Why WeCare TLC?

WeCare TLC establishes a modern, complete primary care clinic in the workplace that is, in truth, a health management platform. WeCare TLC's medical management model is a sophisticated, delicately balanced structure comprised of physician empowerment, physician and patient incentives, health management information technologies, health management clinical programs, and savvy purchasing practices.

While the clinic’s services are very broad – including primary care, urgent care and occupational medicine – it is designed to be a medical home for employees and their families. The physician and clinical staff provide comprehensive primary care, using 21 st -century tools to manage each patient’s health risks and costs throughout the full continuum of care.

To our knowledge, WeCare TLC's approach is most evolved medical home, onsite clinic model currently available, bringing together the best health management tools and programs available. For example:

Employers invest in the clinic to generate downstream savings in the health plan. This is most straightforward for self-funded employers, who are paying their own claims. But clinic use can also be a long-term strategy for fully insured employers, whose premiums should drop to reflect an improved claims experience.

Use of the clinic is voluntary, not mandatory. Employees and their families still have full access to the company’s health plan arrangements.

The clinic is separate from and in front of the health plan. The health plan is accessed when patients are referred from the clinic (or choose to not use the clinic).

Employees and family members pay nothing for clinic visits or for drugs prescribed through the clinic. The clinic’s convenience improves their willingness to get care early, preventing conditions (and costs) from becoming worse than they should be. All this means that WeCare TLC members have better access to timely professional care.

Members make appointments through the Web-based scheduler, by calling or by walking in.

The clinic’s doctor(s) may replace a primary care physician on the health plan’s network , where the care, referral patterns, and tools are often inconsistent and outdated. (Patients are free to continue seeing outside physicians, but must pay standard health plan fees.)

WeCare TLC's doctors are salaried, and don’t profit from care services. They have no financial incentives to over- or under-utilize. They are rewarded, though, for achieving quality targets.

Clinicians use electronic medical records and follow best practice guidelines , for better, more consistent care/outcomes.

WeCare TLC analyzes claims data and encourage all members to take a Health Risk Assessment (HRA). This helps us identify acute health issues and chronic diseases that should be managed.

WeCare TLC helps our clients develop and steer to a refined high performance “downstream” network that is more efficient and further reduces costs . Claims data also let us identify the specialists, outpatient and inpatient services that consistently get the best outcomes at the lowest costs.

To adhere to HIPAA regulations and to ensure patient privacy, a firewall exists between the employer and the clinic’s information about each patient. WeCare TLC considers this a critical element of our program that cannot be breached.

WeCare TLC's doctors and nurses work together to counsel and manage patients with chronic diseases and with complex acute conditions. We favor routine, face-to-face counseling with a clinician that patients come to trust, because the evidence is clear that that approach is best hope for behavioral change that can impact lifestyle-related disease.