Start an Employer Direct-Contracting Occupational-Health Service

1. 1

   Identify employers with real occupational-health spend

   Manufacturing, logistics, construction, and other physical-work employers spend heavily on workplace injuries, DOT and pre-employment physicals, drug screening, and employee care access. Identify the local employers whose spend and pain are largest. They are the demand side of the business and the reason clinics will want your contracts.

2. 2

   Assemble the clinic network

   Build relationships with urgent care, occupational-health, and ambulatory clinics that can deliver injury care, physicals, screenings, and preventive services on employer-friendly terms. You can contract an existing network or, if you operate a clinic, anchor it yourself. A reliable, convenient network is what makes the employer contract deliverable.

3. 3

   Structure the direct contract

   Design contracts that give employers predictable pricing and fast, convenient care for their workers, and give clinics steady volume, bypassing some traditional insurance friction. Define scope, pricing (per-service, bundled, or retainer), reporting, and workers-compensation coordination. A clear, fair structure is what makes both sides sign and stay.

4. 4

   Manage the relationship and prove value

   The recurring business is managing the arrangement: coordinating care, handling reporting on injuries and outcomes, and demonstrating to the employer that it is saving money and getting workers back faster. That proof renews and expands contracts. Ongoing account management, not the initial sale, is where the durable revenue lives.

5. 5

   Scale across employers and services

   Once you have a proven model, add employers and broaden services (wellness, biometric screening, near-site or on-site care). Each employer relationship and each clinic in the network strengthens the others. A book of employer contracts served by a solid clinic network is a defensible, scalable business.

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Best for: Healthcare business developers and clinic operators who can build employer and clinic relationships

Not for: Not for someone targeting individual patients; this is a B2B employer-contracting business. Not for a pure DOT-physical clinic operator, which is a different existing card. And not for anyone unwilling to build and manage relationships on both the employer and clinic sides, which is the entire job.