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Notes from the clinic.

Field reports on onsite care, self-funded benefits, and the math behind getting more from every healthcare dollar.

Articles

Long reads. 8 posts

9 min read
April 30, 2026

Archer v. Legacy Clinics

If you run benefits at a company with 100 to 1,500 employees and you're researching onsite primary care, you're about to discover something the vendor brochures won't tell you: most of the biggest names in the onsite clinic industry weren't…

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5 min read
April 29, 2026

Biometric Screenings: The Most Underrated Line Item in Your Benefits Budget

If you're an HR or benefits leader, you've almost certainly seen biometric screenings on a vendor proposal at some point. Maybe you've offered them. Maybe you've quietly cut them when budgets tightened. Maybe they live in a folder somewhere…

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7 min read
April 29, 2026

For Twenty Years, Onsite Clinics Were a Benefit Only Giants Could Afford. That's Finally Over.

The HR director — let's call her Karen — had been trying to solve the same problem for six years.

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8 min read
April 29, 2026

Onsite Clinics: What They Actually Are, What They Cost, and When They Make Sense

For most of the last twenty years, onsite health clinics were a benefit reserved for very large employers. If you had ten thousand employees on a single campus, an onsite clinic made obvious sense — the math worked, the vendor list was shor…

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7 min read
April 29, 2026

Onsite vs. Near-Site Clinics: Why Location Matters More Than You Think

When employers start evaluating employer-sponsored healthcare, one of the first decisions on the table is also one of the most consequential: should the clinic be inside your building, or near it?

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13 min read
April 29, 2026

Self-Funded vs. Fully Insured Health Plans: A Practical Guide for Mid-Sized Employers

If you run benefits at a company between 100 and 1,000 employees, there's a question that quietly shapes almost every other decision you'll make about healthcare: are you fully insured, or are you self-funded?

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5 min read
April 29, 2026

The Day Maria Walked Into the Clinic for a Free Coffee

Maria almost didn't go.

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5 min read
April 29, 2026

The Diagnosis That Came Too Late: Why Early Intervention Is the Most Important Benefit You're Not Offering

He was 47. A father of three. A shift supervisor who hadn't missed a day of work in eleven years. The kind of employee every company wants — steady, reliable, the guy who showed up early and stayed late when the line was short-handed.

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