Intro to Worksite Health Services 2018
Market Introduction and Vendor Guide

Market Introduction

This market introduction and vendor guide represent a purposeful focus by KLAS to explore areas in which new trends and opportunities are reshaping how healthcare is accessed and delivered. In this case, the area of focus is worksite health services. KLAS defines worksite health services as employer-sponsored healthcare delivery (i.e., on-site clinics) and prevention services done at or near the employer worksite.

The insights in this report reflect discovery and scoping work done by KLAS and were compiled from numerous sources, including KLAS interviews with vendors, industry associations, and employer organizations. Vendor-specific data represented here incorporates not only KLAS’ (early) understanding but also a significant level of vendor-reported information. In the future, KLAS plans to do additional research on worksite health services in order to incorporate customer feedback on themes such as why vendors were selected, the quality of the services delivered, and the actual value received.

Worksite Health Services Vendors: Who's Who?

In recent years, the concept of worksite clinics and health services has seen renewed attention and growth. Three goals are often top of mind for employer organizations when engaging a third-party vendor for worksite health services: (1) improve employee health, (2) reduce healthcare costs, and (3) encourage employee engagement and loyalty. This report provides a high-level look at and comparison of the major service providers (vendors) in this market.

The list of vendors in this report is not comprehensive. Those vendors included are understood to provide a majority of the services in the KLAS worksite health services framework. Those vendors who aren't referenced here but provide a majority of the worksite health services in KLAS' framework are encouraged to contact KLAS for inclusion consideration and criteria in subsequent KLAS reports in this area.

Regarding the columns highlighting vendors' most common delivery models, contracting models, and emerging contracting models, it should be noted that most vendors offer a majority or sometimes even all of the possible options. Highlighting a vendor's most common approach is intended to help employer organizations gain insight into how vendors differ. It should not be construed as an indication that vendors do not provide other options.

Worksite Health Services Vendors: Who Does What?

An employer organization’s decision to bring on a third-party vendor for worksite health services quickly brings into the spotlight a number of unique needs and complex considerations. While nearly all worksite health vendors offer on-site clinics, the variation among other available service offerings and actual contracts with clients can be great. The following chart provides high-level transparency into vendor-reported capabilities, as well as brief KLAS observations on each vendor.

KLAS Insights on Vendors

Activate Healthcare: Purposeful focus on shared multi-employer clinics appears fairly unique in this market; patient engagement and “integrated” healthcare are important priorities noted by the vendor.

CareATC: Midsize firm with focus on multi-employer clinics; emphasis on using self-developed technology and analytics specific to worksite health is important to the vendor.

CareHere: Healthy concentration of small employer clients; key values listed by the vendor include complete cost transparency and long-term savings for clients.

Cerner: Healthcare technology solutions and market share with providers are unique attributes; vendor sees leadership commitment from clients as most critical factor to employer organization success with worksite health.

Concentra: Perhaps most known for occupational health; operates “retail” clinics and growing number of on-site clinics; convenience of occupational and urgent care access is a strategic priority for the vendor.

Crossover Health Medical Group: Smaller, relatively newer company with large on-site clinics and large customers; vendor prides themselves on having a disruptive, technology-enabled model.

Healics (Interra Health): Healics/Interra merger created interesting combination of on-site care (Interra) and wellness/coaching (Healics); leadership with clinical experience/background is vendor-asserted differentiator.

Healthstat: Smaller firm appearing to offer broad array of services; integrating behavior-based change tools and messaging into population health programs is a focus for the vendor.

InHouse Physicians: Very unique background in overseas clinics and temporary/event-based on-site clinics; vendor views high-touch approach with clients as key strength.

Marathon Health: Well-known and often-referenced service provider serving mostly large clients; population health approach and programs are key highlights reported by the vendor.

Medcor: Historical focus on occupational health, though that is changing; key priorities include following evidence-based medicine and pursuing a model that avoids revenue from referrals and other conflicts of interest.

One Medical: Flexible, membership-based model appears interesting and somewhat unique; care availability via 24/7 virtual care is reported by the vendor as key selection criteria for clients.

OnSite Care: Has carved out niche as a smaller, regional vendor; sees its local market presence and clinical executive leadership as the main draws.

Optum: Largest overall company by size among those noted here, though newer to on-site clinic business (via acquisition); ability to provide extensive services is differentiator reported by the vendor.

OurHealth: Primary approach is near-site care. Concentrated geographical coverage. Vendor says that targeting and facilitating high patient engagement rates is what makes them stand out.

Paladina Health: Smaller, quickly growing firm that is part of DaVita, though not yet well-known; having a population health strategy and highly trained physicians at every clinic are core focuses for the vendor.

Premise Health: Largest on-site clinic vendor in terms of customer footprint and revenue, with growth occurring both organically and through acquisitions; ability to provide one-stop services is key value proposition for the vendor.

QuadMed: Began in on-site care services by servicing its own large employee population for 10+ years; vendor reports very high patient satisfaction as key hallmark.

Vera Whole Health: As of today, may be only vendor doing full risk in contracting; focus on patient behavior change and putting fees 100% at risk are vendor’s stated highlights.

Verve Health (Repucare): Still-emerging company serving small employers with currently small geographic presence; vendor-reported hallmarks are taking custom approach for each client and providing nimble service.

WeCare TLC: Broad services for small vendor with concerted focus and model largely based on multi-employer clinics; self-developed clinical technology represents area in which vendor sees themselves as a leader.