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It is difficult to project actual savings that may be realized by implementing a health clinic/wellness center. A conservative diversion estimate during the first year of clinic operations is $200K and diversion over time would likely increase; however, this diversion may not reduce actual health claims experience since claims can vary based on the medical conditions that are being treated during a given reporting period. The utilization of the clinic by eligible members will have a positive impact beyond diverted claims savings. In other words, while there is no guarantee that a clinic will have an overall impact on claims costs, there are other savings and benefits that would likely be experienced by offering a health clinic/wellness center to our eligible employees. Other Potential Benefits of Employer Health Clinic/Wellness Center • Alignment and integration with other benefits (Kannact, SurgeryPlus, CanaRx) • Referring for appropriate follow-up resting/care to in network providers without any conflicts of interest • Employee reduced time away from work due to near or on-site access to an efficient run clinic setting • First site of treatment for workplace injuries • Prescription savings (generic low cost vs. expensive brand name) • Improved communication with medical provider and coordination of care • Increased compliance with management of chronic conditions • Avoidance of high cost claims over time due to improved management of chronic conditions Clinic Model/Staffing/Eligibility/Cost Share Proposed Recommendation In keeping with guide principles, for a cost effective clinic to align with the services that are recommended based on the Claims Population Health Review and Clinic Feasibility Assessment, the following is recommended: • Clinic Model: Focusing on preventive care, episodic care, labs, and condition management. Limited pharmacy benefit may be pursued. Limited occupational health may also make sense (first aid and referral to W/C network when needed). • Clinic Staff: Midlevel clinician (Nurse Practitioner, Physician Assistant) and Medical Office Assistant. • Eligibility: Enrolled Employees and Retirees 1St year with Spouses added in the future if determined to be financially feasible. • Member Cost Share: There would be io member copay or cost share for services. Health Plan Design & Employer Health Clinic/Wellness Center An employer health clinic/wellness center would be an increased benefit to our workforce and would complement the health plan, yet would be independent of the health plan. Although a clinic would be separate from our group health plan, offering free benefits beyond wellness benefits (ex. acute care) through the clinic is considered a significant benefit according to 141