Ameriflex and SALTA Direct Primary Care Announce Breakthrough Results from HRA-Backed Healthcare Model

Innovative Pairing of Direct Primary Care and Health Reimbursement Arrangements Yields 2.2x ROI and 71% Drop in Inpatient Hospital Stays for Employers

AUBURN HILLS, Mich.--(BUSINESS WIRE)--Ameriflex, a national employee benefits administrator, and SALTA Direct Primary Care (SALTA) today announced multi-year results from their joint healthcare initiative. By pairing SALTA's Direct Primary Care (DPC) model with an Ameriflex Health Reimbursement Arrangement (HRA) through Accresa's payment orchestration platform, the partnership has delivered significant financial savings and improved health outcomes for participating organizations and their employees.

Proven Financial and Clinical Impact

A five-year tracking study demonstrates that combining subscription-based primary care with pre-tax HRA financing stabilizes rising healthcare costs while curbing high-cost emergency room and hospital utilization.

Key results from the partnership include:

• Substantial Financial ROI: Participating employers achieved a 2.2x return on investment over five years, accumulating $13.84M in total savings.
• Predictable Cost Control: The program held annual healthcare cost growth to 0.9%, compared to the 6.2% expected industry trend for similar employer groups.
• Reduced High-Cost Utilization: The DPC framework cut emergency department visits by 31% and reduced inpatient hospital admissions by 71%.
• Lower Readmission Rates: Patients utilizing SALTA clinics experienced an ER return rate of 23%, compared to 42% for traditional primary care groups.
• Net Annual Employer Savings: The program generated $2.90M in net annual savings per 1,000 enrolled lives after covering all program costs.

Solving Operational and Compliance Challenges

Traditional health plans often struggle to integrate subscription-based care due to tax compliance concerns and administrative friction. The Ameriflex and SALTA collaboration overcomes these barriers by utilizing an employer-funded HRA to cover fixed monthly DPC fees with pre-tax dollars. Accresa's patented software platform handles eligibility synchronization, multi-party payment allocation, and back-end reconciliation while delivering a single consolidated invoice to employer HR teams.

"For employers to offer Direct Primary Care at scale, it must be deployed in a way that is both operationally seamless and compliant with the ERISA requirements governing qualified high-deductible health plans," said Dr. John Blanchard, Founder and CEO of SALTA Direct Primary Care. "SALTA would not be growing as rapidly with employer clients today without our partnerships with Ameriflex and Accresa. Together, they help solve two of the most significant barriers to employer-sponsored DPC: compliance and the complex administration of eligibility, enrollment, and billing.

“Simply stated, Ameriflex plus Accresa plus SALTA is the easy button for employers looking to offer high-quality Advanced Direct Primary Care at scale."

William C. Short, the Executive Chairman and CEO of Ameriflex added, “At Ameriflex, our core mission has always been to help American families access affordable, high-quality healthcare. The multi-year results from our partnership with SALTA prove that pairing DPC with a tax-advantaged HRA delivers real financial relief to employers and significantly improves employee health outcomes. We are proud to help pioneer this next step in the evolution of healthcare, making subscription-based care accessible, compliant, and cost-effective for employers nationwide."

Expanding Access Across Corporate Employers

The success of the HRA and DPC framework allows employers of all sizes to offer zero-copay, 24/7 access to primary care physicians without inflating their overall benefit budgets. By eliminating cost barriers to routine care, employees address health concerns early, preventing high-dollar medical claims and chronic disease complications.

About Ameriflex

Ameriflex is one of the nation's leading providers of employee benefits administration, specializing in tax-advantaged accounts including FSAs, HSAs, CHOICE, HRAs, COBRA administration, and compliance services. Founded in 1998, Ameriflex serves thousands of clients across all 50 states and more than 100 industries. The company maintains a 96% client retention rate and an industry-leading Net Promoter Score of 85+, delivering quiet, dependable benefits administration that reduces administrative complexity and protects employer compliance.

About SALTA Direct Primary Care

SALTA Direct Primary Care is a premier membership-based primary care medical group headquartered in Southeast Michigan. Operating clinics in Auburn Hills, Clarkston, Shelby Township, and Troy, SALTA provides members with unlimited 24/7 access to physicians, same-day or next-day appointments, and comprehensive primary care services for a flat monthly fee without copays or insurance hassles. SALTA focuses on building strong doctor-patient relationships, improving chronic condition management, and delivering measurable healthcare savings for individuals and corporate employers. Employers interested in learning more about setting up a custom tailored DPC network with HRA backing can contact them to learn more.