-site preventative care. The enticement of this type of return on investment (ROI) has led more companies to offer their employees on-site preventative care. According to the FMI report, “the global on-site preventive care market is expected to witness a CAGR [compound annual growth rate] of 7.1% from 2017 to 2027. The market was worth around US $16,135 Mn [million] in 2017 and is likely to touch a valuation of $32,063 Mn [million] approximately by the end of 2027.”

Workplace wellness programs, including smoking cessation and fitness classes, are also becoming more popular. When employees need basic preventative services, such as immunizations and well checks, the convenient access to on-site care is a significant factor in their decision and their ability to secure such services. As FMI states, “on-site clinics provide employees with the necessary support without having to leave their work and plus the clinicians also work together with the patients in a cohesive environment to address their various health related issues.”

Roy Steiner
June 15, 2018

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The next generation of on-site, near-site employer health tools

Employers who offer on-site and near-site healthcare clinics for their employees are typically in search of innovative solutions to workplace challenges such as absenteeism and low productivity. They may also be looking for a way to improve morale, to recruit quality talent, and to retain valuable employees. On-site and near-site employer healthcare clinics help to solve many of these challenges. The more progressive employers also take advantage of the next generation of health tools available to them and their worksite vendors.

Dr. Jonathan Spero, CEO of InHouse Physicians, suggests that the next generation of on-site and near-site employer health 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

Teams specialized in delivering each of these tools will add to the value offered by the on-site and near-site clinics for the employer, significantly increasing their return on investment (ROI). Dr. Spero writes that “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.”

Reinforcing the need for the next generation of employer health tools is a recent study of 255 employers, conducted by the National Association of Worksite Health Centers (NAWHC), with support from PwC US. The study found that:

  • 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.

Roy Steiner
June 12, 2018

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KLAS insights on worksite health services

From the company doctor to a full range of health and fitness amenities, the worksite clinic has evolved significantly over the past several years. The number of on-site, employer-sponsored clinics has also increased, as employers realize the many benefits of worksite health services, for themselves as well as for their employees.

KLAS Research recently published their findings on worksite health services, as they focus on exploring “areas in which new trends and opportunities are reshaping how healthcare is accessed and delivered.” As part of their study, KLAS has defined “worksite health services” as “employer-sponsored healthcare delivery (i.e., on-site clinics) and prevention services done at or near the employer worksite.”

Their study examined the way employers approach and implement worksite health services for their employees and provides a list of worksite health services vendors. The report resulted from “discovery and scoping work done by KLAS” as well as “KLAS interviews with vendors, industry associations, and employer organizations.”

The research found that employers typically take one of three different approaches to providing healthcare services for their employees:

  • Engaging with a third-party vendor to provide healthcare services in a clinic setting.
  • Resourcing their own clinical staff in a kind of “do it yourself” approach.
  • Putting together a hybrid approach in which some healthcare services are provided by a third party and some provided by in-house staff. This approach may also involve contracting with a local healthcare facility for some services.

In addition, the research study determined that three goals are often “top of mind” when employers decide to contract with a third-party vendor for healthcare services for their employees. Employers generally want to:

  • Improve employee health
  • Reduce healthcare costs for themselves and their employees
  • Encourage employee engagement and loyalty.

The approach to worksite heath services may differ, depending on the employer size and capabilities, but the fact remains that on-site and near-site healthcare clinics are on the increase. Employers and employees alike are realizing their many benefits, including convenient access to healthcare and cost savings.

Nick Dealtry
May 22, 2018

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