Common questions about working with One3.

Fractional Medical Leadership is One3's core product: a residency-trained, board-certified occupational medicine physician installed as your Medical Director on retainer — owning the clinical decisions, regulatory exposure, workers' comp strategy, and health-spend analysis that no broker, software platform, or urgent-care chain can own. The physician never works alone: every engagement includes access to the One3 Team — healthcare data and claims analysts, a nurse case manager, and safety, HR, and benefits specialists — deployed as your data warrants, at a fraction of the cost of a full-time hire.

They are the delivery arms of the program. Your Fractional Medical Director diagnoses what your workforce needs, and services like occupational telemedicine, onsite direct primary care, and independent medical examinations plug in under that leadership as your program calls for them. Most can also be engaged on their own — a one-time project such as an OSHA audit, expert claim review, or health-spend analysis is the most common first step into an ongoing relationship.

Any employer can use Fractional Medical Leadership in some capacity. The strongest fit is a mid-market employer of roughly 500 to 5,000 employees with a safety-sensitive or physically active workforce — manufacturing, construction, logistics, energy, agriculture, transportation, healthcare — carrying significant healthcare and workers' comp spend that no physician has ever assessed. But the model serves employers of every size and industry, including office-based and service organizations.

Every engagement runs the same physician's method: Diagnose, Prescribe, Manage. One3 starts by reading the data you already have — claims, pharmacy, OSHA logs, workers' comp loss runs, absence records, and plan documents — the way a physician reads labs, and returns a diagnosis: the true cost of your workforce's health, with the drivers named and sized. That becomes a prioritized action plan, quick wins first, which your Medical Director then manages as part of your leadership team on a fixed cadence — standing meetings, on-call consultation windows, dashboards, and executive reporting.

The action plan is sequenced so early wins — steering care to the right site, reducing avoidable ER use, resolving claims faster — help fund the longer arc of chronic disease management and prevention, where savings typically build over 12–36 months. Everything is measured against your own baseline: workers' comp cost, recordable rates, return-to-work time, ER avoidance, and total program ROI, tracked in dollars and re-baselined annually.

No. The model creates the most direct financial return for self-funded and level-funded employers, because every avoided claim lands on your own P&L. Fully-insured employers still capture the workers' comp, OSHA, return-to-work, and productivity value — and many use One3's physician-level benefit-design advisory to evaluate whether self-funding is the right next step.

No — One3 sits above them as the clinical layer no one else provides. Your broker manages the contract and your TPA administers claims, but neither makes medical decisions; One3's physician directs the medical strategy that informs their work. One3 does not sell insurance and never receives carrier compensation, so its advice is accountable only to you.

One3 is not a walk-in clinic and does not sell visits. Clinic chains deliver transactional care — an exam, a form, an invoice — with no accountability for your total spend. One3 provides the embedded medical leadership above that layer: a physician who owns your health-cost strategy end to end and directs whatever care delivery your program needs, including running or supervising clinics where that is the right prescription.

Yes. One3 supports OSHA recordability and audit readiness, DOT/FMCSA compliance, medical surveillance, workers' comp case coordination, and return-to-work — all as part of your ongoing retainer relationship.

Yes. DOT/FMCSA program management, drug and alcohol testing oversight with certified Medical Review Officer (MRO) services, medical surveillance, and fitness-for-duty programs are core components of Fractional Medical Leadership — with audit-ready documentation behind all of it.

No. One3 maintains HIPAA- and ADA-compliant separation between occupational health records and personal medical records, held in separate data silos with business associate agreements in place across every technology vendor. Employers receive what they are entitled to: work-status decisions, aggregate utilization and cost analysis, and program metrics — never an individual employee's private medical details.

In most onsite clinic models, the vendor carries the staffing cost and risk. With One3, the employer owns the clinical staff while One3 manages the program, trains the provider, and guarantees virtual coverage when that provider is out — so a rural clinic never goes dark. A One3-owned clinic option is available for employers who prefer One3 to carry the full risk.

When a claim is contested, a diagnosis or work-relatedness is in dispute, a return-to-work decision needs a defensible medical opinion, or fitness-for-duty is in question. One3's IMEs are performed by board-certified occupational medicine physicians and priced per case as a standalone service — no retainer required.

It is a HIPAA-compliant employer health operating system that unifies clinical care, workplace safety, and a real-time executive ROI dashboard. It is built and owned by The Engine, a technology company One3 is partnering with — One3 does not own the platform. It is currently in development, with the first release launching soon. Retainer clients receive platform access as part of their program.

Retainer pricing scales with workforce size and scope — from a few physician hours a month for smaller employers to coordinated multi-physician coverage for enterprises — always at a fraction of the cost of a full-time hire. One-time consultation projects (an OSHA audit, expert claim review, DOT program setup, or health-spend analysis) are also available and are a common entry point. The best next step is a short discovery call so One3 can scope the right program and provide a tailored quote: use the contact form or call (509) 255-3033.

All 50 states and worldwide. Standard telemedicine hours are 0900–1700 EST, with 24/7/365 on-call coverage — and every engagement flexes to your operational needs.