Introducing Novia CareClinics  Novia CareClinics provide primary care services at the employer site by creating and managing on-site clinics accessible by employees, their families, or others as designated by the employer. How an on-site clinic can save you money! On-site clinics will help…  Reduce medical benefit costs  Increase productivity  Improve employee health Reduce Medical Benefit Costs by Exchanging Retail for Wholesale  Physician services  Prescription drugs  Laboratory tests Physician Services Onsite Clinic Physician Office Visit Physician $107.00 per hour Nurse (RN) $32.50 per hour Total $139.50 per hour Divided by 3 visits per hour $46.50 per visit Brand / Generic Drug Cost Drug Nexium Keflex Ventolin(inhaler) Lopressor Coumadin Brand 139.99 103.99 42.99 69.99 82.99 Generic 89.95 16.49 16.99 16.99 40.69 Clinic 5.00 2.36 5.48 2.36 7.55 Laboratory Test Cost Example Complete Wellness Profile with PSA Retail $401.00 Wholesale $123.00 Clinic Cost $12.50 Increase Productivity Reduced Time Away From Work  For the actual office visit  Managing Workman’s Comp claims  Long term reduction in absenteeism Increase Productivity Average time away from work for physician office visit Retail physician 3.2 hours On-Site clinic .5 hours Productivity gain of 2.8 hours per visit Manage Workman’s Compensation Costs  Handle worksite injuries when open  Monitor treating physicians for other worksite injuries Improve Employee Health  Health risk appraisals  Identify individuals at risk  Directed wellness programs  Chronic disease management  Medication compliance Achieving Results “Doctor – patient relationships drive compliance, not postal and telephone reminders.” Dr. Robert Guthrie The Ohio State University On-site Clinic Minimums  One (1) Board Certified Physician  One (1) Nurse or Qualified Medical Assistant  Six hundred (600) Square Feet of Space  One (1) Exam Room  One (1) Prep and Storage Room  Two (2) Restrooms  One (1) Reception Area On-Site Clinics Fit All Sizes Number of Employees 118 330 423 984 1428 3200 Type of Industry Bottling Plant Rope Manufacturer Retirement Center Poultry Farm Sumner County Government Rutherford County Government State AL TN FL AR TN TN Clinic Start-up Costs Estimated Employer Build-out $12,000 to $15,000 $7,000 Initial Equipment & Supplies On-going Clinic Cost  Staffing – Physicians, Nurses etc.  Generic Drugs  Lab Tests  Replacement Supplies  Clinic Management Fee What Employees / Dependents Get Free of Charge     Primary Care – Colds, Flu, Asthma, Diabetes, etc. Preventive Care – Immunizations, Physicals, etc. Pharmaceuticals – Medications Dispensed on Site Fast Easy Access – More time with Doctor but less time waiting Consider This An on-site clinic is not an additional cost – you are currently paying for it through your medical benefit plan Liability Concerns Addressed  Neither the employer nor Novia CareClinics is involved in the practice of medicine  Physician provides primary medical malpractice coverage Liability Concerns Addressed  Employer is party of indemnification by Novia CareClinics  Novia CareClinics strengthens the indemnification by maintaining secondary medical malpractice insurance from an A+ insurer Are you Ready to Take Action? Next Step…  Prepare formal proposal, including impact study  Visit operational clinic if desired  After you say yes:  Physician recruitment  Clinic location and build-out  Employee meetings  Begin operations  From yes to opening, 90-120 days Results of Pilot On-site Medical Care $6,000 $5,000 Healthcare Cost PEPY $4,000 $3,000 $2,000 $1,000 $0 1999 2000 Client 2001 2002 Nat'l Avg. 2003