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Council approves city-employee primary-care clinic contract with Frontier Direct Care
Summary
The council approved a contract with Frontier Direct Care LLC to provide an on-site primary-care clinic for city employees and dependents, aiming to reduce insurance claims; the clinic will open in San Marcos once the contract is signed.
San Marcos City Council approved a contract with Frontier Direct Care LLC to operate a primary-care clinic serving city employees and their covered dependents, a move staff said should reduce health insurance claims and help manage rising self-insurance costs.
Lindsey Cox, the city’s human-resources director, said Frontier has identified a site in San Marcos and will sign a lease after the city executes the contract. The negotiated contract amount in the agenda caption is $1,500,000 per year; council voted 6–0 with one member absent to approve the resolution authorizing the contract.
Nut graf: The clinic model provides direct primary care to covered employees and dependents (no co-pay for clinic visits under the proposed arrangement) and is intended to catch conditions earlier and reduce high-cost claims hitting the city’s self-insured fund.
Details and scope - Contract citation on the agenda: Resolution 2025‑182R approving a contract with Frontier Direct Care LLC to provide an on-site clinic for city employees and their dependents in the amount of $1,500,000 per year. - Cox said Frontier used the city employee census to map the best clinic location and that telehealth options will be available for employees who cannot attend in person. - Frontier’s model is intended to redirect primary-care needs from higher-cost emergency-room or specialty care to a local clinic and thereby mitigate catastrophic claims. Cox cited an example from another city where earlier diagnosis through a direct-care clinic avoided a larger later claim.
Quote - "They have identified a space in the city of San Marcos. They're just awaiting the signed contract before they can actually sign that lease agreement," — Lindsey Cox, Human Resources Director.
Ending Council approved the contract and authorized the city manager to execute it. Staff said Frontier will finalize leases and the city will notify employees when the clinic opens. Council asked staff to confirm accessibility details such as transit access and to provide that information in future communications.
sections":{"lede":"City Council approved a contract to create an on-site primary-care clinic for city employees and dependents with Frontier Direct Care LLC.","nut_graf":"The clinic is intended to reduce costly insurance claims by providing direct, no-copay primary care and telehealth for employees and dependents; Frontier has identified a local lease site and will finalize it after contract signature.","ending":"Staff will finalize the Frontier lease and provide information about clinic location, hours and access once the contract is executed."},
