Case Study

Keller Independent School District saves $31 million

Discover how Keller ISD partnered with Marathon Health to save over $31 million in healthcare costs while improving the health of thousands of district employees.

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School districts face pressure to manage rising healthcare costs without compromising quality of care. When a workforce spans thousands of educators, administrators, and support staff, the stakes are high—and the right healthcare strategy can make all the difference. For Keller ISD, the answer lies in a long-term partnership built on proactive, onsite primary care.

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ABOUT KELLER ISD

A Texas school district investing in employee health

Who they are

Keller Independent School District is located in Tarrant County, Texas, spanning 51 square miles and serving approximately 35,000 students. Keller ISD has a workforce of thousands of educators, administrators, and support staff.

A decade-long partnership

Keller ISD has partnered with Marathon Health for over a decade to deliver high-quality, onsite primary care to its employees and their families. With 2,650 active patients, the district's health center provides access to primary care, biometric screenings, chronic condition management, and behavioral health services.

THE CHALLENGE

Managing chronic conditions across a large workforce

Like many large public-sector employers, Keller ISD faced the challenge of a workforce with significant chronic health needs. With over half of employees identified as high biometric risk or managing chronic conditions, the district needed a care model that could drive meaningful change.

Widespread chronic conditions including obesity, hypertension, and diabetes
Low engagement in preventive screenings and treatment-seeking behaviors
Rising healthcare costs driven by unmanaged and late-detected conditions

The COVID-19 pandemic increased demand for behavioral health services and created new barriers to consistent care. Employees needed more than access—they needed a trusted care team invested in their long-term health.

THE MARATHON HEALTH SOLUTION

Onsite care designed to engage, treat, and transform workforce health

Onsite primary care built for everyday health needs

Marathon Health's onsite health center gave Keller ISD employees convenient access to primary care before, during, or after school hours—removing barriers and making it easier to prioritize health.

Chronic condition management and biometric screenings

Biometric screenings identified 1,344 high-risk employees. Ongoing condition management helped each one address risk factors—from hypertension and diabetes to obesity—through personalized care.

Behavioral health support integrated into everyday care

Marathon Health integrated behavioral health into Keller ISD's health center, making mental health support as accessible as any primary care visit—so employees could get help when they needed it most.

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patient satisfaction score reported across Keller ISD's Marathon Health health center

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saved in healthcare costs by Keller ISD over the course of the partnership

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engagement and utilization rate among high-risk employees at Keller ISD

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of high-risk employees made progress improving their health risk factors

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less spent on healthcare by engaged members compared to non-engaged members

Better access to care leads to better health and this helps us maintain and decrease our claims cost. When employees have the opportunity to improve their health, they reduce their own healthcare costs as well.

SHERI RICH

Director of HR - Employee Benefits, Keller ISD

GET THE CASE STUDY

See the full story behind Keller ISD's results

Download the full Keller ISD case study to see how an onsite health center, chronic condition management, and behavioral health services helped save over $31 million and improve outcomes for thousands of employees.

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