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With his companys health costs soaring and his workers struggling with high blood pressure and other medical conditions, Winston Griffin, CEO of Laurel Grocery Co., knew his company had to do something.

So the London, Kentucky, wholesaler opened a health clinic.

This story also ran on USA Today. It can be republished for free.

Our margins are tiny, so every expense is important, Griffin said. The clinic, he said, has helped lower the companys health costs and reduce employee sick leave.

Large employers have run clinics for decades. At Laurel Grocerys in-house clinic, workers can get checkups, blood tests, and other primary care needs fulfilled free, without leaving the workplace. But Griffins move is notable because of his companys size: only about 250 employees.

Nationwide, a modest number of small- and medium-size employers have set up their own health clinics at or near their workplaces, according to surveys and interviews with corporate vendors and consulting firms that help employers open such facilities.

Improving employee health and lowering health costs are among the main advantages employers cite for running clinics. But some companies also say theyre helping to blunt the nations shortage of primary care doctors and eliminate the hassle of finding and getting care.

Why did we do this? So my employees would not drop dead on the floor, Griffin said. We had such an unhealthy workforce, and drastic times called for drastic measures.

KFFs annual survey of workplace benefits this year found that about 20% of employers who offer health insurance and have 200 to 999 workers provide on-site or near-site clinics. That compares with 30% or better for employers with 1,000 or more workers.

Those figures have been relatively steady in recent years, surveys show. Email Sign-Up

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And U.S. employers reported the biggest increase this year in annual family premiums for their sponsored health plans in a decade an average jump of 7% to nearly $24,000, according to the KFF survey, released Oct. 18. That spike may intensify interest among business leaders in curbing underlying health costs, including by exploring delivering care at workplaces.

Employers dont require their workers to use their clinics but typically provide incentives such as free or reduced copayments. Griffin offered employees $150 to get a physical at the clinic; 90% took advantage of the deal, he said.

Employer clinics could alleviate the rising demand for primary care. A far lower proportion of U.S. doctors are generalists than in other advanced economies, according to data compiled by the Peterson Center on Healthcare and KFF.

For patients, frustrating wait times are one result. A recent survey by a physician staffing firm found it now takes an average of three weeks to get in to see a family doctor.

In 2022, Franklin International, a manufacturer of adhesives in Columbus, Ohio, began offering its 450 workers the option to use local primary care clinics managed by Marathon Health, one of about a dozen companies that set up on-site or near-site health centers for employers.

Franklin employees pay nothing at the clinics compared with a $50 copayment to see an outside doctor in their insurance network. So far about 30% of its workers use the Marathon clinics, said Doug Reys, Franklins manager of compensation benefits.

We heard about the difficulty employees had to get in to a doctor, he said. They would call providers who said they were accepting new patients but would still wait months for an appointment, he added.

At the Marathon clinics which are shared by other employers workers now can see a provider within a day, he said.

Thats good for employees and for the companys recruiting efforts. It is a good benefit to say you can get free primary care, Reys said.

Not all employers that have explored opening their own clinics have seen the value. In 2020, the agency that oversees health benefits for Wisconsin state employees opted against the on-site model after a review of experiences by similar agencies in Indiana and Kentucky found it didnt save money or constrain health insurance premiums.

Kara Speer, national practice leader for consulting firm WTW, said potential cost savings from employer-run clinics can take years to accrue as employees shift from pricier hospital emergency rooms and urgent care clinics. And it can be difficult to measure whether clinics control costs by improving workers health through preventive screenings and checkups, she said.

Katie Vicars, a senior vice president at Marathon Health, said about 25% of its 250 clients are firms with fewer than 500 people. She said Marathons clinics help drive down costs and help employees get easier access to doctors who spend more time with them during appointments. Her company helps employers manage workers with chronic diseases better and redirects care from urgent care centers and ERs, she said.

Hospitals have also sought to get into the business of running on-site clinics for employers, but some potential clients question whether those health systems have incentives to funnel workers to their own hospitals and specialists.

