Our Pricing Model
Program Pricing That Creates Predictability
Traditional Pricing is Risky Business
Traditional onsite clinic program pricing is a risky proposition for customers. Most onsite clinics operate under a Pass-Through, Cost-Plus pricing model that places all financial variability back on your company. CFOs and HR leadership have learned the painful lesson that cost-plus pricing is unpredictable, frustrating, and problematic.
Fixed VS. Variable Expenses
Are You Willing to Bet Your Bottom Line on Your Clinic’s Performance?
We didn’t think so.
You know you shouldn’t bear the risk of vendor performance. But, until now, you haven’t really had a choice.
Introducing Comprehensive Fixed Fee Pricing.
Proactive MD is turning the industry right-side-up, placing the performance risk of running a Health & Wellness Center where it should be—on us. With Proactive MD’s Comprehensive Fixed Fee pricing model, approximately 95% of the cost of your Health & Wellness Center is set, so your company gets predictability. No risk, no surprises.
Fixed Fee Model
Traditional Vendor Pricing vs. Comprehensive Fixed Fee
Industry Competitive Price Comparison: 40 Hour Physician-Based Clinic
1 FT Physician, 1 FT Patient Advocate, 1 FT Medical Assistant
1,000 Adult Members
40 hours + after hours call
|Traditional Vendor Pricing||Proactive MD Pricing|
|Labor||Invoicing Approach||Traditional Cost Plus Bid||Average Actual Expense Incurred||Included|
|Clinical Labor||Pass Through||$418,500||$460,350||
|Staff Replacement / Temporary Staff (PRN) Cost||Pass Through||$27,203||$48,337||
|Staff Recruitment||Pass Through||$20,925||$26,319||
|After-Hours Care / Travel||Not Offered||$0||$0||
|Patient Advocacy Services|
|Patient Engagement / Population Health Programs||Pass Through||$3,500||$3,500||
|Medical Social Work Services||Not Offered||$0||$0||
|Behavioral & Mental Health Support||Not Offered||$0||$0||
|Dependent Care Resource Education & Navigation||Not Offered||$0||$0||
|Benefit Plan, State, and Community Program Advocacy||Not Offered||$0||$0||
|Plan Member Transition Management Services||Not Offered||$0||$0||
|Second Opinion Services & Care Coordination||Not Offered||$0||$0||
|Medical Supplies||Pass Through||$5,750||$5,750||
|Office Supplies & Equipment / Rentals||Pass Through||$3,675||$3,675||
|Staff Training / Development||Fixed||$7,500||$7,500||
|Revenue Cycle Management||Pass Through||$18,720||$18,720||N / A|
|Medical Malpractice / Professional Insurance||Fixed||$11,500||$11,500||
|Lab Services||Pass Through||$4,500||$4,500||
|Technology – Software Services||Fixed||$18,500||$18,500||
|Service Team / Account Team Support Travel & Expenses||Pass Through||$2,400||$3,600||
|Direct Contracting & Network Development||Not Offered||$0||$0||
|Example Traditional On-site Clinic Financials||$669,349||$761,614||$695,500|
Pass Through Expenses For Traditional Vendor & Proactive MD
The following pass-through expenses are in addition to the items listed above and will generally be itemized and passed through at cost with no markup by all vendors. Specific categories of pass-through expenses include the following: Complex labs, pharmaceutical supplies, immunizations, vaccinations, CLIA-waived laboratory supplies, third-part pathology, and negotiated specialist rates. For illustrative purposes, estimated at $3.15 PMPM = $37,800 Annually
Advanced Primary Care
Comprehensive Fixed Fee.
In addition to flipping the paradigm on pricing, Proactive MD also fundamentally redefines traditional onsite primary care through a model we call Advanced Primary Care.
Dedicated Patient Advocacy Services that extend far beyond simple community referrals, risk-stratified patient engagement model that tailors performance based on individual care needs, and focus on serving patients with the most complex and costly diagnoses creates a uniquely transformational total healthcare solution.
A Comprehensive Fixed Fee for Comprehensive Care. We’re changing the rules for onsite health in favor of you and your plan members.
Proactive MD Pricing
What’s Included in Your Comprehensive Fixed Fee*
*Included labor, services, and supplies may vary by state.
- Clinical Labor
- Recruitment, New Hires, and Staff Vacancies
- After Hours Care & Travel
- Medical Supplies
- Office Supplies & Equipment Rentals
- Other General Business Supplies
- Staff Training & Development
- Medical Malpractice & Professional Insurance
- CLIA-Waived & Reference Lab Services
- Technology Software Services
Patient Advocacy Services
- Patient Outreach & Engagement
- Population Health Programs & Wellness Initiatives
- Medical Social Work Services
- Behavioral & Mental Health Support
- Dependent Care Resource Education & Navigation
- Healthcare Benefits Navigation & Community Program Advocacy
- Transition Services for Employees Who Are Leaving or Retiring
- Chronic Condition Management
- Second Opinion Services & Care Coordination through Nation’s only Smart Care Medical Center Network
- Service Team Travel & Expenses
- Direct Contracting & Network Development
- Other Management Fees