Workplace Clinics and Employer Managed Healthcare (2^nd Ed.)
A Catalyst for Cost Savings and Improved Productivity, Second Edition

The concept of an employer attempting to manage healthcare cost and quality is not new. There are numerous national and individual statistics that relate the cost and purchasing challenges in the provision of healthcare as a benefit and a competitive barrier for American enterprises.

Workplace Clinics and Employer Managed Healthcare: A Catalyst for Cost Savings and Improved Productivity, 2nd Edition is not another diatribe on the national healthcare problem. Instead, it is a book about what is possible. Mike LaPenna shares with readers the actual experiences of those self-funded employers who are moving healthcare access on-site and directly managing all aspects of their own healthcare delivery system. In this revised and updated edition, the author examines both the big issues and the nuts and bolts concerns that companies and their employees face; demonstrates the importance of employee participation in the planning; and covers when and how to work with hospitals, pharmacies and other vendors.

Much is made about turning healthcare delivery into a system that incentivizes wellness rather than profits from illness. This is the one path that assures such an outcome. This second edition includes updated case studies and revised material of chapters.

Foreword: Ford Brewer, MD, Medical Director, Toyota Manufacturing of North America, Inc.; Preface; Acknowledgements; Chapter 1: Introduction: Workplace On-Site Healthcare as a Catalyst for Cost Savings and Improved Productivity; Chapter 2: Company Planning for Healthcare and Employees’ Participation in the Planning and in the "Plan"; Chapter 3: The Myth of the Company Doctor; Chapter 4: Components and Complements to On-Site Healthcare: Planning to Plan; Chapter 5: The On-Site Program: What and Who Are In and Out? Why?; Chapter 6: Cost Savings, Cost Avoidance, and Confidence Levels; Chapter 7: The Quest for a Dependable Return on Investment: Claims Analysis; Chapter 8: The Quest for a Dependable Return on Investment: Key Assumptions and Drivers; Chapter 9: The Quest for a Dependable Return on Investment: Benefit and Program Design; Chapter 10: The Healthcare "Buy": Determine What to Purchase by First Fighting Out What Not to Purchase; Chapter 11: Electronic Medical Records, Personal Electronic Health Records, the Medical Home, and the Medical Homeless; Chapter 12: Legal Issues: Contracting and Regulatory Challenges; Chapter 13: Working with Hospitals Rather than against Them; Chapter 14: Utilizing Local Physicians as the Primary Care Anchors; Chapter 15: Pharmacy, Pharmacy Benefit Managers, and Other Mysteries; Chapter 16: Employees, Consumerism, and the Illusion of Choice; Chapter 17: Ambulatory Care Nuts and Bolts: Site Design and Function; Chapter 18: Workforce and Population Analysis: Prevention, Intervention, Wellness, Disease Management, and the Care Management Team; Chapter 19: Special Situations and Some Solutions (Middlemen, Brokers, Third-Party Administrators, and Consultants); Chapter 20: Working with the Vendors: The Request for Proposal and Its Application to the Development Process; Chapter 21: Political and Functional Barriers to Establishing an On-Site Medical Service; Chapter 22: Involving Other Businesses as Customers of the On-Site Program; Chapter 23: The Future of On-Site Services and the On-Site Industry; Appendix A: On-Site References and Reading List; Appendix B: Claims Request (Complete Listing); Appendix C: Pro Forma Example; Appendix D: On-Site Provider Listing; Appendix E: Workplace On-Site Program Consultant and Resources