Direct Care for Employers
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Texas · 2024 – 2025

Six months in. Already past last year.

Year 2 with Schertz-Cibolo-Universal-City ISD, a self-funded Texas school district.

Schertz-Cibolo-Universal-City ISD added the benefit in 2024 with about 1,500 covered lives on the plan. By Year 2, membership had grown to 1,946 — roughly a 30% jump — and the savings grew faster than the membership.

Year 1 (2024–25) saved the plan $995,218 across the full year. Six months into Year 2, the plan has already saved $1,232,870 — past the entire Year 1 number, with half the year still ahead. Measured against running the plan without the benefit, savings vs. self-funded climbed to 77.2%.

The ER pace tells the same story. The clinic absorbed 183 ER visits across all of Year 1, then 181 in just the first six months of Year 2 — nearly double the annual pace. Lab savings followed: $339,016 in Year 1, $437,720 in six months of Year 2.

NPS held: 97 in Year 1, 95 in Year 2 — even as the plan grew and absorbed more first-time members.

By the numbers

$1.23M

saved in 6 months of Year 2

77.2%

Year 2 savings vs. running without the benefit

$497K

ER avoidance, 6 months of Year 2

95

employee NPS, Year 2

Source: Schertz-Cibolo-Universal-City ISD plan reports, 2024–2025 YTD.