Evolve Direct
for Employers
Lower your company’s healthcare spend by 15-20%
In
Year
One!
Employer Benefits
Employer’s Benefits
Reduced Health care Spending up to 15-20%
Reduce Workmans Comp
Increased Productivity
Improved Employee Retention
Recruiting Tool
Reduce Absenteeism
Telemedicine benefit
Wellness Program
Unprecedented access to primary and urgent care
Superior concierge-level providers focus on your employees’ health and wellbeing
Dramatically improved employee job satisfaction and retention
Urgent and Primary care offered in person or via telemedicine
No primary or urgent care co-insurance or deductibles.
No restrictions based on age or pre-existing conditions
Coordination with your other benefit offerings
Specific health care utilization, costs and population health outcomes reporting accessible on-line
Your Employee’s Experience
Extended weekday and weekend access
Same or next-day appointments for urgent care
30-60 minute office visits
Telemedicine or in-person visits
After hours phone or virtual access to a provider for urgent medical needs
Blood drawn onsite at no additional charge
Significantly reduced cost of labs and radiology
Phones answered live
Employees have easy, simple access to their provider (phone/email/text)
Minimizes out-of-pocket spending prior to deductible
Save Money
Lower premium
Raise deductibles/co-pays
Move to HDHP/HSA
Allows self-insurance
Manage complex patients
Provide Enhanced Benefits
Improve employee retention
Improve recruitment
Improve employee morale
Enhance corporate image
Improve Productivity
Reduce absenteeism
Decrease rate of illness
Minimize time away
Provide telehealth/afterhours care options
Decrease Utilization
35% fewer hospitalizations
65% fewer ER visits
66% fewer specialist visits
82% fewer surgeries
Wellness Program
Evolve providers adhere to the highest standards of wellness care
Improve Tracking
Specific healthcare utilization, costs and population health outcomes accessible on-line
How do Employers Save 15-20% of Health care Spending?
Enhanced and increased access to primary and urgent care services.
Evolve provides ALL of your employees primary care and urgent care.
Emphasis on wellness and keeping employees healthy.
Cap on primary care costs.
Proven Benefits:
Lower Your Health care Spending
Direct Primary Care, the Evolve Direct model has been proven to reduce health care spending substantially.
Decreased number of hospitalizations (35% less)
Decreased number of days in hospital (43% less)
Decrease in advanced radiology testing (63% less)
Decrease in surgeries (82% fewer)
Decreased ER visits (65% less)
Decreased specialty visits (66% less)
Employers see these additional benefits:
Increase productivity
Reduce absenteeism
Reduce Workmans Comp
Improved employee retention and morale
Recruiting tool for new hires
No matter the size of your organization,
Evolve Direct Primary Care is the right choice for your employees
— and your bottom line.
Evolve Direct Primary Care
Provides In-depth Quality Reporting
Reporting to Individual Patients
Each patient should know his/her own data and how those results compare to established quality thresholds.
Reporting to Purchasers
The purchaser should be informed of the de-identified aggregated quality results for common conditions such as hypertension, diabetes, asthma and other ambulatory-care sensitive conditions. Privacy should be protected by not aggregating conditions that exist only in small numbers.
Reporting at the Community Level
Clinical data should be reported to a health information exchange (HIE) to ensure that care both within and outside the purview of the primary care provider is appropriately analyzed and measures are reported based on all available data. Reporting at the HIE level permits greater coordination of care and decreased unnecessary duplication if the DPC provider does not share a common electronic health record with providers of specialty and ancillary care.
Evolve Direct Primary Care
Covered Services
Almost all of your Primary Care and Urgent Care at Evolve is FREE!
Annual physical, Well-Woman GYN exams, Physical blood work, EKGs, Strep Tests, and flu shots. If you are sick, strep tests, urinalysis, nebulizer treatments are all free.
And, if you are not 100% satisfied, cancel at anytime after the first 6 months.
Direct Primary Care Services
Evolve Direct Primary Discounted Services
Almost ALL of the Primary Care and Urgent Care services you will need are FREE.
For those rare times you need something more complicated, such as stitches, you’ll get those services at over 70-95% discount compared with average prices nationally.
No service is more than $50 including biopsies, joint injections and sutures. Most services are just $25 extra.
Discounted Services
Evolve Discounts Go Even Further!
Evolve members qualify for a number of other substantial discounts. Although we make every effort to avoid expensive testing and/or unnecessary referrals, we are proud to offer the following discounted or additional free services.
Antibiotics
Evolve offers a number of commonly used antibiotics at no additional cost,
further saving patients both financially and avoiding long waits at pharmacies waiting to fill prescriptions.
Antibiotics
Save up to 100%
Labs
Save up to 92%
The above represents only a few sample lab prices to illustrate the tremendous savings on labs available through Evolve Direct Primary Care. All Labs are discounted at similar rates!
Radiology
Save on Radiology
*Pricing according to MDGave.com. Healthcare Bluebook Guru.com and CMSgov.
Evolve is excited to offer two solutions for employers:
Evolve Direct as Urgent Care (or as needed care) only:
Employer can notify Evolve of impending patient visit via email, text or phone.
Employees are guaranteed a same-day visit
Employees are guaranteed wait time of less than 30 minutes.
Employees will be treated with the highest level of respect and receive highest level of medical care.
Employer directly links a bank account or credit card to facilitate, as needed, on-demand payment.
Itemized invoice sent to employer after each visit
Telemedicine option not available
Longitudinal healthcare not available
Your employees will leave Evolve feeling grateful to their employer for providing high end, concierge-level care and service.
Evolve Direct Primary Care:
Employer can enroll patients in Evolve’s Primary Care model. Call for details! Or email us.
Discounted rate for 20 or more employees is 5% monthly cost.
