The Moon Project

About The Moon Project

In 1961, President John F. Kennedy challenged America to put a man on the moon by the end of the decade. People doubted, but in retrospect, we know it was possible. It happened.

A “Moon Project” is any unprecedented, hugely optimistic, seemingly impossible project. Our “Moon Project” began in 2013 when the leadership of the City of Kirkland, Washington charged us with three non-negotiable objectives. Create a medical plan strategy that will:

  • Flatten healthcare costs indefinitely (No Cadillac taxes)
  • Without any plan takeaways (No more plan erosion)
  • Without increased employee costs (No new cost shifting to the members)

We strongly believe that the current healthcare system is inefficient and overpriced. The United States spends more than double any other nation for healthcare and ranks #38 in measurable outcomes. If healthcare in the U.S. were “fixed,” what would it look like?

ASSUMPTION: It is possible to provide better care and get better health outcomes, without higher costs or eroding benefits.

After months of weekly “Moon Meetings,” a strategy emerged that we call Consumer Directed Medical Home, or CDMH. To achieve these goals, we realized that we needed to accomplish three things:

  • Create a plan design that rewards wise medical consumerism.
    • Solution: Consumer Directed Health. A properly designed account based high deductible health plan aligns incentives and rewards members for (a) outcome and cost effective medical decisions and (b) personal health management.
  • Manage a costly referral process.
    • Solution: Personal Concierge Medical Referral Resources. Real-time data regarding quality outcomes and cost, in the hands of medical consumers, results in a remarkable increase in medical outcomes and financial efficiency.
  • Purchase better care at wholesale prices.
    • Solution: Near-site Employer-sponsored Clinic. The employer-sponsored clinic is the critical component of this strategy. It is the ultimate “Medical Home.”

Providing employees and dependents with unlimited access to quality, free, primary and preventive care, at “wholesale” cost, has proven to:

  • Significantly reduce costs by paying actual costs (no margins)
  • Empower members to better self-manage complex chronic conditions
  • Reduce ER and inpatient admits with unlimited, convenient primary care
  • Reduce employee out of pocket costs
  • Stabilize the long term medical budget

Case Study:
The medical costs for the City of Mesquite, Texas have increased a total of 3% since 2007.

EHC---Case-Study-Chart (Click to see Full Image (Mobile Users))