CASE STUDY

How a Municipality Doubled Engagement and Improved Health Outcomes with an Onsite Health Center

Through its partnership with QuadMed, the municipality expanded access to care, strengthened prevention, and achieved measurable improvements in engagement, satisfaction, and long-term employee health. 

The Results

128% increase in visits

from 2,064 in year one to 4,709 in year four

Nearly 300% growth in unique patients

from 500 to 1,446 employees and dependents served

Sustained ROI of 1.5

even after staffing increases to meet rising demand

Preventive screening rates up 26 percentage points

reflecting expanded engagement in primary care

The Background

In 2021, a municipal employer partnered with QuadMed to bring convenient, high-quality primary care directly to its workforce through an onsite health center. The goal: improve access, strengthen prevention, and reduce long-term health care costs — all while creating a trusted, patient-centered experience for employees and their families. 

The Challenge

Before partnering with QuadMed, employees faced barriers to accessing care, limited appointment availability, long wait times, and fragmented primary care relationships within the community. These challenges often led to delayed preventive services and underutilization of care. 

The municipality sought a partner that could: 

  • Increase engagement in preventive and primary care 
  • Improve chronic condition management outcomes 
  • Enhance employee satisfaction and productivity 
  • Deliver measurable return on investment (ROI) 

The Solution

Transforming care through an onsite health center

QuadMed implemented a comprehensive onsite health center model staffed by dedicated primary care providers and care teams delivering preventive, acute, and chronic condition management services. The model combined convenient access, personalized care, and integrated population health programs — all designed to improve outcomes while controlling costs. 

Over time, the municipality became a strong advocate for the onsite model, actively supporting engagement campaigns, participating in clinical improvement initiatives, and reinforcing the health center’s value across departments. 

The Results

1. Engagement, Satisfaction, and Trust in Care

Since opening in 2020, the municipality’s health center has seen remarkable growth in utilization as employees and families build lasting relationships with their care teams. 

Key results over four years include: 

  • 128% increase in visits — rising from 2,064 in year one to 4,709 in year four 
  • Nearly 300% growth in unique patients — from 500 to 1,446 employees and dependents served 
  • PCP adoption rates up 10 percentage points — from 35% in year one to 45% in year four, showing deeper loyalty and trust in QuadMed providers 


Participation continues to climb each year as awareness spreads and word of mouth reinforces the convenience, quality, and continuity of onsite care. This sustained growth and satisfaction reflect both employee confidence and the municipality’s commitment to creating a better health care experience for its workforce.
 

2. Data-Driven Engagement: Lapsed Patient Campaign

To build on this momentum, the municipality partnered with QuadMed to launch a “Lapsed Patient” campaign in Year 4 to re-engage members who hadn’t visited the health center in more than 18 months. 

Utilizing targeted MyChart messages, members received personalized outreach with direct scheduling links — reducing barriers and prompting action. 

  • 141 members received outreach 
  • 70 viewed the message 
  • 24 scheduled visits (17% conversion rate, zero opt-outs) 


This joint initiative reconnected employees with their primary care team, increased preventive service completion, and demonstrated how proactive, data-driven engagement can sustain participation and long-term relationships.
 

3. Preventive and Chronic Care Improvement

Through continuous collaboration between the municipality and QuadMed’s care team, the health center has achieved measurable improvements in preventive care participation and chronic condition management. 

Chronic Care Management 

  • Patients receiving chronic condition management services more than doubled, from 413 to over 1,000 in four years. 


This progress reflects improved identification and engagement of at-risk patients and the care team’s ability to manage complex needs onsite.
 

Preventive Care Progress 

  • Breast cancer screening: 40%  69% (approaching the 72% goal) 
  • Colon cancer screening: 25%  55% 
  • Cervical cancer screening: +14 percentage points since launch


Enhanced access, trusted relationships, and targeted outreach have all contributed to higher screening rates and improved population health outcomes for the municipality’s employees. 

4. Coordinated Care and Onsite Pharmacy Integration

A key success factor has been the municipality’s focus on coordinated, convenient care that keeps more services within the health center while ensuring smooth transitions when specialty care is needed. 

Specialty Referral Management 

  • External referrals increased from 192 in Year 1 to 702 in Year 4, consistent with higher engagement. 
  • The average specialty referral rate held at 20% — well below the national average of 30%. 


This indicates that the municipality’s care team effectively manages most health needs onsite, reducing unnecessary external visits and supporting cost-effective, continuous care.
 

Onsite Pharmacy Integration 

To strengthen continuity and improve medication adherence, the municipality partnered with QuadMed to implement onsite medication dispensing. Employees can fill prescriptions immediately after their appointments, reducing delays and improving adherence. This convenience has reinforced continuity between providers and patients while contributing to stronger chronic condition control and overall value for the organization. 

The Impact: A Better Health Care Experience for All

Over four years, the municipality’s partnership with QuadMed has redefined what a better health care experience can look like for employees and their families. 

By combining accessible, relationship-driven care with meaningful data and collaboration, the health center has become a trusted resource — improving outcomes, strengthening engagement, and delivering measurable value. 

With a sustained ROI of 1.5 and continued growth in utilization, this partnership demonstrates how doing the right thing for employees also drives results for employers. 

Together, QuadMed and the municipality are creating the better health care experience employees deserve — one built on trust, prevention, and the power of relationships. 

 

Learn more about how we can achieve these results for your population.