How One Employer Cut Healthcare Costs by 56% & Reduced Wait Times by 20 Days

How One Employer Cut Healthcare Costs by 56% & Reduced Wait Times by 20 Days

Employers are facing rising healthcare costs, frustrated employees, and long wait times for essential care. But what if there was a way to deliver faster, more affordable healthcare without compromising quality?

We recently reviewed a case study comparing a traditional health plan to a quality-driven, cost-efficient model. The results speak for themselves.

Traditional Plan

  • ER visit – 4-hour wait, $2,000 claim
  • Ortho referral – 21-day wait, $500 claim
  • MRI at hospital – 5-day wait, $4,000 claim
  • Surgery at hospital – 14-day wait, $18,000 claim
  • PT at hospital system$200 per session

Optimized Plan

  • Same-day DPC visit$0 claim
  • Referred to independent ortho/virtual MSK specialist – 7-day wait, $250 claim
  • MRI & X-ray at an independent imaging center – 3-day wait, $450 claim
  • Surgery at an ASC – 10-day wait, $10,000 claim
  • PT with self-funded friendly provider$100 per session

The Impact

? 56% total cost savings – from $32,700 to $18,800 ? 20 days faster to surgery – meaning quicker recovery & less lost productivity ? Lower employee out-of-pocket costs – fewer ER visits & lower imaging expenses

What This Means for Employers

If your employees are stuck in long wait times, overpaying for care, or delaying treatment due to cost, it’s time for a better approach. The right care at the right price makes all the difference.

Want to explore how this model could work for your business? Let’s connect.

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