A person in a yellow high-visibility jacket and white hard hat holds a tablet at an industrial facility

Case Study

City of Plantation: $7M saved with onsite care

See how the City of Plantation partnered with Marathon Health to cut healthcare costs by $7M while driving record employee engagement and lasting health outcomes.

Read the case study

For municipalities managing diverse, high-risk workforces, rising costs and declining employee health are real budget threats. The City of Plantation faced both—spiraling claims and no meaningful improvement in employee health. City leaders needed a fundamentally different approach: one that could move the needle on costs and outcomes for the long term.

A smiling healthcare provider in blue scrubs holds a tablet while speaking with a person at a desk

ABOUT THE CITY OF PLANTATION

A diverse public workforce with complex health needs

Who they are

The City of Plantation, Florida is a municipal employer with approximately 1,800 employees across 15 departments—including utility workers, public safety officers, and road crews. This workforce is diverse in role, risk profile, and health need, making population-level health management both critical and complex.

A city workforce looking for a change

For years, the City’s reactive approach to healthcare resulted in rising claims and stop-loss events. With employee health showing no signs of improvement and costs continuing to climb, they needed a partner who could deliver a comprehensive, outcomes-focused model built around their people.

THE CHALLENGE

Reactive care was costing the City—in every way

The City’s workforce spans a wide range of roles and risk factors. Managing the health of such a varied population is inherently complex, and doing so reactively only compounds the problem.

Upwards of 20 stop-loss claims in a single year with no improvement
A reactive care model that failed to address chronic conditions
No consistent engagement strategy to connect with field-based employees

The City needed more than a vendor—they needed a partner willing to take a comprehensive, patient-centered approach. One that could engage employees where they are, address chronic conditions proactively, and deliver measurable results over the long term. A new model was the only path forward.

THE MARATHON HEALTH SOLUTION

A comprehensive onsite health center built around the whole employee

A dedicated onsite health center for employees

In 2010, the City partnered with Marathon Health to open an onsite health center—selected for its patient-centric model that prioritizes outcomes over transactions, with longer appointments, onsite medications, and lab testing.

An omnichannel engagement strategy

For the 40% of employees who work in the field, Marathon Health providers visit employees on-site—at police stations, water treatment plants, and more—to build real relationships and drive health center engagement.

A program that turns engagement into action

The City's "Three Steps to Wellness" program rewards employees who complete biometric screenings, health risk assessments, and health reviews with premium reductions and gift cards—motivating ongoing preventive care.

Aerial view of the City of Plantation civic campus surrounded by lush tree canopy and parking areas

0 %

patient satisfaction rate reported by employees using the health center

0 %

of City of Plantation employees utilize the onsite health center—leading to better health outcomes

0 %

of covered spouses utilized the onsite health center in the most recent year

$ 0 M

in total healthcare cost savings achieved through the Marathon Health partnership

$ 0 M

in 12-year net savings realized through the ongoing Marathon Health partnership

They're so amazing at what they do. I've said it from the beginning, Marathon knows how to hire the right people who are the right fit. We can get them to visit, but it's the staff that keeps them coming back.

BEVERLY AMBROSIO

Benefits and Wellness Manager, City of Plantation
I like to look at the health center data, and for me, the biggest thing is to make sure the employees are engaged, especially the high-risk employees and those with chronic conditions. It's key because it tells us they're working to make improvements.

Beverly Ambrosio

Benefits and Wellness Manager, City of Plantation
We call it ‘Three Steps to Wellness.’ Everybody knows about it, and they know their numbers. If they complete a biometric screening, health risk assessment and a comprehensive health review, they pay about 11% less on their health insurance.

Beverly Ambrosio

Benefits and Wellness Manager, City of Plantation

GET STARTED

See what partnership with Marathon Health can do

The City of Plantation's results didn't happen by chance—they were built through a committed partnership, a proven model, and a care team invested in real outcomes. If your organization is ready to take a proactive approach to employee health, Marathon Health is ready to help.

LET'S CONNECT

Find the best advanced primary care model for your people

Talk to our team