The Potential and Value of Worksite Clinics 2019... · Rosen Hotels & Resorts Bill Dinger The Walt Disney Company Dave Blasewitz City of Tampa Linda King Polk County School Board

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The Potential and Value of Worksite Clinics

Tuesday, December 3, 2019Valencia College – East Campus, Orlando, Florida

Thank you to our sponsors:

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Thank you to our host:

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Thank you to our sponsors:

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Please silence your cell phone

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Larry BoressExecutive Director

National Association of Worksite Health Centers

Copyright (c) NAWHC 2019 5

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} The nation’s only non-profit association supporting employer and union sponsors of onsite, near-site, mobile health, pharmacy, fitness and wellness centers

} Assisting employers in developing and expanding the capabilities of onsite centers into primary care and wellness centers

} Offering educational programs, networking, benchmarking, purchasing support, vendor information and advocacy for the worksite health center employer and vendor communities

} Website offers information and resource materials on worksite health and fitness centers, on-site pharmacies and wellness centers

} NAWHC LinkedIn Group for timely updates on topics related to worksite clinics


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} Treatment of Injuries◦ First aid◦ Acute/urgent care

} Occupational health◦ OSHA exams, drug testing ◦ Physicals/RTW◦ Travel medicine◦ Disability mgmt

} Identification of risks◦ Health risk assessment/screenings

} Prevention of illness◦ Immunizations

} Health and Benefits Education◦ “Lunch and Learn”/health fairs◦ Online health portal

} Chronic Disease Mgmt ◦ Health/disease mgmt coaching◦ Case mgmt

} Worksite Wellness Programs◦ Weight management/coaching◦ Fitness programs/challenges◦ Incentive-based activities◦ Smoking/tobacco cessation◦ EAP/lifestyle coaching/stress mgmt

} Primary care/care coordination◦ Health advocacy◦ Telehealth

} Ancillary Services� Pharmacy services� Lab/x-ray services� Physical therapy� Vision services� Dental services� Chiropractic services� Massage therapy� Acupuncture 7

Copyright (c) NAWHC 2019

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} Patients see physicians 1-2 times a year for 7-12 minutes, but are at work 1000-2000 hours a year, offering an employer great opportunities to educate, train, motivate and inform people about their health and role as consumer

} Employer clinics offer daily, easy access to medical care for employees and dependents, for little or no out of pocket cost

} A focus on evidenced-based, necessary care can lead to lower employer costs, higher quality care, a population health approach and higher productivity

} Holistic care can be provided without incentives or demands on providers for volume and to generate revenue

Copyright (c) NAWHC 2019

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Occupational Health

Acute Episodic Care

Primary Care

Patient Centered Medical Home

Non-Occupational Care and Emergency First Aid

Wellness—HRA, screening, lifestyle coaching

$ Savings Opportunity $$$


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MERCER – NAWHC 2018 NATIONAL SURVEY OF EMPLOYER-SPONSORED HEALTH PLANS

71%

75%

76%

84%

89%

Reduce member health risk

Increase employee productivity

Reducing absenteeism/presenteeism

Better manage overall health spend

Chronic condition management

1

2

3

4

5

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} NAWHC-Mercer studies estimate around 25-30% of all companies and 40-45% of large firms offer some form of onsite, near-site or mobile health services to employees, dependents, retirees and others

12MERCER – NAWHC 2018 NATIONAL SURVEY OF EMPLOYER-SPONSORED HEALTH PLANS

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CONSIDERING FOR 2016 OR 2016

31%

37%

26%

0%

5%

10%

15%

20%

25%

30%

35%

40%

All employers Employers with fewer than5,000 employees

Employers with 5,000+employees

MERCER – NAWHC 2018 NATIONAL SURVEY OF EMPLOYER-SPONSORED HEALTH PLANS13

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CONSIDERING FOR 2016 OR 2016