At Laurel Grocery, Griffin said he knows many of his employees dont regularly exercise and have poor diets a reflection of the overall population in the region. Health screenings performed by a local hospital over the years found many residents with high cholesterol and high blood pressure. Nothing tended to change, he said.

Laurel Grocery contracts with a local hospital for about $100,000 a year to manage its clinic, including having a physician assistant on-site three days a week. Laurel Grocery does not have access to any employee health records.

He said the clinic has saved money by reducing unnecessary ER use and reducing hospitalizations. Its been way more successful than I thought it would be, he said.

The clinic is about a three-minute walk from Kip Faulhabers office. Faulhaber, a senior vice president at Laurel Grocer who is 73, said he goes in every week for a vitamin B12 shot to treat a deficiency. He also turns to the clinic for an annual physical, vaccinations, and when he has a sinus infection but doesnt want to wait several days to see his regular physician.

This is more than convenient, he said.

[Correction: This article was updated at 4 p.m. ET on Oct. 27, 2023, to correct the name of Marathon Healths Katie Vicars.]

Phil Galewitz: pgalewitz@kff.org, @philgalewitz Related Topics Health Industry Insurance States Copayments Investigation Kentucky Ohio Primary Care Disrupted Wisconsin Contact Us Submit a Story Tip

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2025 MLB Home Run Derby: The field is set! Who is the slugger to beat?

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2025 MLB Home Run Derby: The field is set! Who is the slugger to beat?

The 2025 MLB All-Star Home Run Derby is fast approaching — and the field is set.

Braves hometown hero Ronald Acuna Jr. became the first player to commit to the event, which will be held at Truist Park in Atlanta on July 14 (8 p.m. ET on ESPN). He was followed by MLB home run leader Cal Raleigh of the Seattle Mariners, James Wood of the Washington Nationals, Byron Buxton of the Minnesota Twins, Oneil Cruz of the Pittsburgh Pirates, Junior Caminero of the Tampa Bay Rays, Brent Rooker of the Athletics and Jazz Chisholm Jr. of the New York Yankees.

On Friday, however, Acuna was replaced by teammate Matt Olson.

With all the entrants announced, let’s break down their chances at taking home this year’s Derby prize.

Full All-Star Game coverage: How to watch, schedule, rosters, more


2025 home runs: 17 | Longest: 434 feet

Why he could win: Olson is a late replacement for Acuna as the home team’s representative at this year’s Derby. Apart from being the Braves’ first baseman, however, Olson also was born in Atlanta and grew up a Braves fan, giving him some extra motivation. The left-handed slugger led the majors in home runs in 2023 — his 54 round-trippers that season also set a franchise record — and he remains among the best in the game when it comes to exit velo and hard-hit rate.

Why he might not: The home-field advantage can also be a detriment if a player gets too hyped up in the first round. See Julio Rodriguez in Seattle in 2023, when he had a monster first round, with 41 home runs, but then tired out in the second round.


2025 home runs: 36 | Longest: 440 feet

Why he could win: It’s the season of Cal! The Mariners’ catcher is having one of the greatest slugging first halves in MLB history, as he’s been crushing mistakes all season . His easy raw power might be tailor-made for the Derby — he ranks in the 87th percentile in average exit velocity and delivers the ball, on average, at the optimal home run launch angle of 23 degrees. His calm demeanor might also be perfect for the contest as he won’t get too amped up.

Why he might not: He’s a catcher — and one who has carried a heavy workload, playing in all but one game this season. This contest is as much about stamina as anything, and whether Raleigh can carry his power through three rounds would be a concern. No catcher has ever won the Derby, with only Ivan Rodriguez back in 2005 even reaching the finals.


2025 home runs: 24 | Longest: 451 feet

Why he could win: He’s big, he’s strong, he’s young, he’s awesome, he might or might not be able to leap tall buildings in a single bound. This is the perfect opportunity for Wood to show his talent on the national stage, and he wouldn’t be the first young player to star in the Derby. He ranks in the 97th percentile in average exit velocity and 99th percentile in hard-hit rate, so he can still muscle the ball out in BP even if he slightly mishits it. His long arms might be viewed as a detriment, but remember the similarly tall Aaron Judge won in 2017.

Why he might not: His natural swing isn’t a pure uppercut — he has a pretty low average launch angle of just 6.2 degrees — so we’ll see how that plays in a rapid-fire session. In real games, his power is primarily to the opposite field, but in a Home Run Derby you can get more cheapies pulling the ball down the line.


2025 home runs: 20 | Longest: 479 feet

Why he could win: Buxton’s raw power remains as impressive as nearly any hitter in the game. He crushed a 479-foot home run earlier this season and has four others of at least 425 feet. Indeed, his “no doubter” percentage — home runs that would be out of all 30 parks based on distance — is 75%, the highest in the majors among players with more than a dozen home runs. His bat speed ranks in the 89th percentile. In other words, two tools that could translate to a BP lightning show.

Why he might not: Buxton is 31 and the Home Run Derby feels a little more like a younger man’s competition. Teoscar Hernandez did win last year at age 31, but before that, the last winner older than 29 was David Ortiz in 2010, and that was under much different rules than are used now.


2025 home runs: 16 | Longest: 463 feet

Why he could win: If you drew up a short list of players everyone wants to see in the Home Run Derby, Cruz would be near the top. He has the hardest-hit ball of the 2025 season, and the hardest ever tracked by Statcast, a 432-foot missile of a home run with an exit velocity of 122.9 mph. He also crushed a 463-foot home run in Anaheim that soared way beyond the trees in center field. With his elite bat speed — 100th percentile — Cruz has the ability to awe the crowd with a potentially all-time performance.

Why he might not: Like all first-time contestants, can he stay within himself and not get too caught up in the moment? He has a long swing, which will result in some huge blasts, but might not be the most efficient for a contest like this one, where the more swings a hitter can get in before the clock expires, the better.


2025 home runs: 23 | Longest: 425 feet

Why he could win: Although Caminero was one of the most hyped prospects entering 2024, everyone kind of forgot about him heading into this season since he didn’t immediately rip apart the majors as a rookie. In his first full season, however, he has showed off his big-time raw power — giving him a chance to become just the third player to reach 40 home runs in his age-21 season. He has perhaps the quickest bat in the majors, ranking in the 100th percentile in bat speed, and his top exit velocity ranks in the top 15. That could translate to a barrage of home runs.

Why he might not: In game action, Caminero does hit the ball on the ground quite often — in fact, he’s on pace to break Jim Rice’s record for double plays grounded into in a season. If he gets out of rhythm, that could lead to a lot of low line drives during the Derby instead of fly balls that clear the fences.


2025 home runs: 19 | Longest: 440 feet

Why he could win: The Athletics slugger has been one of the top power hitters in the majors for three seasons now and is on his way to a third straight 30-homer season. Rooker has plus bat speed and raw power, but his biggest strength is an optimal average launch angle (19 degrees in 2024, 15 degrees this season) that translates to home runs in game action. That natural swing could be picture perfect for the Home Run Derby. He also wasn’t shy about saying he wanted to participate — and maybe that bodes well for his chances.

Why he might not: Rooker might not have quite the same raw power as some of the other competitors, as he has just one home run longer than 425 feet in 2025. But that’s a little nitpicky, as 11 of his home runs have still gone 400-plus feet. He competed in the college home run derby in Omaha while at Mississippi State in 2016 and finished fourth.


2025 home runs: 17 | Longest: 442 feet

Why he could win: Chisholm might not be the most obvious name to participate, given his career high of 24 home runs, but he has belted 17 already in 2025 in his first 61 games after missing some time with an injury. He ranks among the MLB leaders in a couple of home run-related categories, ranking in the 96th percentile in expected slugging percentage and 98th percentile in barrel rate. His raw power might not match that of the other participants, but he’s a dead-pull hitter who has increased his launch angle this season, which might translate well to the Derby, even if he won’t be the guy hitting the longest home runs.

Why he might not: Most of the guys who have won this have been big, powerful sluggers. Chisholm is listed at 5-foot-11, 184 pounds, and you have to go back to Miguel Tejada in 2004 to find the last player under 6 foot to win.

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Van Gisbergen takes Sonoma to extend win streak

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Van Gisbergen takes Sonoma to extend win streak

SONOMA, Calif. — Shane van Gisbergen extended his winning streak to two straight and three victories in the past five weeks with yet another dominating run on a road course.

The New Zealander once again showed he’s in a completely different class on road and street courses than his rivals as he led 97 of 110 laps Sunday to win from pole at Sonoma Raceway. All three of his wins this year have been from pole — which tied him with Jeff Gordon for a NASCAR record of three consecutive road course victories from the top starting spot.

Gordon did it between the 1998 and 1999 seasons.

Victory No. 4 for van Gisbergen — who stunned NASCAR in 2023 when he popped into the debut Chicago street course race from Australian V8 Supercars and won — seemed a given before teams even arrived at the picturesque course in California wine country. His rivals have lamented that “SVG” has a unique braking technique he mastered Down Under that none of them — all oval specialists — can ever learn.

That win in Chicago two years ago led van Gisbergen to move to the United States for a career change driving stock cars for Trackhouse Racing. He and Ross Chastain have pumped energy into the team over this summer stretch with Chastain kicking it off with a Memorial Day weekend victory at the Coca-Cola 600.

Van Gisbergen is the fastest driver to win four Cup Series races — in his 34th start — since Parnelli Jones in 1969.

“It means everything. That’s why I race cars. I had an amazing time in Australia, and then to come here and the last couple weeks, or years, actually, has been a dream come true,” said van Gisbergen. “I’ve really enjoyed my time in NASCAR. Thanks, everyone, for making me feel so welcome. I hope I’m here for a long time to come.”

The Sonoma win made it four victories for Trackhouse in eight weeks. Van Gisbergen was second from pole in Saturday’s Xfinity Series race.

Although he dominated again Sunday, van Gisbergen pitted from the lead with 27 laps remaining and then had to drive his way back to the front. He got it with a pass of Michael McDowell with 19 laps remaining, but two late cautions made van Gisbergen win restarts to close out the victory in his Chevrolet.

Chase Briscoe was second in a Toyota for Joe Gibbs Racing.

“I’ve never played against Michael Jordan, but I imagine this was very similar,” Briscoe said after not being able to pass van Gisbergen on the two late restarts — the last with five laps remaining. “That guy is unbelievable on road courses. He’s just so good. He’s really raised the bar on this entire series.”

Briscoe was followed by Chase Elliott in a Chevrolet for Hendrick Motorsports. McDowell in a Chevy for Spire Motorsports was fourth and Christopher Bell in a Toyota for Joe Gibbs Racing was fifth.

In-season challenge

The midseason tournament that pays $1 million to the winner is down to four drivers.

Alex Bowman finished 25th and eliminated Ty Dillon, who finished 26th. Tyler Reddick (11th) knocked out Ryan Preece (16th), John Hunter Nemechek knocked out teammate Erik Jones as they finished 21st and 22nd, and Ty Gibbs, with a seventh-place finish, eliminated Zane Smith.

Bowman, at eighth, is the highest-seeded driver still in the challenge, which debuted this year.

Crew fight

NASCAR officials had to separate the crews for Brad Keselowski and Gibbs when members from the two teams scrapped on pit road during the race.

Keselowski’s crew confronted Gibbs’ crew after Gibbs drove through their pit stall and narrowly missed hitting some of Keselowski’s crew members already in place waiting for him.

The confrontation appeared to be contained to pushing and shoving and NASCAR officials quickly stepped between them. Both crews were given an official warning for fighting but NASCAR said Gibbs did nothing wrong.

Clean race — for a while

It took 61 of the 110 laps for the first caution for an on-track incident — when Ryan Blaney was knocked off the course and into the dirt early in the third stage. The contact from Chris Buescher left Blaney stranded, and right before NASCAR could throw the yellow, Bubba Wallace and Denny Hamlin both spun.

It was technically the third caution of the race, but the first two were for natural stage breaks.

The race ended with six cautions — two in the final stretch.

Up next

The Cup Series races Sunday at Dover Motor Speedway in Delaware, where Hamlin won last year.

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Palace confirms dates of Trump’s state visit – as King and Queen to host him at Windsor Castle

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Palace confirms dates of Trump's state visit - as King and Queen to host him at Windsor Castle

The dates for Donald Trump’s state visit to the UK have been announced, with the US president due to be welcomed by the King from 17 to 19 September.

Buckingham Palace also confirmed that President Trump and first lady Melania will be hosted by the King and Queen at Windsor Castle.

It was expected that the three-day state visit would take place in September after Mr Trump let slip earlier in April that he believed that was when his second “fest” was being planned for.

Windsor was also anticipated to be the location after the US president told reporters in the Oval Office that the letter from the King said Windsor would be the setting. Refurbishment works at Buckingham Palace also meant that Windsor was used last week for French President Emmanuel Macron’s visit.

This will be Mr Trump’s second state visit to the UK, an unprecedented gesture towards an American leader, having previously been invited to Buckingham Palace in 2019.

Donald Trump and Melania Trump pose with Prince Charles and Camilla in 2019
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Donald Trump and Melania Trump posing with Charles and Camilla in 2019. Pic: Reuters

He has also been to Windsor Castle before, in 2018, but despite the considerable military pageantry of the day, and some confusion around inspecting the guard, it was simply for tea with Queen Elizabeth II.

Further details of what will happen during the three-day visit in September will be announced in due course.

More on Donald Trump

On Friday, Sky News revealed it is now unlikely that the US president will address parliament, usually an honour given to visiting heads of state as part of their visit. Some MPs had raised significant concerns about him being given the privilege.

But the House of Commons will not be sitting at the time of Mr Trump’s visit as it will rise for party conference season on the 16 September, meaning the president will not be able to speak in parliament as President Macron did during his state visit this week. However, the House of Lords will be sitting.

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Labour MP: ‘Trump isn’t welcome here’

In February this year, Prime Minister Sir Keir Starmer presented the US president with the letter from the King inviting him to visit during a meeting at the White House.

After reading it, Mr Trump said it was a “great, great honour”, adding “and that says at Windsor – that’s really something”.

U.S. President Donald Trump holds a letter from Britain's King Charles as he meets with British Prime Minister Keir Starmer in the Oval Office at the White House in Washington, D.C., U.S., February 27, 2025. REUTERS/Kevin Lamarque     TPX IMAGES OF THE DAY
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In February, Sir Keir Starmer revealed a letter from the King inviting Donald Trump to the UK. Pic: Reuters

In the letter, the King suggested they might meet at Balmoral or Dumfries House in Scotland first before the much grander state visit. However, it is understood that, although all options were explored, complexities in both the King and Mr Trump’s diaries meant it wasn’t possible.

Read more from Sky News:
Is the UK ready for a ‘Trump-fest’?
Elton and Jagger at royal banquet
King and Trump won’t hold private meeting

This week, it emerged that Police Scotland are planning for a summer visit from the US president, which is likely to see him visit one or both of his golf clubs in Aberdeenshire and Ayrshire, and require substantial policing resources and probably units to be called in from elsewhere in the UK.

Precedent for second-term US presidents, who have already made a state visit, is usually tea or lunch with the monarch at Windsor Castle, as was the case for George W Bush and Barack Obama.

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