Innovative approach leverages Direct Primary Care (DPC)Improving health outcomes for high-risk members
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Since 1982, Slug-A-Bug has been committed to helping the people of Brevard County, FL, enjoy life and wellness in a pest-free environment. Recently, the adoption of a partially self-funded plan with an independent TPA and PBM provided greater
visibility into actual claims data that identified DPC as a significant cost saving opportunity.
Costs are risingCHALLENGE: Rising healthcare costs
The business faced rising healthcare costs, especially from plan members with Potentially Catastrophic Trigger Diagnoses – usually 10-30% of a population. Leadership felt that high-risk members were hesitant to engage in Direct Primary Care (DPC), because those employees were already engaged with multiple physicians.
Think different about healthcareSOLUTION: An expanded Direct Primary Care program
Working closely with the Slug-a-Bug team, Jared Mongold reviewed actual claims data for members with Potentially Catastrophic Trigger Diagnoses, comparing outcomes between those enrolled in Rocket Healthcare DPC and those who did not. Key measures included improvement in both total claims costs and y/y per-member cost trends for DPC and non-DPC members.
Greater participation drives better resultsRESULTS: Fewer claims and lower costs.
A focus on DPC benefits yielded significantly improved results for members and the business.
DPC PARTICIPANT IMPACT:
75% had fewer claims
21.4% lower overall spending
ANNUAL SAVINGS PER MEMBER:
$1,313 actual
$3,890 projected upside
(with full participation)
Slug-a-Bug continues to serve the residents of Brevard County. And now their team is happier too with even better Healthcare that Works. Contact us for more details about our approach to helping this employer think differently about healthcare.
- Client:
- Slug-a-Bug
- Year:
- 2023
- Location:
- Melbourne, FL
- Number of employees:
- 70
- Download Case Study:
- Click here