45%

24% 23%

18%

12%8%

11%

42%

33%

17%15%

11%7% 6%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

Health care Government Manufacturing Financialservices

Services Wholesale/Retail

Transport/Comm/ U tility

Occupational healthservices

General medicalservices

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7%

5%

14%

28%

47%


Managed in-house

Third-party management company

Hospital system

Provider group

Other

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} Onsite clinic vendors will usually charge employers:◦ PMPM ◦ Hourly ◦ Cost-Plus◦ Cost-sharing agreement

} Near-site or multi-employer clinics often bill clients based on:◦ The number of hours the clinic is operational or the portion of the schedule set

aside for each employer’s workers◦ The number of employees that are seen from each participating employer by the

health professionals◦ A membership or subscription fee per employee


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RETURN PERCENT OF RESPONDENTS

Less then 1.00 7%

1.00-1.49 11%

1.50-1.99 13%

2.00-2.49 8%

2.50-2.99 3%

3.00-3.99 3%

4.00 or more 3%

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30%

31%

36%

53%

62%

66%

68%Physician

Nurse practitioner

Medical assistant

Nurse

Office manager

Physician’s assistant

Health coach

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10%

11%

12%

18%

19%

24%

28%Physical therapist

Wellness coordinator

Massage therapist

Mental health professional

Registered Dietitian (RD) or nutritionist

Occupational Health RN

Pharmacist or pharmacy technician

22%

3%

6%

8%

8%

8%

9%Behavioral health worker

Acupuncturist

Other

Athletic trainer

Chiropractor

Exercise physiologist

Financial advisor

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27%

47%

49%

54%

63%

67%Employees from other locations

Covered dependent children

Retirees

COBRA participants

Employees who waived medical coverage

Covered dependent adults

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AVERAGE MEDIAN

Employees2017 51% 50%2016 48% 50%2015 46% 48%

Dependents2017 29% 22%2016 28% 24%2015 27% 20%

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61%

35%

5%Successful

Neither successful nor unsuccessful

Unsuccessful

Financial success: reducing cost trend

Health and wellness success: improving the

health and wellness objectives

71%

24%

4%SuccessfulUnsuccessful

Neither

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} Coordinate care for patients} Improve visibility of programs and access to services} Track patient use of service and referrals} Collaborate care management } Provide improved support for patient self-management} Get cross referrals between contracted vendors} Make greater utilization onsite fitness centers } Provide easy access to all services} Collect and measure performance } Consolidate data from internal and external sources with

health center’s EMR


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$0

$3,000

$6,000

$9,000

$12,000

19-34 35-44 45-54 55-64 65-74 75+

$1,776 $2,193 $2,740

$3,734 $4,613

$5,756

$1,414$2,944

$3,800$5,212

$6,636$8,110

$2,565 $3,353

$4,620

$6,625 $7,989 $8,927 $5,114 $5,710

$7,991

$10,785 $11,909 $11,965

Employers should adopt a population health strategy for theirworksite programs and clinicsCosts increase as people age and increase risk

AnnualMedical

Costs

Med

Ris

k

Age Range

Hig

h

Non

-Par

ticip

ant

*Edington. AJHP. 15(5):341-349, 2001

Low

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25

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A patient-centered medical home is a team-based care delivery model with a primary care emphasis. It focuses on

better access and better care coordination to improve quality, effectiveness, adherence and, ultimately, health outcomes.

27%

3%

14%

52%

4%

n=80 Employers

Our clinic serves as a standalone PCMH

Not currently, but plan to evolve to a PCMH

No, and no plans

Our clinic serves as a primary care extension of a community-based

PCMH

Don’t know

Clinic Considered a Patient-Centered Medical Home (PCMH)

© Benf ield, a part of the Gallagher Human Resources & Compensation Consulting Practice. 2018 Worksite Health Clinic Report. All rights reserved.

