How Coushatta Casino Resort’s onsite healthcare program reduced user spend by 45%.

Established in 1995 and home to the Coushatta Native American tribe, Coushatta Casino Resort provides entertainment, casino, and resort amenities to guests in rural Southwestern Louisiana.

The multi-functional health center is a resource to approximately 3,200 covered lives, and serves as an integral part of the local economy. With a customized onsite health center program, Premise Health partnered with Coushatta Casino Resort to bring healthcare to a historically high-risk population. Generating a $3.6 million net savings in only two years, the program delivered powerful benefits for the resort, its employees, their dependents, and the community.
 
 

The Challenge

To the average consumer, navigating the healthcare system is difficult. For individuals who inherently face cultural and socioeconomic barriers due to low income or poor access to quality healthcare, it’s even more challenging. Coushatta Casino Resort struggled to provide effective healthcare for their large employee population and their dependents.

The Solution

In October 2011, Premise Health debuted a customized onsite solution. The Coushatta Family Medical Center was designed to reduce overall health risks through evidence-based medicine (EBM) and curb unnecessary costs by driving members to onsite resources.

EBM is the appropriate use of medical best practices in member treatment. By implementing targeted EBM strategies, the Premise Health onsite health program set out to improve wellness outcomes and eliminate unnecessary tests and treatment. This gave care team members the opportunity to spend more time with members to educate them, manage their expectations, and monitor their care. Given the eligible population’s need for accessible quality healthcare, both locally and remote, this approach proved to be especially effective.

To encourage use of the Coushatta Family Medical Center resources, the resort removed financial obstacles that had prevented their members from seeking care. A variety of services were offered to enrolled members for free – including lab tests, radiology, counseling, lifestyle coaching, dietetics, and case management. Other services, including primary care, chiropractic, and massage therapy, were provided at a discounted rate of $10 per visit.

The Outcome

Based on Premise Health’s ability to effectively target high-cost conditions and provide better access to high quality care, Coushatta Casino Resort has seen lower healthcare spend per member and fewer visits to expensive community resources in every major care category year-over-year. Thanks to fewer prescribed medications and better member management leading to reduced condition diagnoses, enrolled health center user costs have decreased by an impressive 45%.

When predicting comprehensive health risk across more than 300 variables, enrolled health center users experienced better average health risk scores of 1.60 compared to 2.18 of non-users. In addition, Coushatta Casino Resort was able to reduce overall disability claim submissions through direct health interventions and improved member compliance.

Overall, Coushatta Casino Resort’s enrolled member population experienced lower health risk scores, lower cost per member, fewer medications, reduced condition diagnosis, and better medical compliance compared to non-users. This equated to a $3.6 million net savings in two years when calculating direct cost avoidance less clinic operating costs.