Post on 11-Feb-2017
MyWellScreen℠ On-site Allergy Testing & Treatment
Solutions
Agenda
1. Primera Medical Group (PMG) Overview2. PMG MyWellScreen℠ service3. Service Implementation & Next Steps
Who is PMG
An integrated healthcare services group of board-certified physicians, specialists, and allied healthcare affiliates, who facilitate on-site corporate allergy testing and treatment solutions. Clinical operations in 6 states with (2) Urgent Care clinics and broad network of healthcare providers
What is the PMG MyWellScreen℠ service?
Turn-key, on-site preventive wellness screenings conducted in the convenience of your corporate offices or remote branch locations
Comprehensive Allergy Testing &
Treatment
Comprehensive 256 Environmental & Food
allergen test
Biometric & HRA assessment
Lipid profiles, Blood Glucose, Blood Pressure, Body
Composition, HbA1C, and Pulmonary function
25-30 minute screening procedure per employee. Employee dependents are eligible to participant if on same health insurance plan
*Minimum of 25 eligible employees/dependents per test site per day**Testing eligibility determined via online PMG Allergy Survey questionnaire
Airborne allergy test• Dust, grass, animal dander, weed
pollen, etc.• We test for 60-72 regional
environmental allergens • Adults and children over 2 years
can be tested• Administered via skin prick test
(SPT) and results available in 15 min.
Food-enzyme allergy test• We test for 184 food enzyme
panel• 5-10 min. procedure via a simple
venipuncture blood draw • 4-5 weeks to analyze blood
results and follow-up assessment with physician
Health
Well-Being
Performance
Promote allergy education and healthier lifestyle choices
● According to the Willis 2014 Health & Productivity Survey, 74% of US employers include a biometric screening as part of their workplace wellness programs.
● Approx. 60M Americans have indoor & outdoor allergies as their primary allergy and allergies represent the 5th leading chronic health condition
● Each year, allergies account for more than 17M outpatient office visits, primarily in the spring and fall; seasonal allergies account for more than 50% of all allergy visits
Source: Asthma & Allergy Foundation of America
The MyWellScreen℠ Advantage
❖ Identify at-risk employees with allergies, severity of a potential allergic reaction, and effective treatment plan for employees
❖ Provide important baseline data to shape the direction of your corporate wellness program ❖ Reduce employee absenteeism and sick leave while increasing employee engagement and
bottom line with the convenience of on-site health screenings relevant to your organization
Social & Economic Costs - Did you know?
• The annual cost of allergies is estimated to be nearly $14.5B• Nearly 85% ($12.3B) is for direct costs including $1.3B for doctor office visits and $11B
for medications• Indirect costs of allergy (missed work or school, lost productivity, death, etc.) account for
approx. $2.2B (15%) of the total annual cost of allergies in the U.S.• For adults, allergies are a major cause of work absenteeism and “presenteeism,” resulting
in nearly 4M missed or lost workdays each year, resulting in a total cost of $700M in total lost productivity
Source: Asthma & Allergy Foundation of America
Step 1: PMG promotes event via email marketing camapign
and employees complete online PMG Allergy Survey
Step 2: Verify each employee’s health insurance and
communicate eligibility to HR
Step 3: Schedule Wellness Event within 1-2 weeks
Step 5: Allergy test results rendered to patients and optional Immunotherapy
treatment presented
Screening Process
*Minimum 25 eligible participants per test site per day
Step 4: Execute PMG Wellness Event
7 days
2 days
1-2 weeks
5 weeks
How much do MyWellScreen℠ services cost?
• Nominal PCP office visit co-pay may apply per individual/family• HMO & Kaiser Permanente plans not eligible to participate• HSA plans will be charged $900/individual for allergy testing• Allergy Immunotherapy treatment is available to employees and
covered according to individual’s co-insurance, if applicable• Employer may consider gift card, prize, or PTO incentives to
motivate employees to participate to cover co-pay cost
Participating In-Network PPO Insurance Coverage by StateCA FL TX AZ OH GA
Anthem Blue Cross BCBS BCBS BCBS Anthem BCBS BCBSUnited HC Aetna Aetna United HC Aetna United HC
Cigna Cigna United HC
Aetna Assurant Aetna
BlueShield of CA United HC
Cigna Cigna HealthSpan Cigna
HealthNet Assurant HealthNet MedMutual Coventry
Southern CA Physicians
Humana Humana United HC Humana
Aetna Meritus Ambetter
Next Steps:MyWellScreen℠ Timeline
Phase 1 (Week 1-2)
❖ Execute PMG Corporate Wellness Agreement❖ Employees complete and submit on-line, HIPPA compliant PMG Allergy
Survey questionnaire within 7 business days of initial allergy event email campaign
❖ Insurance verifications may take up to 3 business days to complete from Allergy Survey cut-off date and employee eligibility (pass/fail) communicated to designated company HR representative for event
Phase 2 (Week 3)
❖ Review site prep and logistics to execute MyWellScreen Event per PMG Wellness Program Guide
Corporate HQ Corporate Medical & Training Center
One Buckhead Plaza 800 Virginia Ave., Ste. 2003060 Peachtree Rd., Ste. 965 Atlanta, GA 30354Atlanta, GA 30305 770.938.2625
Toll Free: 888.373.7923Main Line: 678.904.7564
Photo credit: Carroll Morgan
www.pmgwellness.com