Source:2018 NAWHC-Benfield Survey

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79%

77%

65%

65%

61%

61%

51%

47%

44%

42%

39%

30%

23%

16%

Importance of Factors in Selecting Clinic Provider Partners(among clinics with a third party clinic provider)

n=57 Employers

Ability to improve population health

Ability to hire high quality providersStrong integration of service with our existing

programs and/or health planData/reporting capabilities

Transparency of cost and performance

Flexibility/ability to customize offerings

Ability to integrate care with community providers

ROI measurement

Price of serviceAccountability, including risk-based payment

contractingCommunication capabilities and marketing

materials to boost utilizationRecommendations from peer companies

Third party organization’s size

Consultant recommendation



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66%

45%

28%

21%

15%

15%

Communication Channels Established Between Worksite Clinic and Community-Based Healthcare Providers

n=80 Employers

Referral to community providers

Referral system to a clinic-defined network of high quality providers

Integration of electronic medical records

Periodic meetings

Other information sharing

No communication channels in place



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56%

40%

4%

Integration of Clinic Data with Health Plan Data

n=80 Employers

Yes

No

Don’t know



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1. What is the current health status of the covered population?2. What are the current health behaviors?3. What is being done in regards to preventive care and to reduce risks?4. What is the current utilization of the clinic and health benefits and programs?5. What are the demographics of the population?6. What are the current eating habits?7. What is the current alcohol/tobacco usage?8. What are the overall stress/anxiety levels?9. What is the current level of physical activity?10. What is the overall culture of health – employee and employer view towards health

and wellness?


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} Ensure clinic activities are integrated with all wellness programs } Collect data from external and internal sources} Require vendors to share and utilize population’s data} You need a great provider staff that cares } Promote confidentiality and privacy} Offer services for free or lower than outside services} Use a vendor with state of the art ROI tools} Set expectations of senior management} Ongoing communications, promotion and visibility is key to

increased and sustained use} Focus on prevention and close management of chronic illnesses


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} Larry Boress◦ [email protected]◦www.nawhc.org


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http://www.worksitehealth.org/

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Innovative and Unique Approaches to Onsite and Near-Site Health Centers

Ashley BacotRosen Hotels &

ResortsBill Dinger

The Walt Disney Company

Dave BlasewitzCity of Tampa

Linda KingPolk County

School Board

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Please visit with our sponsors! 34

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Potential and Value of Worksite Clinicsby Sherry McAllister, DCExecutive Vice President

Foundation for Chiropractic Progress

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Training of Today’s Doctors of Chiropractic

Doctors of Chiropractic (DCs)

DCs are primary contact health professionals for spinal health and well-being.

They receive extensive clinical training and specifically trained to evaluate, diagnose, treat and manage neuro-musculoskeletal disorders, particularly of

the spine, using non-drug, non-surgical approaches to care and rehabilitation.

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Training of Today’s Doctors of Chiropractic

Doctors of chiropractic go through rigorous training and education to receive a doctor of chiropractic degree. Their collegiate agenda is as follows:

•The majority graduate from a four-year college with a preferred focus on health sciences.

•Four years of chiropractic education.

•After graduating, pass written and oral board exams, at national and state levels.

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General DC Training

• Neuroanatomy• Spinal Anatomy• Gross Anatomy• Embryology• Biochemistry• Physiology• Chiropractic Philosophy• Endocrinology

• Organ Histology• Pathology• Immunology and Communicable

Diseases• Microbiology• Palpation• Physiotherapy I-Passive Care• Physiotherapy II-Active Care

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Chiropractic Sciences

• Public Health• Systems Pathology• Digestive Physiology and Nutrition• Physiology• Chiropractic Philosophy• Radiology• Toggle Recoil Technique• Thoraco Lumbar Technique• Neuromusculoskeletal Diagnosis• Toxicology

• Physiotherapy• Cervical Technique• Biomechanics• Intro to Clinical Practice• Obstetrics & Pediatrics• Pelvic Technique• Clinical Nutrition• Differential Diagnosis• Misalignment Analysis

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Clinical Sciences

• Chiropractic Practice Marketing• Clinical Methods• Emergency Procedures• Visceral Disorders & Laboratory

Interpretation• Clinical Psychology• Radiology• Technique Principles & Practice• Planning for Practice Success

• Extremity Adjusting• Financial Management Strategies• Legal Issues• Gender-Related Health• Chiropractic Philosophy• Practice Management Strategies• Geriatrics• Evidence-Based Chiropractic

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Conditions Commonly Treated by DCs

• Disc Herniation• Sciatica• Muscle Strain/Sprain• Nerve irritation• Tendonitis• Stress Related MT

• Fibromyalgia• Arthritis• Curvature of the Spine• Carpal Tunnel Syndrome• TMJ Syndrome• Headaches

Many DC’s go on after graduation to get diplomates in a variety of subjects from Sports, Radiology, Neurology and more.

