Prove It…Or Lose It · –HSA & legal team • Mid-Sized Plumbing Company • –120 employees...

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Prove It…Or Lose It

Joel Bessmer, MD | Founder & Chief Medical Officer

CMT Forum | October, 2018

Partnering With Employers

2

• Founded April, 2016

• Locations in Nebraska & Iowa

• DPC Hybrid Model

• 71% Employer Patients

Quick Summary of Strada Healthcare

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Why Employer Groups?

Case Studies

• Large Insurance Company

– Over 1,000 employees

– Enrollment/HR process

– HSA & legal team

• Mid-Sized Plumbing Company

– 120 employees

– DPC not integrated with

insurance plan

• Mid-Sized Plumbing Company

– 140 employees

– Converted company from fully

insured to self insured

• Small Vehicle Collision Repair

– Less than 50 employees

– Explaining DPC is not insurance

5

Data is sort of a big deal

6

Important Metrics

• Cost PMPM Health

• Cost PMPM RX

• Generic vs Brand Name RX

use

• ER Visits

• Inpatient Admits

• Clinic Visits

• Total Claims

• Specialist Visits

• Text/Call Volume by Hour

• Geo Mapping Claims

• Age/Gender Distributions

• Biometric Data

• Triglycerides

• HDL

• LDL

• Other Lab Values

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Burton Plumbing

$568.18

$133.04

$0.00

$150.00

$300.00

$450.00

$600.00

PMPM - Medical

Non Strada Strada

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$102.47

$8.10

$0.00

$27.50

$55.00

$82.50

$110.00

PMPM - Rx

Non Strada Strada

Burton Plumbing

9

Burton Plumbing

151.11

13.58

0.00

40.00

80.00

120.00

160.00

ED Visits Per 1000

Non Strada Strada

10

Burton Plumbing

35.56

2.09

0.00

10.00

20.00

30.00

40.00

IP Admits Per 1000

Non Strada Strada

11

Burton Plumbing

1

0

Non Strada Strada

Workers Comp Injuries Per Month

12

Biometric Data

1

0

-0.6

-0.3

0.0

0.3

0.6

0.9

BMI

-4

-14

-16.00

-12.00

-8.00

-4.00

0.00

Glucose

Non Strada Strada

-1

2

-1.6

-0.8

0.0

0.8

1.6

2.4

HDL

13

Biometric Data 0

-5

-6.3

-5.0

-3.8

-2.5

-1.3

0.0

Diastolic BP

8

-7

-8

-4

0

4

8

12

Systolic BP

Non Strada Strada

No Change

14

Biometric Data

-3

-3

-3.2

-3.2

-3.1

-3.0

-2.9

-2.9

Cholesterol

5

-47

-62.5

-46.875

-31.25

-15.625

0

15.625

Triglyceride

Non Strada Strada

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Coming Soon…

DPC Pilot for NE State Employees

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Growing DPC Together

If you want to go fast,

go alone.

If you want to go far,

go together.

-African Proverb