How can USI help our organization reduce barriers to primary and preventive care for our plan members?
USI will evaluate the financial and logistical impacts of implementing and coordinating a Direct Primary Care health benefits model vs. a traditional fee-for-service model based on prior utilization, then forecast potential savings based on anticipated engagement rates.
Direct Primary Care provides lower member out-of-pocket costs and improves access to care, which may result in plan savings ranging from 1% to 4%.
We’ve estimated the financial impact for you. Feel free to update the assumptions.
- Eliminate members' out-of-pocket expenses for primary care of up to $250 on average
- Removal of barriers to care improves adherence to chronic condition care management
- Improved employee benefit satisfaction through increased access to primary care
High out-of-pocket expenses often discourage plan members from seeking regular preventative and/or remedial care, limiting both the likelihood of positive health outcomes and the employer’s ability to control benefit costs.
Many physicians have yet to fully adopt interactive, virtual patient care platforms. Moreover, telemedicine doesn’t facilitate the long-term relationships and level of engagement between patients and physicians needed for chronic disease management.
Yes. In 2021, there was an estimated PCP shortage of roughly 37,000 in the U.S., according to the American Association of Medical Colleges. The AAMC's worst-case projection has that number climbing as high as 86,000 by 2036. Direct Primary Care addresses this shortage by utilizing physician assistants and nurse practioners that work alongside PCPs and offer longer visits at lower cost.
I’d like to explore further how USI can help our organization determine if a Direct Primary Care model is the right fit for our health benefit plan.
In order to determine whether Direct Primary Care is the right model for your organization’s health benefit plan, we will need just a few pieces of information, including utilization reporting by types of service, a listing of employees’ home zip codes, and a copy of your current plan design.