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Benefits of Chiropractic

Scientific evidence and clinical experience indicates that chiropractic care offers the following benefits for many patients:

• Reduction of acute, subacute and chronic back and neck pain with improved function.

•Reduction of upper and lower extremity pain with improved function.

•Relief from certain forms of headache.

•Relief from pregnancy-related backache.

•Amelioration of many hip, gait and foot problems.

•Improvements in general flexibility, stability, balance and coordination.

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Supporting Research

In the U.S., back injuries are the most prevalent occupationalinjury. A study examined the early predictors of lumbar spinesurgery within three years among Washington State workers,with new workers’ compensation temporary total disability

claims for back injuries.

Approximately 42.7 percent of workers who first saw asurgeon had surgery, in contrast to only 1.5 percent of those

who saw a doctor of chiropractic. There was a very strongassociation between surgery and first provider seen for theinjury even after adjustment for other important variables.

Early Predictors Of Lumbar Spine Surgery After Occupational Back Injury: Results From A Prospective Study Of Workers In Washington State

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National Guidelines Overview Support

The Institute of Medicine (IOM), U.S. Food and Drug Administration (FDA) and The Joint Commission have noted the need of nonpharmacological

options, such as Spinal Manipulative Therapy (SMT) , as a first-line approach to manage pain

94% of spinal manipulations, also known as spinal adjustments, performed in the U.S. are executed by a doctor of chiropractic.

Shekelle, et al. (1992). Spinal Manipulation for Low-Back Pain. Annals of Internal Medicine, 117(7), 590. doi: 10.7326/0003-4819-117-7-590

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The Lancet published a three-part series on low back pain,which addresses the issues around low back pain and calls

for worldwide recognition of the disability associated with thedisorder and the removal of harmful practices. In the secondpaper, recommendations for the treatment of low back pain

are outlined, including spinal manipulation, which is mostoften performed by a doctor of chiropractic, and the scarcity

of research into prevention of low back pain.

The Lancet, Vol. 391, No. 10137. Published: March 21, 2018 https://www.thelancet.com/series/low-back-pain

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Team-Based Care with Chiropractic is Less Costly

The United States spends more on healthcare per capita than any other economically developed country.

Findings presented by Optum, the health services subsidiary of UnitedHealth Group, showed that a conservative care approach involving chiropractic care or physical therapy for LBP costs the insurer approximately $619 per episode, while primary care costs $728 and care from a specialist costs $1,728.

The insurer expects it could save $230 million and reduce opioid prescribing by 26 percent over two years if half of their members would first pursue a conservative approach for their LBP.

National Academies of Sciences, Engineering, and Medicine 2019. The Role of Nonpharmacological Approaches to Pain Management: Proceedings of a Workshop. Washington, DC: The National Academies Press. https://doi.org/10.17226/25406

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https://www.thelancet.com/series/low-back-pain

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New UnitedHealthcare Benefit for Low Back Pain Helps Reduce Invasive Procedures and Address the Opioid Epidemic

10/29/19

Encouraging people with low back pain to access physical therapy or chiropractic care, the benefit design is expected to reduce the number of imaging tests, spinal surgeries and opioid prescriptions.