Discounted rate for 100 or more employees is 10% monthly cost.
More information about Direct Primary Care can be found through the Direct Primary Care Coalition located in Washington, DC. Dr. Freedman is proud to serve on the National Steering Committee.
Frequently Asked Questions for Employers
Is this similar to an on-site or near-site clinic?
Evolve Medical Clinics can be installed within your facility, depending on your employee base. For employers any size, Evolve acts as the equivalent of a near-site clinic.
What is the advantage of Evolve over a Telemedicine benefit offering?
Telemedicine can handle up to 85% of routine urgent care. For those 15%, they are told to find an urgent care and start over–which employees find very frustrating. With Evolve, we can see your employee to follow up the virtual visit with any necessary testing–they will not need to start over. Further, telemedicine plans do not offer routine primary care via virtual visit–Evolve does.
Are family members eligible?
Yes. Spouses, domestic partners and other family members are welcomed. Children ages 6-25 years of age receive a free membership with each parent enrolled.
Is Evolve DPC an insurance plan?
No. We work directly with our patients to provide primary and preventive care services. We do not provide specialist, hospital or emergency care, but can refer patients to providers within their plan network.
Does Evolve DPC pair with insurance plans?
Yes. We can vertically integrate with your current benefits packages. Most employers can expect to save 10-40% on their insurance premiums once Evolve is incorporated into their benefits plan.
Do you work with insurance brokers?
Evolve has the area’s top insurance architects/brokers available to help you build a benefit offering that saves money and offers your employees a significant perk. Evolve is also happy to work directly with your broker.
How do you help save the employer and the employees financially?
Our model of care, Direct Primary Care (DPC) has been proven to dramatically lower healthcare utilization by decreasing ER visits, nearly eliminating urgent care visits, lowering referrals for Radiology and Specialists and decreased surgery and hospitalizations.
Can you help our employees lower their prescription costs?
We act as advocates and actively search out not only the least expensive prescription but also the least expensive pharmacy. We even take that a step further and find your employees substantial discounts which can dramatically lower medication costs.
Employees often don’t want to change their Primary Care provider. Do they have to?
Your employees can use Evolve for urgent care or routine prescriptions. Our experience is that after one or two visits within a clean, spa-like facility, no waiting, easy same-day appointments and our compassionate, attentive providers who communicate clearly with patients, they electively switch their primary care to us 85% of the time.
Is Specialty care outside of Evolve Direct covered?
When patients’ health care needs extend beyond the scope of primary care or urgent care, our clinicians will work with outside specialists, pharmacies and hospitals to coordinate care. We work to provide referrals to the top area specialists within your planned network.
How does Evolve handle labs?
Evolve will draw your employee’s labs at the time of their visit. Or they can return anytime, without an appointment, to have their labs drawn, free of charge. Evolve is able to extend a very substantially reduced fee for lab services. For instances, a “CBC” or complete blood count, is only $6. Complete blood chemistry analysis is $8. Urine analysis is free and included.
What about radiology services?
Evolve Medical has worked out discounts at a number of major radiology service providers. Referrals can be either through your employees’ insurance plan or an Employer (or employee) may opt to obtain radiology services through Evolve’s discounted plan. For exam, an MRI normally priced $1,000 is available for only $400, thereby helping reduce pre-deductible spend and/or total healthcare spend for employers.
When does open enrollment begin?
Evolve accepts new patients 365 days per year.
Looking for additional resources on Value-Based Primary Care (DPC)?
Atul Gawande
Atul Gawande, MD published The Hot Spotters in The New Yorker in 2011. He showcased the ability of a redesigned direct primary care practice to radically improve the care of chronically ill persons in a casino worker’s union in Atlantic City. They focused on the very small percentage of employees and dependents that drive a large portion of the cost by developing a special facility to handle the unique needs of these individuals.
American Academy
American Academy of Family Physicians offers guidance and a toolkit for physicians interested in transforming practices to DPC and explains the distinction between DPC and concierge practice.
Other non-DPC Value-Based Primary Care Resources
Patient-Centered Primary Care
Patient-Centered Primary Care Collaborative is a “not-for-profit membership organization dedicated to advancing an effective and efficient health system built on a strong foundation of primary care and the patient-centered medical home.”
Comprehensive Primary Care Initiative
Comprehensive Primary Care Initiative is a four year “multi-payer initiative created by the Centers for Medicare & medicaid Innovation to reform and reinvigorate primary care by enhancing population health management and other key elements. It’s a cooperative between governmental and private payers. In its third year, CPC is already reducing costs and improving quality. Purchasers should examine what’s working well in this model.
Better health starts with
better primary care.
EVOLVE
“Smart CEOs of companies are recognizing that there’s no insurance-based, insurance-centric solution for their healthcare problem,” Blanchard says. “Their problem is they’re footing the bill, in large part, for health care for their employees, but they have no control over its quality or delivery.”
DPC for County Employees in North Carolina studied: “In the first year, 44 percent of the county’s employees went with DPC—and to good effect, according to an analysis by the John Locke Foundation, a North Carolina research organization. As a group, the employees who used DPC incurred 23 percent less in medical expenses and 36 percent less in prescription expenses than their peers in the traditional health plan.”
Business Insider, June 2018:https://www.businessinsider.com/how-employers-could-use-direct-primary-care-2018-3
Employee Benefit Adviser, Dec 2017: https://www.employeebenefitadviser.com/opinion/why-benefit-advisers-should-consider-direct-primary-care-for-clients
“Paired with a reference-based pricing health plan for catastrophic care, the employer will gain control of their healthcare spend and improve the quality of care for employees.”
The below information is from CWANJ (Communications Workers of America Union, New Jersey) describing their State Health Benefits Plan in 2018: http://cwanj.org/shbp2018/