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Employee response to employer-sponsored direct primary care

Published online by Cambridge University Press:  22 November 2023

Stephen Gage  and
Amy Cooper Hakim
Stephen Gage*
Affiliation:
Gage Benefit Advisors, Charlotte, NC, USA
Amy Cooper Hakim
Affiliation:
Cooper Strategic Group, Delray Beach, FL, USA
*
Corresponding author: Stephen Gage; Email: sgage@gagebenefit.com
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Abstract

Health benefits represent employers’ fastest growing operating expense. Efforts from human resources to control healthcare spending through restrictive plan design changes and corporate wellness programs may not achieve employer health and financial goals and may negatively impact employee outcomes. Employers are increasingly contracting directly with providers in order to access quality medical care and to control spending. The purpose of this practice-focused paper is to provide survey data collected from 10 employers as part of the quality improvement activities of a direct primary care (DPC) program. Overall, survey responses of employees engaged with DPC had higher patient satisfaction, group health plan rating, perceived organizational support, and job satisfaction than survey responses of those registered into the program but not yet engaged with a DPC physician. Implementation considerations and DPC characteristics are provided.

Type
Practice Forum
Information
Industrial and Organizational Psychology , Volume 16 , Issue 4 , December 2023 , pp. 541 - 546
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the Society for Industrial and Organizational Psychology

