Imagine Your Practice Free from Chasing Reimbursement
The Problem
Providers are stuck in a fee-for-service "hamster wheel" that burns out staff and complicates billing. At the same time, employers face rising costs without better outcomes, and patients frequently avoid care until urgency and emergency issues come about.
The Solution
Advanced Primary Care (APC). Healthcare Disruptions bridges the gap by packaging clinical excellence into a market-ready, value-based offering. We turn your primary care services into a competitive and comprehensive direct-to-employer product. APC reduces patient barriers and enhances access and engagement while helping to improve health outcomes.
We don't just consult; we package. Our process takes your team-based care models, and translate them into a structured "Advanced Primary Care" product with enhanced communication protocols, which employers and employees can easily understand and purchase.
Direct-to-Employer Strategy
Skip the middleman. We help provider systems build the infrastructure for direct contracting—handling the strategic planning, PMPM (Per Member Per Month) financial modeling, and market positioning while assisting your team with creating effective employer agreements.
Using our APC framework, we implement the "Advanced" elements that matter to employers: increased access, chronic disease management, and integrated health and wellbeing, all backed by a clear ROI impact.
Market Activation
We provide the "Go-to-Market" playbook. This includes the initial focus groups to refine the messages and outreach strategies in your market, such as employer kickoff events, executive breakfast sessions, and digital communication templates.
We also provide ongoing engagement through communications and reporting showing the results in improved patient activation, health outcomes, and financial impacts to total plan costs.
Employers: Unending Plan Inflation is NOT a Given
The Problem
You've been told again and again that annual inflation of upwards of 4%-7% in your health care plan is unavoidable. WE DISAGREE!
Healthcare Disruptions offers you a roadmap to flattening and reducing health plan costs, while generating improved health outcomes and prouctivity.
The Solution
Advanced Primary Care (APC). We work with physician groups around the country to offer your plan preventative and primary care to your employees and their families, for which you pay an upfront, known, fixed, per member per month (PMPM) fee.
How Does APC Work?
It could not be more straight forward, logical or effective. Your firm pays a monthly PMPM fee, offering everyone on your plan immediate access to preventative, primary and some urgent care including lab tests, imaging, and some entry medications.
They receive preferential appointments (typically same or next day), and waiting areas within clinics. There is no out-of-pocket expense such as copays, co-insurance, or deductibles. No concern about unknown or hidden fees.
How Will It Affect My Plan Costs?
Increasing your spend on preventative care will save the plan money, typically within months. Research and real world experience shows that investments into high valued primary care will lower ER costs up to 50%, Hospitalization cost up to 85%, and reduces the prevelence and cost of chronic disease.
Employer Success Story
Financial Services Company
Issue
Rising healthcare cost at 8% a year
Solution
- Changed TPA to access data
- Implemented an onsite clinic which paid for itself in less than one year
- Reduced plan cost year over year
- Reduced ER and chronic disease costs
- Increase plan reserves to over $8M over a 6 year period
Brokers Advisors
The Problem
Employee Benefits Consultants & Brokers are increasingly under pressure to meet fiduciary obligations for their clients both in providing meaningful solutions and meeting regulatory requirements.
An employer's health plan whether fully-funded or self-funded needs vendors ranging from Carriers or TPAs, PBMs, Reinsurance, to point solutions. They expect their carriers and TPAs provide meaningful discounts to retail prices for healthcare services. This model relies on the consumer to access care at the right time and right place, however the consumers do not. This reactive approach is a problem. A plan, however, that builds in a more proactive approach can better manager overall plan costs.
The Solution
Preventative Primary Care. Healthcare Disruptions helps employee benefits professionals by offering local healthcare solutions using value-based healthcare delivery strategies to better manage health plan cost and plan members health outcomes. Healthcare is local; we help bridge the gap in creating effective partnerships and relationships.
The central pillar of our process: Advanced Primary Care (APC). We work with Employee Benefits Advisory and Brokers across the country to offer a local solution to a national problem. We have relationships in many markets and are growing these options across the country.
Our Advanced Primary Care model bundles and packages a variety of healthcare services - occupational health, primary care, and urgent care -to your employees and their families, for which employers pay an upfront, known, fixed, per member per month (PMPM) fee.
How Does APC Work?
It could not be more straight forward, logical or effective. Employers enter into a direct payment agreement and pay a monthly PMPM fee, offering everyone on their plan immediate access to preventative, primary and some urgent care including lab tests, imaging, and some entry medications. No Copays, deductibles to be met, or concern for unknown fees.
Our Advanced Primary Care model bundles and packages a variety of healthcare services - occupational health, primary care, and urgent care -to employees and their families, for which employers pay an upfront, known, fixed, per member per month (PMPM) fee.
Plan members form trusted relationships with their healthcare providers, improving benefits usage and engagement. Free from concerns over copays and hidden fees, plan members are much more likely to seek care, improving health outcomes and reducing plan cost.
Patients
Imagine Access to Health Care Without Copays or Hidden Fees
How many of your friends and family members avoid seeking health care because of inconvenience or cost? And how many then end up with potentially severe and debilitating chronic conditions.
We are offering and opportunity to form trusted relationships with your health care providers, and see them as often as need be without the dreaded endless waiting. Ask your employer to reach out to us. Healthcare disruptions wants to make your health care their top priority!