• Driving surgical affordability and quality through active
    medical device management and site of care optimization

    EXPLORE OUR SOLUTIONS

  • Home 2

    Lower
    Device
    Cost

    Addressing high price variation
    for devices that are functionally and clinically similar

    EXPLORE OUR SOLUTIONS

  • Home 3

    Cost Effective
    Device Selection

    Engaging and educating physicians
    on active device selection and
    cost management solutions for patients

    EXPLORE OUR SOLUTIONS

  • Home 4

    Site of Care
    Optimization

    Creating alignment and infrastructure
    to drive appropriate device-related
    surgeries to high quality,
    lower cost facilities

    EXPLORE OUR SOLUTIONS

  • Home 5

    Improved
    Surgical
    Costs & Care

    Aligning incentives across health plan, surgeon,
    facility and device manufacturers,
    resulting in improved quality
    and affordability
    of surgical care

    EXPLORE OUR SOLUTIONS

  • Driving surgical affordability and quality through active
    medical device management and site of care optimization

    EXPLORE OUR SOLUTIONS

  • Lower
    Device
    Cost

    Addressing high price variation
    for devices that are functionally and clinically similar

    EXPLORE OUR SOLUTIONS

  • Cost Effective
    Device Selection

    Engaging and educating physicians
    on active device selection and
    cost management solutions for patients

    EXPLORE OUR SOLUTIONS

  • Site of Care
    Optimization

    Creating alignment and infrastructure
    to drive appropriate device-related
    surgeries to high quality,
    lower cost facilities

    EXPLORE OUR SOLUTIONS

  • Improved
    Surgical
    Costs & Care

    Aligning incentives across health plan, surgeon,
    facility and device manufacturers,
    resulting in improved quality and affordability
    of surgical care

    EXPLORE OUR SOLUTIONS

Find out how we lower costs for our health plan partners and patients in our video below.

In a $155 Billion industry, surgical procedure costs are rising, with limited transparency or ability to manage them. The price of a surgical procedure can be 200% to 400% higher than necessary depending upon the selection and cost of the device and where the procedure is performed.

That’s where IPG comes in. We partner with surgeons, facilities and device manufacturers to provide surgical cost management solutions that result in improved quality and affordability of care for our health plan partners and patients.

When a surgical procedure with an implant is performed, like a knee replacement, rotator cuff repair or spinal fusion, IPG aligns key stakeholders to ensure that procedures are performed with the optimal device and at the best site of care. 

PROCEDURE TYPES

We cover the full spectrum of implantable devices, biologics and other covered tools and supplies that
may be part of the patient’s surgical procedure. Our manufacturer network includes access to over 16,500 devices.

ORTHOPEDICS

  • Sports Medicine
    • Soft Tissue Repair (ACL, Rotator Cuff)
    • Arthroscopy
  • Internal Fixation
  • External Fixation
  • Joint Replacement
  • Osteotomy

NEUROSURGICAL

  • Spine Fusion
  • Disc Arthroplasty
  • Neurostimulation

CARDIOVASCULAR

  • Pacemakers
  • Defibrillators
  • Stents

OPTHAMOLOGY

  • Cataract Surgery
  • Glaucoma Surgery

ENT

  • Ear (Cochlear Implantation, Ear Tube Surgery, etc.)
  • Sinus (Functional endoscopic sinus surgery – FESS)

INTEGUMENTARY

  • Reconstructive Surgery
  • Wound Treatment

DIGESTIVE

  • Bariatric Surgery
  • Reflux Surgery

UROLOGICAL

  • Voiding Dysfunction
  • Genital Trauma / Reconstruction

GENERAL SURGERY

  • Hernia Repair
  • Abdominal & Gastrointestinal Surgery

PROCEDURE TYPES

We cover the full spectrum of implantable devices, biologics and other covered tools and supplies that
may be part of the patient’s surgical procedure. Our manufacturer network includes access to over 16,500 devices.