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References

America’s Health Insurance Plans. 2018. Majority of Americans satisfied with their employer’s health plan, new survey shows . https://www.ahip.org/news/press-releases/majority-of-americans-satisfied-with-their-employers-health-plan-new-survey-shows.Google Scholar
Bindman, A., Hulett, D., Gilmer, T., & Bertko, J. (2016). Sorting out the health risk in California’s state-based marketplace. Health Services Research, 51(1), 129–145. https://doi.org/10.1111/1475-6773.12320.CrossRefGoogle ScholarPubMed
Budgen, J., & Cantiello, J. (2019). Advantages and disadvantages of the patient-centered medical home. Health Care Manager, 36(4), 357–363. https://doi.org/10.1097/HCM.0000000000000178.CrossRefGoogle Scholar
Caloyeras, J. (2018). Three essays on value in health care: workplace wellness program return on investment, effectiveness of monetary penalties for tobacco cessation non-participation, and physician perceptions of their use of time and appropriateness of care provided. Rand Corporation. https://www.rand.org/pubs/rgs_dissertations/RGSD401.html Google Scholar
Centers for Medicare and Medicaid Services. Request for information for direct provider contracting models , 2018. https://innovation.cms.gov/files/x/dpc-rfi.pdf.Google Scholar
Chen, L., Hannon, P. A., Laing, S. S., Kohn, M., Clark, K., Pritchard, S., & Harris, J. R. (2015). Perceived workplace health support is associated with employee productivity. American Journal of Health Promotion, 29(3), 139–146. http://doi.org/10.4278/ajhp.131216-QUAN-645.CrossRefGoogle ScholarPubMed
Cooper, Z., Craig, S., Gaynor, M., Harish, N., Krumholtz, H., & Reenen, J. (2019). Hospital prices grew substantially faster than physician prices for hospital-based care in 2007-14. Health Affairs, 38(2), 184–189.CrossRefGoogle ScholarPubMed
Eisenberger, R., Malone, G., & Presson, W. (2016). Optimizing perceived organizational support to enhance employee engagement . SHRM-SIOP Science of HR Series. https://www.shrm.org/hr-today/trends-and-forecasting/special-reports-and-expert-views/Documents/SHRM-SIOP%20Perceived%20Organizational%20Support.pdf Google Scholar
Eisenberger, R., Stinglhamber, F., Vandenberghe, C., & Sucharski, I. L. (2002). Perceived supervisor support: Contributions to perceived organizational support and employee retention. Journal of Applied Psychology, 87(3), 565–573. https://doi.org/10.1037/0021-9010.87.3.565.CrossRefGoogle ScholarPubMed
Ellner, A. L., & Phillips, R. S. (2017). The coming primary care revolution, Primary care: A critical review of the evidence on quality and costs of health care. Journal of General Internal Medicine, Health Affairs, 32(4), 380–386. https://doi.org/10.1007/s11606-016-3944-3.CrossRefGoogle Scholar
Friedberg, M. W., Hussey, P. S., & Schneider, E. C. (2010). Primary care: A critical review of the evidence on quality and costs of health care. Health Affairs, 29, 766–772.CrossRefGoogle ScholarPubMed
Greenwald, L., & Fronstin, P. (2018). The state of employee benefits: Findings from the 2018 Health and Workplace Benefits survey. Employee Benefit Research Institute Issue Brief, 470.Google Scholar
Jones, D., Molitor, D., & Reif, J. (2019). What do workplace wellness programs do? Evidence from the Illinois Workplace Wellness Study (NBER Working Paper No. 24229). National Bureau of Economic Research, Inc. https://www.nber.org/papers/w24229.pdf Google Scholar
Jordan, D., & Cotter, J. (2016). Association between employee earnings and consumer-directed health plan choices. Journal of Healthcare Management, 61(6), 420–435.CrossRefGoogle ScholarPubMed
Kaiser Family Foundation. (2022). 2022 Employer health benefits survey. Kaiser Family Foundation. https://www.kff.org/health-costs/report/2022-employer-health-benefits-survey/.Google Scholar
Linden, A. (2007). Estimating the effect of regression to the mean in health management programs. Disease Management and Health Outcomes, 15(1), 7–12. https://doi.org/10.1136/bmj.326.7398.1083.CrossRefGoogle Scholar
MacDonald, I. (2014). Satisfaction with consumer-driven health plans on the rise. Fierce Healthcare. https://www.fiercehealthcare.com/payer/satisfaction-consumer-driven-health-plans-rise.Google Scholar
Marshall, G., & Hayes, R. (1994). The patient satisfaction questionnaire short form (PSQ-18). Rand Corporation. https://www.rand.org/pubs/papers/P7865.html.Google Scholar
McDevitt, R. D., Haviland, A. M., Lore, R., Laudenberger, L., Eisenberg, M., & Sood, N. (2014). Risk selection into consumer-directed health plans: An analysis of family choices within large employers. Health Services Research, 49(2), 609–627. https://doi.org/10.1111/1475-6773.12121.CrossRefGoogle ScholarPubMed
Miller, S. (2015). Better pay and benefits loom large in job satisfaction . Society for Human Resources Management. https://www.shrm.org/resourcesandtools/hr-topics/compensation/pages/pay-benefits-satisfaction.aspx Google Scholar
Miller, S. (2022). Settlement of wellness lawsuit shows risks of health-screening incentives. Society for Human Resources Management. https://www.shrm.org/resourcesandtools/hr-topics/benefits/pages/yale-wellness-suit-settlement-shows-risks-of-health-screening-incentives.aspx Google Scholar
Morrison, E. M., & Luft, H. S. (1990). Health maintenance organization environments in the 1980s and beyond. Health Care Financing Review, 12(1), 81–90.Google ScholarPubMed
National Association of Worksite Health Centers. What is an “onsite” or “near-site” center?, 2022. https://www.nawhc.org/What-is-an-Onsite-or-Near-site-Clinic.Google Scholar
Shenkin, B., Long, T., Berman, S., Brandt, M., Helm, M., Hudak, M., Price, J., Racine, A., Shenkin, B., Snider, I., White, P., Droge, M., & Willis, E. (2014). High deductible health plans. Pediatrics, 133(5), 1461–1470. https://doi.org/10.1542/peds.2014-0555.Google Scholar
Society for Human Resources Management. (2019). Managing health care costs. https://www.shrm.org/resourcesandtools/tools-and-samples/toolkits/pages/managinghealthcarecosts.aspx.Google Scholar
Song, Z., & Baicker, K. (2019). Effect of a workplace wellness program on employee health and economic outcomes: A randomized clinical trial. JAMA, 321(15), 1491–1501. https://doi.org/10.1001/jama.2019.3307.CrossRefGoogle ScholarPubMed
Tseng, P., Kaplan, R. S., Richman, B. D., Shah, M. A., & Schulman, K. A. (2018). Administrative costs associated with physician billing and insurance-related activities at an academic health care system. JAMA, 319(7), 691–697. https://doi.org/10.1001/jama.2017.19148.CrossRefGoogle ScholarPubMed
Watts, T., & Domaszewicz, S. ‘Direct primary care gains ground as employer strategy, Mercer, 2020. https://www.mercer.us/our-thinking/healthcare/direct-primary-care-gains-ground-as-employer-strategy.html.Google Scholar
Weathington, B. L., & Jones, A. P. (2006). Measuring the value of nonwage employee benefits: Building a model of the relation between benefit satisfaction and value. Genetic, Social, and General Psychology Monographs, 132(4), 292–328. https://doi.org/10.3200/MONO.132.4.292-328.CrossRefGoogle Scholar