The advent of organizations considering an on-site approach to the delivery of healthcare services increases in direct proportion to the rising of healthcare costs. This volume is a how-to manual on the design and implementation of an on-site program and presents the challenges and benefits of such a system. Topics discussed include hospital and specialty contracting; employee choice concerns; cost-control; ancillary services such as pharmacy, lab testing, physical therapy, and imaging; workers compensation issues; benefits consultants; quality vs. value analysis; and other considerations. A case study is provided which follows the implementation of a program from inception to introduction.