WORKSITE CLINICS Employer Fast Facts

Worksite clinics provide health care services to employees at Benefits of Worksite Clinics: or near the worksite. 1. Achieve greater employee engagement 2. Integrate wellness and worksite benefit programs Employers are eager for new opportunities for high-value care for Improve care coordination and quality. Realize their workforce, while improving employee access to timely and 3. convenient medical services and enhancing engagement in better health outcomes for employees, particularly worksite programs. in chronic care management. 4. Increase access and convenience of health care More of large employers offer some form of on- services; reduce lost time and absence from work. site, near-site, or mobile health services than 30% 5. Lower health care cost trends. Employers offering these services range 6. Boost employee value proposition, retention, and in size from 250 employees to very large talent acquisition. populations and dependents and retirees 7. Manage worksite injuries and illnesses. are often included 250

The BHC issued a Request for Information (RFI) to worksite clinic vendors at the end of 2017. The RFI asked over 70 questions used to create an inventory 13 Responses: of clinic operators’ key strengths and characteristics. BJC, CareATC, CareHere, Cerner, Circle Medical, HealthStat, Marathon Health, Mercy, Optum, Premise, QuadMed, St. Luke’s and WeCare Number of Worksite Clinics Managed By Participating Vendors STL Totals On-site for single employer - 45 1 - On-site for multiple employers U.S. Totals Near-site for single employer - On-site for single employer - 1 945 20 - Near-site for multiple employers 68 - Near-site for single employer Total Clinics - On-site for multiple employers - 117 67 361 - Near-site for multiple employers Mobile - 27 Total Clinics - 1,518 Vendor RFI Overview All vendors detailed that they offer Minor Illness / Preventive Services Additional Services integration and coordination with Injury Treatment other benefit and wellness vendors. Cold, Flu, Sore Throats Physical Exams Occupational Health Fever / Infections Health Risk Screenings Safety Skin Irritations Wellness Services Pharmacy Bumps / Bruises Disease Management Dental Sprains / Strains Lab Testing Vision Cuts / Lacerations Immunizations Physical Therapy Allergies Tobacco Cessation Telemedicine

Minimum space requirement needed for a Staffing models include Medical Doctors, Physician clinic ranges from 100 to 1800 square feet Assistants, and Nurse Practitioners

100 1800

Pricing Patient Payment Model Number of respondents with each model All respondents are willing to offer financial guarantees that are Cash Fee - 6 agreed upon with the client. Most guarantees are tied to utilization, Copay - 10 quality performance targets, user satisfaction scores, and successful Co-insurance - 6 referral management. No cost share except for HDHP - 11

Employer Members: About the BHC AAF International Emmaus Homes St. Louis Graphic Arts Aegion Corporation ESCO Technologies Inc. Sulzer US Holding, Inc. The St. Louis Area Business Health Ameren Corporation Ferguson-Florissant School Sunnen Products Company Coalition (BHC) represents St. Louis Anheuser-Busch InBev Francis Howell School District Tucson Electric Power employers’ collective efforts to improve Arch Coal, Inc. Global Brass and Copper, Inc. UniGroup, Inc. the well-being of their enrollees and the TheBANK of Edwardsville Graybar Electric Company, Inc. Watlow St. Louis community and gain greater Barry-Wehmiller Companies Laird Technologies, Inc. WestRock Co. Bass Pro Shops, Inc. Maines Paper & Food Service, Inc. World Wide Technology, Inc. value and accountability for their health Bayer-Crop Sciences McCarthy Holdings Inc. benefit expenditures. Bi-State Development/Metro MilliporeSigma Health Care HR Partners: The Boeing Company Mississippi Lime Company Centene Corporation In addition to serving as the employer Bunzl Distribution USA, Inc. North American Lighting, Inc. Express Scripts, Inc. voice on health care issues, BHC serves Caleres Northwest R-I School District Lutheran Senior Services Charter Communications Olin Corporation Mallinckrodt Pharmaceuticals as a shared information and service City of St. Louis Panera Bread, LLC PPR Talent Management Group resource across its members. BHC uses Concordia Plan Services Parkway School District Saint Louis University the collective powers of its membership Cushman & Wakefield Peabody University of Missouri to group negotiate a variety of benefit Daikin Applied Americas, Inc. Rockwood School District offerings. Diocese of Springfield Illinois Saint Louis County Sustaining Members: The Doe Run Company Saint Louis Public Schools Aon Hewitt Drury Hotels Company Schnuck Markets, Inc. Lockton For more information, contact Lauren Remspecher Edward Jones Shelter Insurance Mercer at [email protected] or (314) 721-7800. Emerson Spire, Inc. Willis Towers Watson