UnitedHealthcare modeling, 2019. https://www.unitedhealthgroup.com/newsroom/2019/2019-10-29-uhc-benefit-low-back-pain.html2

Chiropractic Yields Improved Outcomes

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UnitedHealthcare modeling, 2019.https://www.unitedhealthgroup.com/newsroom/2019/2019-10-29-uhc-benefit-low-back-pain.html

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https://www.unitedhealthgroup.com/newsroom/2019/2019-10-29-uhc-benefit-low-back-pain.html

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UnitedHealthcare modeling, 2019.https://www.unitedhealthgroup.com/newsroom/2019/2019-10-29-uhc-benefit-low-back-pain.html

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Rise of Chiropractic Care

Lancet/WHO

Guidelines

Joint Commission

Qaseem A, Wilt TJ, McLean RM, et al, for the Clinical Guidelines Committee of the American College of Physicians. Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians. Ann Intern Med. 2017;166:514–530. doi: https://doi.org/10.7326/M16-2367

The Lancet, Vol. 391, No. 10137. Published: March 21, 2018 https://www.thelancet.com/series/low-back-pain

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https://doi.org/10.7326/M16-2367

https://www.thelancet.com/series/low-back-pain

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Cost and Absenteeism

Utilization of imagingEmergency Settings

Retention and Presenteeism

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Quality

Education

Care & Referrals

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Relief

Function

Opioids Use

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DCs Offer Value

According to the University of Southern Florida’s (USF) Chair of the College of Medicine Neurosurgery Harry Van Loveren, MD:

“USF Department of Neurosurgery employs chiropractors for evaluation, treatment and research as one of its tools to aid patients with spine-

related conditions. We work in a comprehensive, compassionate and safe manner with avoidance of opioids and limited use of surgery. We work

together for the well-being of our patients.”

Susan Welsh, DC, DACBSP, USF College of Medicine Neurosurgery:

“Our department of Neurosurgery and Brain Repair includes chiropractic care and research to emphasize that doctors of chiropractic are front runners for neuro-musculoskeletal and spine care in our fully integrative patient-centered clinics. We have over 750 providers in the Morsani College of Medicine at USF and chiropractic is included as a

first-line of treatment.”

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Dr. Sherry McAllister, Executive Vice PresidentFoundation for Chiropractic Progress

[email protected]

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z

Potential and Value of Worksite Clinics

Use and Integration of Chiropractors in Worksite Health Centers to Reduce

Costs and Improve Quality

December 3, 2019

Orlando Florida

William Updyke, D.C.

Physical and Complementary Medicine, Cisco LifeConnections Health Center, San Jose

Stanford Healthcare / Premise Health

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zIntegrating Chiropractic Services into Your

Worksite Health Program and Clinic

§ Why utilize a doctor of chiropractic?

§ What are you looking for in a doctor of chiropractic?

§ How to incorporate a doctor of chiropractic

§ Metrics to evaluate a doctor of chiropractic

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z Why utilize a doctor of chiropractic?

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zWhat are you looking for in a doctor of

chiropractic?

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chiropractic?

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chiropractic?

Medicine

Acupuncture

Chiropractic

Mental health

Physical Therapy

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chiropractic?

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chiropractic?

§ Experience of 3-5 or over 8 years

§ It can take years to develop manual and patient communication skills along with skills to deal with complicated conditions and high level patients

§ Integrated practice experience if you have an integrated clinic

§ Medical practice, VA practice or residencies, integration exp.

§ Built their own private practice; practice style/techniques; professional leadership; publications; etc.

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chiropractic?

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zHow to incorporate a doctor of chiropractic

§ Directly contract in California

§ D.C. must work for a D.C . (D.C. corp.) or M.D.

§ On-site practice extension single line of service

§ Billing insurance or charging patients cash

§ Contract with small, medium or large onsite clinic vender

§ D.C. is employee of a chiropractic or medical group

§ Integrated with insurance plans or not

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zMetrics to evaluate a doctor of chiropractic

§ Internally generated data

§ Chart review for quality done by another D.C. provider

§ Outcomes measured of patient - condition & episode based

§ Potential EMR generated data

§ Number of patients

§ Capacity

§ Conditions treated

§ Visits per condition

§ Imaging and referrals to specialists

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zMetrics to evaluate a doctor of chiropractic

§ Externally generated data

§ Patient satisfaction onsite by D.C. / onsite vender or client

§ Patient satisfaction through outside communication

§ Outcomes for episodes

§ FOTO/Spine IQ: benchmarks your episode based outcomes vs. national benchmarks

§ Insurance carrier data on treatment patterns

§ Big data third party data management companies

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zRecent Research Results Supporting ROI

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z

Thank you!Questions?

