![]() "They value things differently," he says. Among the firm's 30 clients, 23 are Fortune 500 companies and eight are the largest companies in the world. "We think the most innovative payer is the employer, and that's why we've chosen to work exclusively with them," says Shreeve. Self-funded companies don't have the same requirements and restrictions as other payers, and they tend to be nimbler and more innovative. "The maturation of technologies, risk management solutions, and advisors with acumen and scale are leading this expansion of self-funding solutions nationally."īesides the growth of this market, there are other advantages. Not only are traditional employers gravitating to this concept, so are associations, Professional Employer Organizations, and chamber plans, he says. "There is a dramatic expansion of self-funding products and solutions entering the marketplace, all with the express focus of addressing the challenges of affordability for small and mid-sized employers," says Mike Sullivan, chief growth officer of OneDigital, a company focused exclusively on employee benefits and HR. This trend is on the upswing and presents opportunities for health systems and other providers. ![]() Due to market changes, in recent years this approach has become more appealing to mid-sized and even small companies. Many large employers are self-insured, a practice in which the company assumes its own claims risk, but often uses an outside entity to manage and administer benefits. Be aware that the self-insured market is growing The structured questions and care plans set this mode of communication apart from other solutions, he explains, and were part of the reason Crossover Health found Sherpaa an appealing acquisition. The Sherpaa system also prescribes "definitive or discrete care plans with actions for members to take," says Shreeve. Patients have time to get all their questions answered and can ask follow-up questions to the same practitioner, even days or weeks later. It also does not compress the visit into the short time frame currently allotted for most current video visits. Sherpaa's system generates structured questions and responses, enabling each provider to concurrently interact with multiple patients, just as one might text multiple parties simultaneously. If the need for more direct consultation occurs, it usually results in a phone call, not a video chat. While real-time video or phone consultations are currently available with doctors, Shreeve says that few patients choose this option. In an era where many healthcare interactions seem to be moving in the direction of real-time video, Shreeve contends that the asynchronous approach fosters long-term relationships, offers advantages that enhance the healthcare experience, and promotes efficiency. Similar to texting or email, this form of communication allows a thoughtful exchange of information over time, rather than forcing a visit into a limited, real-time exchange. Sherpaa specializes in asynchronous communications between providers and patients. We think the combination of in-person, online, and anytime is what consumers and employers are looking for." 2. "It's really creating a connected system of health for our employers who have populations throughout the country."Īnd, much like what is happening in the retail world, he says, "it's the combination of the digital and the physical that makes for a great experience and becomes very seamless for people. While some services like acupuncture and dental care cannot be offered digitally, certain aspects of physical therapy, for example, can. And we certainly see the employees and the members that use our services asking for more stuff to move online as well."īy incorporating Sherpaa's technology platform into Crossover Health, the same care team concept will be used to provide remote care. "More healthcare services will be moving online," he says. Shreeve says that about 70% of primary care does not require an in-person visit. Adding virtual care capabilities has become essential to the strategy. While Crossover Health says that its "patient-centered, outcomes-based care delivery model has helped these large employers reduce their overall health care costs, keep their employees happy and healthy, and provide a valued benefit" to employees and prospects, an increasing number of these employees-about 80% says Shreeve-work remotely. Annual exams are allotted 60 minutes follow-up appointments are 30 minutes in length. ![]() Some clinics offer optometry and dental services as well. Physicians and nurses comprise the backbone of the primary care team, and on-site services are supplemented with physical therapy, chiropractic care, acupuncture, behavioral health, health coaching, and fitness.
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