Case Study

Creating Positive Outcomes for Patient with Multiple Concussions

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Executive Summary

A former MMA fighter with a history of multiple concussions seeks treatment so that he may feel strong and safe again. After seeing multiple clinicians and receiving poor outcomes, his employer refers him to OnPulse for a team and a plan. The client receives straight answers from the OnPulse team and gets a referral to a great specialist, which results in him feeling optimistic and supported in his care. Thus improving his outlook and quality of life.

Client Introduction

To protect his identity, we’ll refer to this client as “Bruce.” As a result of being a MMA (Mixed Martial Arts) fighter for eight years, Bruce has had eight concussions. Since his last concussion two years ago, his symptoms include nausea, headache, mental fog, irritability, and emotional instability. He blacks out often and when he wakes up, he’s not sure where he is.

“I’ve lost my armor.”

—OnPulse Client and former MMA Fighter

In regards to his mental health, Bruce has seen a psychotherapist to deal with PTSD. Emotionally, he reports feeling lost, hopeless, insecure, and unsafe. He says, “I’ve lost my armor.” Bruce wants to feel strong and return to working out

Previous Treatments and Challenges

Previously, Bruce has seen a variety of clinicians, including physical therapists, an optometrist, and a neurologist. Based on the recommendations of these providers, he has tried a variety of treatments:

With each of these treatments, he reported an initial improvement in symptoms, but then experienced a plateau. Bruce’s employer recommended that he contact OnPulse to inquire about possible treatment options. He had a consultation with an OnPulse team member to discuss his symptoms and his desired outcome.

OnPulse then formulated a course of action:

The team member discussed concussions with Bruce, explaining the implications of multiple concussions, and describing the final stage of post concussive syndrome. Bruce reports that our team provided “more info than a lot of doctors did, and told me straight up how long my condition might last. I felt relieved someone pulled no punches.” OnPulse followed up by providing a dedicated Health Assistant to coordinate his care and provide advice and guidance. The Health Assistant also sourced experts who could contribute to his case. With consent, the Health Assistant also provided his employer with suggestions for accommodating his needs at work. Bruce says, “It felt amazing to finally get support from work, as I’d been struggling alone for a year.” The employer provided OnPulse services at no cost to Bruce, as the services were included in the employee’s health benefit package.

Employer Cost
Treatment Cost
Savings
OnPulse Service
$13,200
$50k +
$37k +

Future Outlook

His daily life has not changed very much, but Bruce is feeling optimistic now. He continues to manage life with post concussive syndrome. He has access to ongoing support from the OnPulse Health Assistant and knows he can contact the assistant anytime with questions or concerns. When asked if he would recommend OnPulse to a friend or family member, Bruce responded, “Absolutely!! I’d tell them the medical system is tricky, and having help to wade through it and take care of the logistics in your hour of need is so worth it.”

“You guys found me a great specialist who gave me good advice. If I had known about you guys earlier, it would have been a lot better.”

—OnPulse Client and former MMA Fighter

Employee Costs Avoided by Using OnPulse

Unnecessary chiropractor appointment (per visit)
$200
Unnecessary appointment at concussion clinic (per visit)
$178 – $234
Lost wages due to time coordinating care (rate of $36/hr)
$1,849
Estimated approximate total costs avoided
$2.230 +
Hours of care coordination avoided
51 Hours
Employee Monthly Fee to OnPulse $0
$0
Employee ROI (in cost avoidance)
$2,230 +

Employer Costs Avoided by Using OnPulse and Retaining Employee

Average number of days to fill client’s vacated position*
43
Estimated average cost due to loss of production, agency recruitment fees, and training expenses**
$50k – $60k +
PEPM Cost to Employee
$20
Total Benefit Members (in lives impacted)
1200
Number of Months to Completed Case
51 Hours
Employee Monthly Fee to OnPulse $0
6
Total Fee Paid to OnPulse for Completed Case
$13,200
Employer ROI (in cost avoidance)
$37k – $53k

About OnPulse

OnPulse is a value-based health benefit that empowers you to navigate the complexities of the healthcare system.​

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Case Study: Creating Positive Outcomes for Patient with Multiple Concussions

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