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IMPROVE EMPLOYEE HEALTH
& CONTROL HEALTHCARE COSTS
WITH DIRECT PRIMARY CARE
Presented By: Dr. Timothy Murray
Founder and CEO of Solstice Health
Quick Housekeeping
• Slidedeck will be posted on Solstice Health’s Website
www.solsticewi.com
• We will have Q&A at the end, but feel free to ask
questions throughout the webinar.
Quick Housekeeping
• Healthcare Outpacing Inflation 2:1
• Premiums Increasing Without Any Control
• Claims Filings Increasing Causing Higher
Premiums
• Employee Benefits Being Cut
• Poor Employee Health
Worker Illness and Injury Costs U.S. Employers $225.8
Billion Annually
Productivity losses linked to absenteeism cost
employers $1,685 per employee.
Source: http://www.cdcfoundation.org/pr/2015/worker-illness-and-injury-costs-us-employers-225-billion-annually
Employer Healthcare Problems
Where to Start……
COST: Medical bankruptcy is the number-one cause of personal bankruptcy in the U.S.
TIME: 7-10 minutes average time with physician in fee for service model
ACCESS: 1 in 5 Americans lack adequate access to primary care
Source:
Source : Gallop
Employee Healthcare Problems
Misaligned Incentives Drive Costs and Poor Health Outcomes
This system incentivizes doctors to
- Take on a high number of patients and see them as
quickly as possible
- Perform high-cost procedures
Common Averages:
2,500 patients per physician
7 to 14 minutes per appointment
18.5 days wait time for an appointment
How Did We Get Here?
Primary care is the essential foundation in the
healthcare system.
Without affordable, accessible, convenient
primary care, patients experience:
1. Costly avoidable visits to the ER
2. Unnecessary visits to specialists for tests
and treatments that can be done in a
primary care setting
3. Healthcare cost drivers avoid the doctor all
together leading to a cascade of claims
down the road.
The Result? Poor Health Outcomes
SolutionSolution : Direct Primary Care
Insurance cost + non profit hospital overhead + lack of transparency = $$$
Why Do We Eliminate Insurance?
How Direct Primary Care Provides Significant
Cost Savings
How Direct Primary Care Provides Significant
Cost Savings
Current Healthcare System
Characteristic Fee For Service Direct Primary Care
Panel Size Per Provider 2,000-3,000 600-800
Provider Incentive Volume-Based Quality-Based
Patient Access to MD Call Center 24/7 Access Via
Telemedicine
Time Spent With Patients 7-10 Minutes > 30 Minutes
Annual Exam Specific & Brief Comprehensive with Lab
Work
Access Extended Wait Times Same/Next Day Visits
Cost 400%+ mark up Wholesale Pricing
Coordination of Care Minimal Complete
Outcomes Highest spending with
poorest population health
Superior health outcomes,
lower cost, happy patients
Direct Primary Care Vs. Fee For Service
Direct Labs
Solstice Health provides wholesale lab and toxicology
services.
Direct Labs
Solstice Health provides off-site direct imaging.
Direct Imaging
Pill# Generic Brand Solstice
Wholesale
Price
Average
Retail price
100 Citalopram
20mg
(Antidepressant)
Celexa $3.50 $269.08
90 Atorvastatin
(Cholesterol
Management)
Lipitor $7.73 $18.87
100 Lisinopril 20mg
(Hypertension
Management)
Prenail/Zistril $3.43 $106.37
Direct Medications & Pharmacy Capabilities
Solstice Health Provides over 200+ wholesale medications.
The Solstice Health mobile app provides patients 24/7
telemedicine access to Solstice Health’s primary care physician
network. Patients can text, email, send photos or video
conference with a Solstice Health Primary Care Physician in
seconds through the mobile app.
Solstice Health telemedicine services can provide a second
opinion on an injury, illness or condition through our network of
over 100+ specialists.
Telemedicine Services
Complete Healthcare
For Less ThanA Monthly Cell Phone Bill
Thank You
Dr. Timothy Murray
tmurray@solsticewi.com
Questions ?

