Self-funded employers underwrite the cost of healthcare services utilized by those covered under their benefit plan. Despite this, far too many have no idea if their covered individuals are spending the employer’s money wisely, although judging from the year over year increases in overall plan cost, most likely not. Attendees will be presented with primary care based models that ensure the efficient and effective delivery of healthcare services that actually enhance plan benefits and lowers the aggregate cost. These models also improve the health status of covered individuals by weaving “wellness” programming into the fabric of primary care delivery, often at a lower cost than a “stand alone” employer based program. These models help employers understand it’s about finding and working with the “correct community” of primary care. This turns the employers retrospective claims data into a prospectively valuable / clinically valid data driven strategy for accountable care delivery in partnership with primary care.
Attendees will learn how enhanced primary care models have lowered aggregate spending in the first year of implementation, improved the health status of the target population, and generated high levels of patient/participant satisfaction with the employer sponsored benefit plan and the care delivered under that plan.
In this session two employers and one subject matter expert will explore and share success stories in: