County wellness center reports higher utilization and cost savings, asks for continued staffing support

Fauquier County Board of Supervisors · November 13, 2025

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Summary

Marathon Health and county staff reported a 15% increase in visits, strong patient satisfaction (NPS ~83), and estimated per‑member cost savings for engaged users; presenters recommended modest additional clinical support to sustain outcomes.

County staff and Marathon Health presented the seventh annual review of the Fauquier County Employee Wellness Center, saying utilization and engagement have risen and that the center delivers both health outcomes and cost savings for the county and school division.

"Since opening we have added staff to include an RN health coach, a behavioral health specialist, as well as additional services," Mary Wyckoff, county policy, risk and compliance manager, told the board. Marathon regional operations manager Vince Pascal said visits increased about 15% year‑over‑year and that engaged members show lower per‑member per‑year claims.

Marathon highlighted several measures: an NPS (net promoter score) around 83, an increase in preventative visits and occupational‑health volumes (656 occupational‑health visits this year), and provider appointment times averaging roughly 30 minutes, which Marathon said supports better outcomes and trust with patients.

Presenters also discussed capacity. Marathon said provider schedules have been near target utilization and recommended additional clinical support (for example, a medical assistant or clinical support role) to maintain service levels and continued gains. Board members asked about cost sharing with the town and with the Fauquier County Water and Sanitation Authority; staff said the town participates under an MOU and the WSA participates through the county insurance relationship.

What’s next: Marathon and county staff said they will continue outreach to boost engagement, monitor provider capacity, and return with any staffing proposals tied to budget considerations.