The questions you've already asked.
Cost, implementation, the care model, and what's actually included. Plain answers — no sales-deck hand-waving.
How much can we actually save?
On average, employers save 18% on total medical + Rx spend after Year 1. The upper bound — for populations with high baseline ER/urgent-care usage — is 30%+. We model your expected number against your actual claims data, not a generic projection.
Is the pricing predictable?
Yes. The model is flat PMPM (per-member-per-month) — no per-visit fees, no copays, no rebate games. You pay one number; care happens.
What's NOT included in the monthly fee?
Four things: send-out lab work that has to leave our clinic, specialist referrals, imaging (MRI/CT), and ER visits. Everything else — primary care, pharmacy, point-of-care testing, mental health, wellness — is in.
How long does it take to go live?
Four to six weeks from signed contract to first patient. We handle clinic build-out, staffing, EHR setup, member onboarding, and broker integration. You don't run point on any of it.
Do we need to dedicate space onsite?
For full onsite, yes — we need ~600 sq ft minimum. For hybrid, we can run 1-2 days/week onsite and cover the rest virtually. For populations under 150 lives, virtual-only with a near-site option works well.
What happens to our existing benefits broker?
They stay. Archer is purpose-built to fit alongside the broker relationship — we run the clinic, they run the renewal. Most of our growth comes through brokers who add us to their book.
Who provides the care?
Nurse practitioners with primary care experience, supported by an MD medical director. Same NP each visit — continuity is the whole point. Average member sees the same provider 4-6 times/year.
What does the member experience look like?
For members on copay plans: $0 visit. $0 lab work. $0 same-day care. Walk-out with onsite formulary medications. Virtual care between visits. No copays. For members on HDHP/HSA-eligible plans: preventive care (annual physicals, screenings, vaccines) is free under IRS Safe Harbor; sick visits are billed at fair-market value to keep their HSA contributions in good standing — see the HSA question below for details.
What about HSA-eligible members on HDHPs?
IRS Section 223 disqualifies HSA contributions for the year if the member receives free non-preventive care from their employer. We handle this the right way: preventive care stays free under Safe Harbor (annual physicals, screenings, immunizations); sick visits and chronic-care visits are billed at the negotiated fair-market value via Stripe Invoicing — the member pays with their HSA card. Once they meet their plan's deductible, all clinic care becomes free. Same model the established mid-market vendors use; the difference is we automated the categorization, invoicing, and member-portal balance display so neither HR nor your members have to think about the mechanics.
What's the average member utilization?
206% across our managed populations — meaning the average member uses the clinic more than twice per year. That's compared to ~70% utilization for traditional employer-sponsored primary care.
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