At Big Tree, we provide comprehensive primary care for a single $59/month fee (or $25/mo + additional costs for visits to create an HSA compatible plan)

Big Tree works with a variety of businesses. Some of them offer Big Tree because they do not provide insurance and they are taking care of 90 percent of what their employees need with this benefit. Others are offering Big Tree because they have a self-insured health plan and Big Tree decreases the chance that the employee will get to the reinsurance attachment point. Practices similar to Big Tree such as Iora Health, Qliance and MDVIP have documented 12-20% decreases in total healthcare spending.

By the Numbers Iora Health

  • 12.3% reduction in total healthcare spending
  • 48% reduction in ER visits
  • 37% reduction in hospital days
  • 23% reduction in outpatient visits
  • employees averaged two fewer missed days of work and eight fewer days of non-productive work per year.

By the Numbers Qliance Medical Management:

  • 20% reduction in total healthcare spending
  • 65% reduction in ER visits
  • 43% reduction in hospital days
  • 66% reduction in specialist visits
  • 82% reduction in surgeries
  • 92% increase in primary care visits
Reduction in Total Healthcare Spending
Reduction in ER Visits
Reduction in Hospital Visits
Reduction in Outpatient Visits

Healthcare Costs

As healthcare costs increase by double digits annually, many large health systems boast of merely decreasing the rate of increase. Direct care primary care clinics have demonstrated total lower costs. Especially for self-funded employers, such an opportunity is beneficial at every level. Additionally, this
is merely an exciting opportunity to offer your employees.

When is the last time you were excited to talk to your employees about a change in your health benefits package?

Total Lower Costs

We believe that an attractive plan is a combination in which an employer pays all or part of the $59/month Big Tree fee and couples this with a plan which includes a higher deductible and high ER copays. This should encourage good primary care (for things such as sinus infections and depression) all while helping employees to use a more frugal approach to the expensive aspects of healthcare such as emergency room use, hospitalizations and elective surgeries. Furthermore, as the Big Tree staff will help patients find the lowest cost test or surgical center, the $59 per month fee seems like a wise investment.

Fair Prices

Keep in mind when healthcarebluebook. com looked at hip replacement in the 65201 zip code, they found a $31,000 difference between the highest and lowest priced procedures. If Big Tree helped just one patient get a “Fair Price” rather than a high-end price, the difference would be enough to pay for 35 employees to have Big Tree care for the next year. More than half of the 44 percent of US individuals seen in the ER each year, do not require emergency care. An employer and their employees at a business that employs 35 persons would spend nearly $10,000 per year on unnecessary ER visits. A company
that provides Big Tree Medical Home to their employees should expect to avoid that cost. It will be difficult to quantify how many days of work that an employee is more productive just because their mental health disorder or minor bacterial infection are promptly recognized and treated.

Attractive to Employees

Many smaller employers want to be productive corporate citizens and help
employees with health insurance, but with high and increasing costs, the provision of health insurance starts to make many small businesses non-competitive. Offering your employees no-cost primary care is an excellent way to provide a benefit to make your business attractive to potential employees while keeping costs low to keep your prices competitive in the marketplace.

How are we able to provide exceptional care at a fraction of the cost? Primary care has long been ripe for reform. The recent explosion in the number of urgent care and quick care clinics in mid-Missouri are a testament to the primary care access problem in our area. Because Big Tree is not seeking to build a new cancer center or pay for our newly constructed tower of intensive care units, we can charge remarkably affordable fees.

Team Based Care

Team-based care also strategically utilizes nurse practitioners who are underutilized in our healthcare system. To salvage our healthcare system, we will allow qualified providers to do all that they were trained to do—heal. Insisting that each has the right to referral center level care for each cold or sinus infection will merely drive prices higher. If you are trying to put in a nail, a hammer will do, the sledgehammer isn’t needed. Team-based care, in which each member of the healthcare team operates to the fullest extent of their ability, is a platform for radical improvements in the cost of healthcare, without sacrificing quality. An extensive body of literature documents the fact that “patient outcomes on satisfaction with care, health status, functional status, number of ER visits, hospitalizations, blood glucose, blood pressure, and mortality are similar for NPs and MDs.

Further Research

If you would like to research this idea further, key topics include “Direct Primary Care” and “Global payments for primary care.” Several companies in major cities have experimented with similar models. Practices such as Iora Health and Qliance are demonstrating impressive results, as has the more concierge oriented MDVIP. Qliance is an especially exciting case as their over-reliance on venture capital, and lack of team-based care seemed to make their recent closure inevitable. Nonetheless, the model proved sound, as the results above demonstrate. Big Tree Medical Home only seeks to bring this cutting-edge approach to healthcare reform to the mid-Missouri market. We hope by decreasing the cost of healthcare while increasing its quality, we can help make mid-Missouri a more cost-effective place to operate a business.

We also believe any of our packages would make AMAZING employee wellness programs, which we can provide in the privacy of our office, or as a health fair at your place of business.