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
Transcript of Prove It…Or Lose It · –HSA & legal team • Mid-Sized Plumbing Company • –120 employees...
Prove It…Or Lose It
Joel Bessmer, MD | Founder & Chief Medical Officer
CMT Forum | October, 2018
Partnering With Employers
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• 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
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Data is sort of a big deal
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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
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Burton Plumbing
151.11
13.58
0.00
40.00
80.00
120.00
160.00
ED Visits Per 1000
Non Strada Strada
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Burton Plumbing
35.56
2.09
0.00
10.00
20.00
30.00
40.00
IP Admits Per 1000
Non Strada Strada
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Burton Plumbing
1
0
Non Strada Strada
Workers Comp Injuries Per Month
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Biometric Data
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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
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-7
-8
-4
0
4
8
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Systolic BP
Non Strada Strada
No Change
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Biometric Data
-3
-3
-3.2
-3.2
-3.1
-3.0
-2.9
-2.9
Cholesterol
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-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
