What 20 Employers Received From HELPcare

Employers are paying more for health coverage, but many employees still face deductibles large enough to make routine care feel unaffordable. An insurance card provides essential protection against major medical expenses. It doesn't always give people a practical way to see a primary care practitioner when they need one.

HELPcare Clinic can close that gap. Employers purchase membership directly, and their employees and families receive office visits and included services with $0 out of pocket at the time of care.

We now have data showing what that investment delivered across 20 employer groups.

The Headline Findings

The HELPcare Impact Summary Report combines 239 invoice files and 11,997 service rows. The 20 employers paid $771,720 in HELPcare dues and related charges. The documented primary care services their members received represented an estimated comparison value of:

  • $1,427,390 at the low end
  • $2,062,887 at the high end
  • $1.85 to $2.67 in documented comparison value for every $1 employers invested
  • Estimated ROI of 85.0% to 167.3% above the employer investment

Both the low-end and high-end estimates reflect primary care prices in settings affiliated with hospital systems.

What the Results Mean

The analysis measures the value of documented care delivered through HELPcare. It doesn't claim that every service would otherwise have been purchased or that an employer health plan avoided an equal amount of claims.

  • Some services might have been paid by the employer plan,
  • some by employees through deductibles or copays, and
  • some might not have happened if a member had faced a large price at the time of care.

Here's the strongest conclusion: participating employers converted a predictable investment into substantially more documented primary care value in aggregate while giving employees and their families a realistic way to obtain care.

The Results Were Broadly Distributed

Positive estimated ROI wasn't limited to one or two employers. Thirteen of the 20 employer groups had positive estimated ROI at the low end. Seventeen had positive estimated ROI at the high end. The median employer ROI was 57.0% at the low end and 125.8% at the high end.

Results varied because employers differ in size, contract terms, reporting periods, member needs, service mix, and engagement. Employers paying annually were measured over a one-year term. Employers paying monthly were measured for January through August 2026.

Engagement Creates Opportunity

We define an engaged member as an active member who has been seen at least once at HELPcare Clinic and has taken advantage of its $0 out-of-pocket care. By that definition, 765 of 1,578 active members were engaged, a weighted engagement rate of 48.5%.

Employers can improve the likelihood of realizing value by explaining the benefit repeatedly, making first appointments easy, and including spouses and dependents in communication.

How HELPcare Can Fit

A fully insured employer can use HELPcare membership to give employees more actual health care without replacing comprehensive insurance. The health plan continues to protect against major expenses while HELPcare provides a better front door to routine care.

For level-funded and self-funded employers, HELPcare can become the primary care foundation of a plan designed to control future costs. Employers and brokers can measure engagement alongside service utilization and, when available, broader claims experience.

Federal changes effective in 2026 also created new opportunities to pair qualifying direct primary care arrangements with HSA eligibility. Employers should review the membership agreement, contribution method, and plan documents with their broker and other qualified advisors.

Request the White Paper

The ROI of HELPcare explains the findings, calculation method, employer engagement results, public examples from the City of Austin and Mower County, and the limits that should guide interpretation.

Complete the form below to receive your copy. If you'd like to estimate how HELPcare could work for your employee population, you can also book a 20-minute discovery call after submitting the form.

Lee Aase

Lee Aase is the founder of HELPcare LLC, which provides comprehensive membership, marketing and management services for provider-owned HELPcare Clinics, as well as metabolic health education and coaching for people interested in restoring health and reversing disease through lifestyle changes. Lee and his wife Lisa live in Austin, MN and have six married children and 20 grandchildren.
Please sign in or register to post a reply.