Worksite clinics increase among large employers

The National Association of Worksite Health Centers (NAWHC) has found that a majority of larger employers offer onsite or near site healthcare clinics for their employees, a number that continues to increase. The association conducted a survey in 2018 that involved 109 employers, 80% of which had more than 5,000 employees. The survey involved manufacturing, healthcare, retail, education, and financial services firms.

Eighty of the employers responding to the in-depth online survey indicated that they offered a worksite clinic. NAWHC reports that adoption and growth of worksite clinics among larger employers, particularly those with more than 5,000 employees that are referred to as jumbo employers, is expected to continue. Findings from NAWHC’s 2018 survey include:

  • Among jumbo employers, 63% offer onsite clinics, 16% offer near site clinics, and 21% offer some combination to employees at multiple locations
  • Of employers with a worksite clinic, 51% plan to add an onsite or near-site clinic within two years, while 45% of those without a clinic plan to add one in two years
  • Just 12% of employers reported sharing an onsite clinic with other organizations, and 63% indicated they share a near-site clinic with others.

Among the many benefits to employees, including convenience of the healthcare clinic’s locations, the survey also found that the onsite or near site clinics become a medical home for employees of about 30% of the employers participating. Those employees did not previously have a primary care provider. About half of the employers offering clinic services open the benefit to include spouses and dependents as well.

Growth areas for the survey participants’ onsite and near site clinics include telehealth, physical therapy, chronic disease management, and behavioral health. In addition, more than half of the employers indicated that they provide worksite pharmacy services for their employees.

Most of the employers responding to the survey said they integrate their worksite clinic data with their health plan data to identify high-risk patients, to improve care coordination, and to measure comprehensive outcomes for their employees’ healthcare.