Healthstat CFO Susan Kinzler
WAUKESHA - Local officials have had lots of discussion lately
about a shared city/county/school district to be run by a
company called Healthstat, but what really is this North
Carolina-based company and how can it make such bold promises?
Proposed for the
former Department of Public Health building adjacent to the
Waukesha County Courthouse, 515 W. Moreland Blvd., the clinic is
projected to save the district, county and city more than $7
million in employee health care costs over five years, with the
city’s share being about $1.1 million, according to Healthstat’s
Where do the
cost savings actually come from?
“The way we
save money is getting ahead of large medical expenses and either
delaying or removing those that would happen if the person were
left to their own devices,” said Healthstat CFO Susan Kinzler.
we’ll take care of patients and diagnose them when they have an
acute illness, but our primary focus is proactive health, risk
and disease management. What we do is work with patients for
uncontrolled risks - such as for a person who has high blood
sugar but isn’t diabetic, we would focus on keeping them from
becoming a person with diabetes.”
that just because it’s expensive, it doesn’t mean it’s lower
contrary. We don’t have to file insurance so we don’t have
anywhere near as much overhead as the outside health care
community has,” Kinzler said. “Because of the way we’re
structured, it’s more affordable.”
Scrima has said some city employees are concerned about the
concept of a “voluntary” clinic that isn’t truly voluntary,
because not using it would have financial implications.
that it’s completely up to the municipality how to incentivize
or de-incentivize clinic use.
“We have many,
many clients who establish these clinics and it’s zero cost for
the medical care patients receive and there are no incentives or
disincentives,” she said. “Then we have some clients who give
incentives for certain behavior. If they get their screening,
they’ll get some sort of award, prize or incentive. At this
point, none of those things have been decided about Waukesha
County, city or schools.
She wanted to
make it clear that although the company is based in Charlotte,
N.C., all clinic staff would be local to the Waukesha area.
“We won’t be
taking jobs or people away,” she said. “We’ll actually be
Schools clinic going well
Elliehausen, chief operating officer of the West Bend School
District, said the district’s Healthstat-run clinic has been
open since September and that so far, she’s gotten
“extraordinarily positive” employee feedback.
“A couple of
things made us choose Healthstat - their model of 70 percent
spent on really focusing on behavioral education and
preventative health that makes people make better decisions
about their own health. The other part was that they had a model
that addressed the acute, like when you wake up with a sore
throat,” she said.
offered some incentives for employees to use the clinic.
puts a very good performance guarantee down on return for an
investment, and part of your role as the employer is to get
engagement. One of the key things is incentive,” she said.
district, we had two consumer-driven health plans with high
deductibles. We added another higher deductible and let
employees choose. Then we kicked off with a wellness event, and
if you participated and were a non-tobacco user, you’d get a
discount off your monthly premium, whichever plan you chose. And
if your spouse did it and was a non-tobacco user, we also added
a discount for those folks.
“Also, we (the
employer) contribute into their Health Reimbursement Account,
but only if you do your follow-up visits in the clinic. So if I
don’t make my visits, the district won’t put the dollars in the
HRA the following year.”
said although it’s in the early stages, most employees have
expressed a high satisfaction level with the clinic.