Waldorf University project for Managed Care Research

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Attached.Running head: EMPLOYER-BASED CLINICSEmployer-based clinicsStudent NameInstitution Affiliation1EMPLOYER-BASED CLINICS2Employer-Based ClinicsIntroductionThe system of health care in the United States is fragmented despite higher levels ofspending on health capita coupled with gross domestic product share superseding other nationsglobally. Besides, primary care is deficient. Research on the regional variations in the health ofthe United States indicates similar disconnects between better outcomes of health as well ashigher spending. In this case, concerned employers in the US have implemented deliverystrategies of health care along with innovative payments as they are faced with an economicdownturn along with heightening health benefit costs. Exles include health care plans whichare consumer-driven together with targeted prevention programs (Shahly, Kessler #038; Duncan,2014). Notably, the health plans impose undue shifts in the cost, which is prohibitive in terms ofits out-of-pocket expenses and also has challenges in regards to health literacy.On the other hand, the programs indicate long –term clinical efficacy along with nearterm economic returns. Against this background, employers have started exploring detailedhealth delivery platforms, including worksite primary care clinics, which are integrated with theability to effectively address the issues of cost together with other pressing challenges faced withthe current health care in the US (Pronk, 2007). The challenges encompass the growing shortageof primary care physicians, low childhood immunization rates, lack of coordination, as well asmodels of treatment that are centered on the patient. Therefore, such on-site medical clinicsattempt to leverage on a rare comparative strength of the health care system in the system, whichentails the plentiful supply of registered nurses that are highly skilled in providing workers alongwith their dependents care that is affordable, convenient as well as high quality.EMPLOYER-BASED CLINICS3Surging health care costsImportantly, employee cost-shifting has resulted from the increasing growth in the costsof health in the form of higher premiums in insurance, co-pays, as well as co-insurance, whichburdens the workers. According to a consensus data from the population survey of the US showsthat the inflation in health care has led to rises in medical expenses that are out-of-pocket to growdisproportionately in contrast to the wages of the workers. The average yearly premiums offamily insurance have risen by over 95% over the decade since the early years of the millennium(Shahly, Kessler #038; Duncan, 2014 #038; LaPenna, 2009). Amid this rise, the wages of the workershave risen by only 33%, with inflation rising by 28%. Despite such burdens being specific to theindustries, the total average spending on health in 2007 for a family with four membersrepresented over 55% of maintenance as well as hotel cleaning average yearly earnings ofworkers.Trends in employer-based clinicsDespite larger firms routinely sponsoring on-site occupational health clinics that areequipped for managing injuries at the place of work, safety as well as substance compliance,return-to-work functional testing, and pre-employment exams, a steady drop in manufacturinghazards has resulted in numerous such clinics being closed or in other cases repurposed intreating minor acute conditions. Over the last 20 years, employers have changed their focus to inhouse programs that concentrates on specific health risks that are modifiable along withunhealthy lifestyles which could destabil…

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