Why do you need advanced primary care?
Simple: Traditional healthcare doesn’t work. Lack of access and rising costs put healthcare out of reach, leading to worse health for people and higher costs for employers and unions.
Advanced Primary Care
Our advanced primary care model is healthcare working the way it should. It delivers easy experiences and amazing care, so people stay healthier and their organizations thrive.
1 in 3
Number of Americans without a primary care provider
47%
Percent increases in insurance premiums since 2013
40%
Percent of U.S. adults with two or more chronic conditions
7%
Average percent cost increase year-over-year
It’s time for a different experience.
How is healthcare different when you prioritize primary care? When you compare what your people experience with Premise to what they experience in the community, the value is clear. Take, for example, Susan and Gary, who both are unaware they have diabetes. While they have their diagnosis in common, their journeys couldn’t be more different.
Susan
Gary
With Premise Health $
Susan gets a call from a care manager who noticed she is overdue for her annual physical. They find a time for her appointment at the onsite center that week, so she won’t miss any work.
Without Premise Health $$$
Gary can’t remember the last time he had a physical. He knows it’s important but there’s never time to sit in a waiting room for an hour, so he decides not to schedule one.
With Premise Health $
When Susan arrives, she waits less than five minutes. Her doctor asks about her health history, lifestyle, and access to things like transportation and healthy foods. The doctor also recommends a colonoscopy.
Without Premise Health $$$
Lately, Gary has been thirsty, fatigued, and experiencing blurry vision. He calls his former doctor, but the next appointment is in three weeks. He goes to urgent care so he doesn’t have to wait.
With Premise Health $
Susan’s doctor calls to say she had a slightly elevated A1C level, indicating diabetes. Susan is committed to making lifestyle changes, so her care plan focuses on those changes instead of medication.
Without Premise Health $$$
Gary is diagnosed with diabetes, prescribed Metformin, and told to call his doctor. He fills his prescription at a local pharmacy, where he waits 30 minutes and doesn’t get his questions answered.
With Premise Health $
Susan’s doctor prescribes a glucometer. Susan picks it up at her onsite pharmacy, where the pharmacist shows her how to use it and explains what to do if her blood sugar levels aren’t within the recommended range.
Without Premise Health $$$
On the news, Gary sees he could have been prescribed a free glucometer. Frustrated, he calls his doctor to ask for one. When he picks it up at the pharmacy, no one explains how to use it.
With Premise Health $
Susan checks in regularly with her care manager. They discuss her lifestyle changes and make adjustments to her care plan, ensuring Susan gets the comprehensive support she needs.
Without Premise Health $$$
Gary’s follow-ups with his doctor are short and infrequent. He also has to miss work to go to his appointments. He feels like no one cares about his health.
With Premise Health $
Before every check-in, Susan’s doctor reviews readings from her glucometer to ensure they’re normal. This makes Susan feel comfortable as she learns to navigate her new diabetes management routine.
Without Premise Health $$$
At an appointment, Gary wants to review his glucometer readings with his doctor. Instead, he refers him to a diabetes education program at the local hospital. Gary would have to take off work, so he doesn’t go.
With Premise Health $
Susan’s electronic health record shows she went to the ER. Her care team sees this and calls to check in and learns Susan had chest pain from a panic attack, brought on by the toll of managing her diabetes.
Without Premise Health $$$
Managing his condition alone impacts Gary’s mental health. He’s depressed and stops taking his medication. His health deteriorates until he passes out at work and ends up in an ambulance.
With Premise Health $
Susan’s doctor connects her to the health center’s therapist. She makes an appointment for that week, grateful to have support for both her physical and mental health.
Without Premise Health $$$
After several days in the hospital, Gary is discharged with two new prescriptions: another diabetes medication and an antidepressant. He’s advised to see a therapist, but there aren’t openings for months, so he never goes.
With Premise Health $
Susan is engaged and proactive, so she makes quick progress. Her check-ins are less frequent, and she connects with her care team via secure messaging in the My Premise Health app when needed.
Without Premise Health $$$
Over the next few months, Gary is still struggling. He doesn’t feel well and takes more trips to the most expensive hospital in town since it’s the closest. His co-workers are worried about him.
With Premise Health $
With her diabetes under control, Susan knows it’s time to get a colonoscopy. A care navigator helps her schedule it at a high-quality, affordable surgery center near her home.
Without Premise Health $$$
Gary’s manager convinces him to take paid short-term disability leave so he can get his health under control. He finally registers for the diabetes education course. He also changes doctors and meets with a nutritionist.
With Premise Health $
Susan has managed her A1C and lost weight, and her colonoscopy removed several polyps. She now plays more games of tag with her grandkids, and she tells everyone about the amazing benefits her employer offers.
Without Premise Health $$$
Bit by bit, Gary starts to manage his condition and lose weight, but he now takes several medications a day. He doesn’t have time for more appointments, though, so he doesn’t schedule a colonoscopy.
With Premise Health $
Susan’s employer is happy she’s healthy. Thanks to Premise, they saved money on her total cost of care because the condition was caught early and addressed quickly, and because Susan got important preventive care.
Without Premise Health $$$
Gary’s employer is happy he’s better but knows the lengthy care journey will come at a significant cost. Between missed workdays and the expensive facilities where he received care, they’re wondering if there’s a better way.
Our comprehensive model.
We go beyond any other care model to deliver the kind of whole-person, coordinated care that helps people get, stay, and be well. Advanced primary care brings together the following types of care:
Primary Care
Local care teams provide convenient checkups, wellness advice, and member-focused care.
Virtual Primary Care
24/7 virtual access means a provider is always available, no matter the location or time of day.
Behavioral Health
Whole-person support from licensed counselors working alongside primary care providers.
Pharmacy
Dedicated pharmacists help lower medication costs for members and increase prescription adherence.
Care Management
Personalized, data-driven condition management for members who need support the most.
Care Navigation
Referral coordination focused on connecting members to in-network, high-value providers and facilities.
What makes advanced primary care “advanced”?
This model expands on the AAAHC-accredited patient-centered medical home, going further than traditional solutions to support members. It prioritizes easy access, helpful technology, and whole-person care to improve population health.
Amazing access
Members love our convenient locations, same-day appointments, and 24/7 digital care.
Patient-centered care
Premise providers get to know their patients as people and involve them in their care.
A high-value approach
Premise focuses on value over volume to provide healthcare that drives costs down, not up.
Seamless integration
Smart technology and powerful data support incredible care, which helps people stay healthier.
Optimized referrals
Members have high-touch support for referrals to top-notch, in-network specialty care.
Mind and body
Members get healthier when healthcare considers physical health, mental health, and their environment.
30% savings with Premise Health.
When people are healthier, their organizations can thrive. In a claims-based analysis of 207,000 eligible lives from across 26 organizations, the results were clear: advanced primary care leads to better health and lower healthcare costs. The study methodology was validated by Milliman, an independently recognized actuary.
52%
Reduction in inpatient hospital admissions
17%
reduction in emergency visits
20%
Increase in routine, preventive, and mental health office visits
30%
Average total cost of care savings
More primary care is the answer.
The experts agree: when people get more primary care, the healthcare system works better.
Primary care is the only component of health care where an increased supply is associated with better population health and more equitable outcomes.
Primary care accounts for 5-7% of healthcare spend, yet influences up to 90% of total healthcare costs.
Primary care has been demonstrated to be associated with enhanced access to healthcare services, better health outcomes, and a decrease in hospitalization and use of emergency department visits.
This evidence shows that primary care helps prevent illness and death… The evidence also shows that primary care (in contrast to specialty care) is associated with a more equitable distribution of health in populations.
