“The fee for service reimbursement model will be completely replaced by a narrow network capitation fee coupled with incentives for improved outcomes … Employers are the ultimate payor for unsubsidized healthcare in the U.S. and will thus be the driving force behind change.” — Nick Hendricks, The Benefit Company
We agree that employers are going to drive some of the most significant changes in the healthcare industry. Among those changes, we expect a decline in the fee-for-service model, replaced by a focus on value-based care.
Partnerships, Not Transactional Experiences
“Employers are seeking a partner to help them enhance the employee and employer experience, relationship and overall culture. It is much less transactional and much more partnership focused these days, at least that is what the employer clients need and deserve.” — Edwige Ligondé, Nielsen Benefits Group
This prediction aligns with the intent of an on- or near-site care center. More accessible care and better relationships will help employers align their healthcare offerings with their cultural values.
More Value-Based Care
“Employers will seek out alternatives to the broad solutions we see today with partners who focus on value—based care. From managing chronic conditions and specialized pharmacy solutions to personalized voluntary benefit programs, employers will have more partners at the table than ever before.” — Jessica McCool, NFP
Chronic conditions and pharmaceutical costs are some of the biggest expenses for employers. An on- or near-site care center mitigates these costs with integrated health coaching, free generic prescriptions filled on-site, and highly coordinated care for specialty services.
Focus on Disruptive Strategies
“To accomplish this, brokers will need to utilize traditional and disruptive strategies. Traditional one on one employee engagement and education will become even more valuable to clients as disruptive strategies, such as narrowing networks, pricing transparency and advanced analytics are installed to increase better health outcomes and drive costs down.” — Megan Runci, Hodges-Mace
Traditional healthcare is broken. We need disruptive strategies to break down the old system and start fresh. Many employers have already found the answer to their problems with an on- or near-site care center.