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Improve Employee Health & Control Healthcare Costs with Direct Primary Care

  • 1. IMPROVE EMPLOYEE HEALTH & CONTROL HEALTHCARE COSTS WITH DIRECT PRIMARY CARE Presented By: Dr. Timothy Murray Founder and CEO of Solstice Health
  • 2. Quick Housekeeping • Slidedeck will be posted on Solstice Health’s Website www.solsticewi.com • We will have Q&A at the end, but feel free to ask questions throughout the webinar. Quick Housekeeping
  • 3. • Healthcare Outpacing Inflation 2:1 • Premiums Increasing Without Any Control • Claims Filings Increasing Causing Higher Premiums • Employee Benefits Being Cut • Poor Employee Health Worker Illness and Injury Costs U.S. Employers $225.8 Billion Annually Productivity losses linked to absenteeism cost employers $1,685 per employee. Source: http://www.cdcfoundation.org/pr/2015/worker-illness-and-injury-costs-us-employers-225-billion-annually Employer Healthcare Problems Where to Start……
  • 4. COST: Medical bankruptcy is the number-one cause of personal bankruptcy in the U.S. TIME: 7-10 minutes average time with physician in fee for service model ACCESS: 1 in 5 Americans lack adequate access to primary care Source: Source : Gallop Employee Healthcare Problems
  • 5. Misaligned Incentives Drive Costs and Poor Health Outcomes This system incentivizes doctors to - Take on a high number of patients and see them as quickly as possible - Perform high-cost procedures Common Averages: 2,500 patients per physician 7 to 14 minutes per appointment 18.5 days wait time for an appointment How Did We Get Here?
  • 6. Primary care is the essential foundation in the healthcare system. Without affordable, accessible, convenient primary care, patients experience: 1. Costly avoidable visits to the ER 2. Unnecessary visits to specialists for tests and treatments that can be done in a primary care setting 3. Healthcare cost drivers avoid the doctor all together leading to a cascade of claims down the road. The Result? Poor Health Outcomes
  • 8. Insurance cost + non profit hospital overhead + lack of transparency = $$$ Why Do We Eliminate Insurance?
  • 9. How Direct Primary Care Provides Significant Cost Savings
  • 10. How Direct Primary Care Provides Significant Cost Savings
  • 12. Characteristic Fee For Service Direct Primary Care Panel Size Per Provider 2,000-3,000 600-800 Provider Incentive Volume-Based Quality-Based Patient Access to MD Call Center 24/7 Access Via Telemedicine Time Spent With Patients 7-10 Minutes > 30 Minutes Annual Exam Specific & Brief Comprehensive with Lab Work Access Extended Wait Times Same/Next Day Visits Cost 400%+ mark up Wholesale Pricing Coordination of Care Minimal Complete Outcomes Highest spending with poorest population health Superior health outcomes, lower cost, happy patients Direct Primary Care Vs. Fee For Service
  • 13. Direct Labs Solstice Health provides wholesale lab and toxicology services. Direct Labs
  • 14. Solstice Health provides off-site direct imaging. Direct Imaging
  • 15. Pill# Generic Brand Solstice Wholesale Price Average Retail price 100 Citalopram 20mg (Antidepressant) Celexa $3.50 $269.08 90 Atorvastatin (Cholesterol Management) Lipitor $7.73 $18.87 100 Lisinopril 20mg (Hypertension Management) Prenail/Zistril $3.43 $106.37 Direct Medications & Pharmacy Capabilities Solstice Health Provides over 200+ wholesale medications.
  • 16. The Solstice Health mobile app provides patients 24/7 telemedicine access to Solstice Health’s primary care physician network. Patients can text, email, send photos or video conference with a Solstice Health Primary Care Physician in seconds through the mobile app. Solstice Health telemedicine services can provide a second opinion on an injury, illness or condition through our network of over 100+ specialists. Telemedicine Services
  • 17. Complete Healthcare For Less ThanA Monthly Cell Phone Bill
  • 18. Thank You Dr. Timothy Murray tmurray@solsticewi.com Questions ?