§ Bill Updyke, D.C.

§ 415-279-9471

§ [email protected]

§ [email protected]

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Digital Tools to Support

Population HealthLaurel Pickering, MPH

EVP, Enterprise SolutionsWelldoc, Inc.

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Agenda

• What problem are we trying to solve?• The new consumer• Types of technology• Applications of technology in population health and onsite clinics• Practical considerations• Digital landscape• A diabetes example: BlueStar

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What problem are we trying to solve?

• Increasing chronic disease, increasing costs• Lack of engagement in programs• Traditionally pop health programs have been human resource intensive telephone

and face to face• Not scalable or financially sustainable • As we attempt to reach ever growing numbers of individuals who are constantly

on the move, new approaches must be used.

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People Are Changing And So Is Healthcare

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Meet Lara

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Music

MUSIC SPOTIFY

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Music

COMMUTE UBER

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Music

EXERCISE PELOTON

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Music

DOCTOR TELEDOC

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Characteristics of Lara’s Tools

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©2018 WellDoc, Inc. Intellectual Property. All rights reserved

Personalized

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On-Demand

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Virtual

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24/7

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How do your programs fit into Lara’s expectations?

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Technology and Population Health

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“I don’t see a viable way to effectively and efficiently manage a population of patients with diabetes, without a digital solution."

-Damon Tanton, MD

Medical Director | Clinical Practice for the AdventHealth Diabetes Institute

and AdventHealth Diabetes & Endocrine Center

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Moving from the Individual to the Population

30.3 M with

diabetes


86M with pre-

diabetes

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Generating economies of scale through progression in technologic spectrum

Traditional Mail

Telephone

Automated Telephone

Interactive Voice Response

Email

Text Notifications

Push Notifications


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101

Applications of Technology in Pop Health


Communications

Patient identification

Clinical decision support

Patient decision support

Health coaching

Connected health and personal health IT

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Practical Considerations

Population Health Alliance (2016). Technology and Engagement: How Digital Tools are Reshaping Population Health.


Privacy

Digital divide

Age-related considerations

Cost

Integration with overall engagement strategy

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©2019 Welldoc, Inc. Intellectual Property. All rights reserved

Progression to Clinically-Driven Consumer Health Solutions

Remote Monitoring 1.0(2010-2014)

Fitness/Wellness(2012-2016)

Disease Management(2014-2018)

Digital Therapeutics(2016-2020)

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A New Category of Medicine: Digital Therapeutics (DTx)

Must be designed using user experience best practices and engaging to end users

Must bust be reviewed and cleared or certified by regulatory bodies as required to support product claims of risk, efficacy, and intended use

Clinical evidence and real world outcomes are required for digital therapeutic products

Digital therapeutic (DTx) products deliver evidence-based therapeutic interventions to prevent, manage, or treat a medical disorder

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A New Category of Medicine: Digital Therapeutics (DTx)

Must be designed using user experience

best practices and engaging to end users

Must bust be reviewed and cleared or

certified by regulatory bodies as required

to support product claims of risk,

efficacy, and intended use

Clinical evidence and real world

outcomes are required for digital

therapeutic products

Digital therapeutic (DTx) products

deliver evidence-based therapeutic

interventions to prevent, manage, or

treat a medical disorder

Connect User to

Care Team

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DTx Member Companies

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Digital Therapeutic

Telehealth

Human Coaching

Keto Diet

More ScalableBroader Applicability

Less ScalableNiche Applicability

DTx to scale your population health reach

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Case Study: Diabetes andBlueStar

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*Turning the tide on diabetes management: How leaders in health care are using multi-faceted approaches, Deloitte, 2016

*

People With Type 2 Diabetes Need A 24/7 Personal Assistant

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Tailored, Comprehensive ExperienceTracks and analyzes the 6 critical dimensions impacting diabetes, including hypertension & weight management

