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Frequently Asked Questions

Your Questions Answered

Partnering with Cleveland Clinic Employer Solutions gives you access to innovative healthcare programs designed to enhance employee well-being, improve outcomes, and reduce costs. We understand that implementing new healthcare solutions can raise questions about billing, payment, implementation, and more. Below, you'll find clear answers to the most common questions employers ask when exploring our customizable services.

General Information

How does contracting with Cleveland Clinic Employer Solutions save money?

Cleveland Clinic Employer Solutions saves money by offering bundled pricing that eliminates surprise bills and helps control costs. Our Clinical Review as well as prevent unnecessary care, reducing expensive procedures and hospitalizations. Access to our top-ranked care lowers complications and readmissions, while programs like Executive Health promote early detection to avoid costly acute care. Additionally, faster recoveries reduce employee absenteeism, improving productivity.

Can our employees use Cleveland Clinic programs even if they don’t live near one of your hospitals?

Yes. Many of our services — including Virtual Second Opinions, Clinical Review, Centers of Excellence and Concierge Medicine — are designed for national access. We help coordinate travel and virtual care, so geography doesn’t limit access to world-class care. All of our programs take appropriateness of care into consideration when evaluating the level of care and need to travel.

Is this a one-size-fits-all program or can we customize it?

Our solutions are highly customizable. Whether you need a specific clinical scope, regional coverage or integration with your current vendors, we tailor the program to fit your population, budget and strategic goals.

What’s the cost structure for your services?

Our pricing varies by solution. Some services are fee-for-service, while others—like Centers of Excellence—offer bundled, fixed pricing that supports cost predictability and value. We’ll work with you to model ROI and fit your budget needs.

How does Cleveland Clinic differ from other Centers of Excellence or vendor solutions?

We’re a nationally ranked health system, not just a technology platform or referral network. Our care is delivered directly by Cleveland Clinic physicians who are accountable for quality, outcomes and patient satisfaction. We also provide transparent data, coordinated navigation and bundled pricing — all in one place.

How do your solutions improve employee experience?

We make it easier for employees and their families to access top care. Whether through scheduling, virtual consultations, second opinions, or streamlined referrals, employees get clarity, faster diagnoses and fewer roadblocks. That builds trust and improves engagement in your health benefits.

How does Cleveland Clinic handle urgent medical cases?

We don’t provide emergency care through Employer Solutions, but if an urgent case arises, we help coordinate expedited access to appropriate Cleveland Clinic specialists where possible. For complex or high-cost cases, we offer physician-to-physician peer review and case consultation.

Billing and Payment

Do employees pay anything out of pocket?

In most cases, no — these services are employer-sponsored and offered at no cost to employees. For travel-based services like Centers of Excellence, some employers may choose to cover airfare, lodging and meals as part of a bundled benefit. We work with you to define the right cost-sharing model, if any.

Are services billed through our health plan or directly to us?

We are flexible. Many employers choose direct contracting to streamline billing and isolate program costs for better ROI tracking. However, we can also coordinate with your TPA or carrier if you'd prefer services to be administered under your health plan network.

How do you handle billing for travel expenses in the Centers of Excellence program?

Travel and lodging expenses are typically billed separately from clinical care. You can choose to:

  • Have Cleveland Clinic coordinate and invoice these directly
  • Use a third-party travel management service
  • Reimburse employees through your existing travel policy

We’ll align with your preference during implementation.

What payment methods are accepted?

We accept standard payment methods including ACH, wire transfers and checks. Payment terms are typically Net 30, but we can customize based on your internal policies or payment cycle requirements.

Can we receive itemized invoices or consolidated billing by location or business unit?

Yes. We offer customizable invoicing formats including itemized statements, cost breakdowns by product or service line, and billing grouped by location, business unit or division — depending on your organizational structure. An invoice coversheet and detailed claim information for bundles are standard.

Are your programs HSA or FSA-eligible?

Yes, all of our program-related visits are HSA or FSA eligible.

Will you provide financial reporting on ROI and utilization?

Yes. We provide detailed quarterly or annual reports that include:

  • Program utilization: Total referrals and total surgeries
  • Clinical outcomes
  • Avoided procedures or complications

These reports are designed to help you assess ROI and make informed decisions about future investments.

Implementation

How long does it take to implement a Cleveland Clinic Employer Health Solution?

Implementation timelines vary by product, but most programs can be launched within 30 to 90 days. Simpler services like Clinical Review or Virtual Second Opinions can go live quickly, while more complex programs like Onsite Clinics or Centers of Excellence may take additional time for contracting, credentialing and workflow integration.

How are employees and dependents made aware of the new services?

We provide a turnkey communications toolkit tailored to your workforce. This can include:

  • Welcome emails and mailers
  • Intranet copy
  • Manager talking points
  • FAQs and flyers
  • Webinars and virtual launch events

We’ll also co-brand materials and align with your open enrollment or wellness campaigns, if desired.

Do we have access to reporting and performance metrics after launch?

Yes. Each program includes customized reporting to track utilization, outcomes, cost savings, patient satisfaction and clinical appropriateness (where applicable). We hold regular performance review meetings to share insights and refine the program as your needs evolve.

What happens after implementation? Is there ongoing support?

Yes. You’ll be assigned a dedicated client success team who serves as your long-term point of contact. They provide:

  • Quarterly business reviews
  • Program optimization support
  • Employee feedback analysis
  • Industry benchmarking and clinical update

You’ll have direct access to our experts for any strategic or operational needs that arise.

What resources are required from our internal team to implement?

We aim to minimize internal lift. You’ll need to assign a primary point of contact (typically from HR, benefits, or operations), participate in milestone check-ins and coordinate any internal approvals. We handle the heavy lifting around clinical operations, documentation and member engagement.

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