DPC for Employee Health
Prescription Utilization
Prescriptions can eat up over 50% of your claims if you’re not careful. Here’s where to look next:
1. Independent Pharmacy Benefits
Most insurance carriers also own the Pharmacy Benefits Manager (PBM). This creates a pricing shell game where markups are hidden and employers pay far more than necessary.
What this solves:
- Eliminates conflicts of interest
- Replaces inflated pricing with fair market rates
- Allows employers to see exactly what they’re paying for each drug
The results:
- Employers often discover they’re overpaying by 500% to 1,000% on many prescriptions.
- The Federal Trade Commission estimates $7.3 billion in excess spend due to this problem alone.
2. Better Care
Traditional primary care averages 8-13 minute appointments. And with Americans averaging 4 prescriptions per person, the easy solution is to prescribe another pill.
Direct Primary Care replaces the old fee-for-service billing with a membership model that gives employees 30-60 minute visits in order to dive into the root cause of an employee’s symptoms.
What this solves:
- The ability to take a root cause approach that address sleep, stress, lifestyle, and relationships
- More time with patients = more education and less prescriptions
- Improved access with texting, telehealth, and weekend coverage means more preventative care and less chronic disease
The results:
- Employers save an average of $2,434 per employee per year by adding DPC.
- Victress Health and Wellness patients utilize 50% less prescriptions than the national average.