Symptoms(Surveys, Notes)

Psycho-social(Distress, Disability, Economic

Conditions)

Labs(BG, BP, Weight)

Activity(Sleep/Exercise)

Meds(Adherence, Insights)

Diet(Carbs, Calories, Sodium, Water)

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A Closer Look at BlueStarProvider Smart Visit Report

Weekly Insights Longitudinal Patterns

Medication Reminders

Real-time Feedback

Plan & TrackConnect

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Two-way chat & video visits

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Integration with Onsite Clinic leads to Better Outcomes

→ Remote Access to Data

→ Medication Reconciliation

→ Blood Glucose Summary

→ Self-Management Summary

→ Secure Messaging

→ Patient Surveys & Reports

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In and Out of App Methods of Keeping Users Engaged

“In-App” Engagement

“Out-of-App” Engagement

Dynamic Emails

Mobile Notifications

Targeted Re-Engagement Emails

Phone Outreach

Real-Time Feedback Messages

Longitudinal Feedback Messages

Weekly Challenges

Weekly Summaries

Diabetes Curriculum

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1.9 Point A1C Improvement (mean)12 month RCT

2.0 Point A1CImprovement (mean)3 month RCT

58% Reduction in Hospitalizations & ER Visits

Peer-Reviewed Journals

Outcomes

Over 45+ peer reviewed

posters and presentations

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Comparison of A1C Reduction

• BlueStar is second only to insulin in terms of ability to reduce A1C

• No side effects• Fully scalable

T2D Treatment Average A1C Reduction

Insulin 1.5 - 2.5

BlueStar 1.7 - 2.0

Metformin 1.5

Sulfonylureas 1.5

SGLT-2s .5 - 1.0

GLP-1R Agonist .5 - 1.0

DPP-4 Inhibitor .6 - .8

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Financial OutcomesWellDoc has Demonstrated Potential of Its Digital Therapeutic, BlueStar®, to Significantly Reduce Healthcare Costs. Cost savings based on reductions in:• Hospitalizations• Emergency room visits• Supplies and medications• Burden of co-morbid conditions

Starting A1c > 8

Estimated Savings: $3,048 - $3,252 per patient, annually*

Can your partner show validated outcomes, accurately estimate impact and put fees at risk?

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Case Study: Self-Funded EmployerMIDWEST BASED CREDIT UNION

250+Employees with type 2 diabetes

400Covered lives with type 2 diabetes

A1C > 8Majority of population had out of target A1C

ENGAGEMENT WITH BLUESTAR

6K+Total user engagements with the product

60%Activations

50%Sustained user engagement after six-months

OUTCOMES

15%Increase of BG readings in target-range

$1KReduction in annual cost per user (estimated)

3 Point A1C Several reported 3 point A1C reductions

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Case Study: Clinical Setting in the Mid Atlantic


1,036 patients

# E

NG

AG

ME

NT

S P

ER

US

ER

M O N T H S

12 months

161,602 total entries

Change in A1c: -1.1%

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Engagement in one’s health is where an individual performs sustained actions toward achieving optimal

health and well- being.

“……..teach a man to fish”

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Mass General Ambulatory Practice of the Future (APF)

• Incorporate virtual care into the practice

• Provide a clinically validated plan for practice-based reimbursement in the evolving value-based payment that can be extended nationally.

• Provides a new mechanism for primary care to embrace population health

• Build evidence for the integration of digital health in a value-based practice with a pathway to broad adoption throughout the health system.

Expansion Goals

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What Patients Say


What Providers Say

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Key Lessons

• How we interact with the world is changing• Healthcare is moving to virtual channels. In-person healthcare as

“Option B”• Are you innovating to meet your employees where they are?• Digital is the next innovation in population health. We must try it.

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The Potential and Value of Worksite ClinicsThank you to our sponsors and host:

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Documents

The Potential and Value of Worksite Clinics 2019... · Rosen Hotels & Resorts Bill Dinger The Walt Disney Company Dave Blasewitz City of Tampa Linda King Polk County School Board