ORTHOPEDICS

  • Sports Medicine
    • Soft Tissue Repair (ACL, Rotator Cuff)
    • Arthroscopy
  • Internal Fixation
  • External Fixation
  • Joint Replacement
  • Osteotomy

NEUROSURGICAL

  • Spine Fusion
  • Disc Arthroplasty
  • Neurostimulation

CARDIOVASCULAR

  • Pacemakers
  • Defibrillators
  • Stents

OPTHAMOLOGY

  • Cataract Surgery
  • Glaucoma Surgery

ENT

  • Ear (Cochlear Implantation, Ear Tube Surgery, etc.)
  • Sinus (Functional endoscopic sinus surgery – FESS)

INTEGUMENTARY

  • Reconstructive Surgery
  • Wound Treatment

DIGESTIVE

  • Bariatric Surgery
  • Reflux Surgery

UROLOGICAL

  • Voiding Dysfunction
  • Genital Trauma / Reconstruction

GENERAL SURGERY

  • Hernia Repair
  • Abdominal & Gastrointestinal Surgery

CLIENTS

We work with health plans, facilities, doctors and device manufacturers to provide implantable devices, biologics or other covered tools and supplies that may be part of the patient’s surgical procedure.

  • HEALTH PLANS

    We deliver lower surgical costs to our health plan partners through device management and site of care solutions that are complementary to your existing clinical cost management, network management and reimbursement programs.

    • Access to deep device expertise and experience
    • Delivery of device and site of care savings
    • Supportive of cost of care goals and network strategy
    • No administrative costs
    • Simplified and easy to implement contracting process
    • A cost management solution that is a true health plan - provider partnership

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  • FACILITIES

    With a large national footprint and a 98% facility satisfaction rate, we partner with leading health plans, surgeons and surgical facility partners to deliver high quality care to patients.

    • No device risk for high cost implants
    • Improved cash flow
    • Enhanced surgeon recruitment
    • Ability to perform higher acuity cases
    • Revenue generation from new procedures and increased volume

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  • SURGEONS

    We enable surgeon collaboration and engagement with our health plan partners to reduce costs for their patients while supporting value-based care delivery.

    • Increased Value-based Reimbursement
    • Maintain Product Selection
    • Surgical Group Incentives
    • Lower Costs for Patients
    • A more significant impact on making surgical care more affordable

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  • MANUFACTURERS

    Working closely with IPG, we facilitate access to our clients, increase your market share and enable you to be a part of the value cost solution.

    • You become a part of the value solution with the health plan
    • Increased market share
    • Levels the playing field and removes barriers to entry
    • Creates highly efficient new distribution channel
    • Promotes value-based care delivery

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  • PATIENTS

    Deductibles and co-insurance are rising. Since IPG lowers the total cost of your surgical procedure, we also lower your out-of-pocket costs. IPG also handles the billing, coordination, and reimbursement of the surgical devices used in your procedure which helps your facility focus more on providing you with the best care and focus less on the administrative work. A win-win!

    • Lower Out-of-Pocket Costs
    • High Quality, Affordable Care

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COST SAVINGS

  • Price Variation by Device Example:

    Price Variation by Device Example:

    In the example, all three devices are functionally and clinically equivalent, however these comparable devices vary 200 to 300% in cost! The IPG model generates immediate client savings by 1) leveraging our device pricing and vast manufacturer network, 2) accessing our device selection tool to assist the surgeon in optimal device/patient/procedure matching and 3) enabling the procedure to be performed at the most cost effective, high quality site of care.

  • Price Variation by Site of Care Example:

    Price Variation by Site of Care Example:

    In this example, the cost for an ACL Reconstruction procedure in the same geographic area is 50% higher at surgical facility A than B. In addition to device savings, our model also generates significant and immediate savings by ensuring that the procedure is performed at a high quality and affordable site of care.


    INDUSTRY INSIGHTS

    Value-based payment – A place where healthcare needs to go to keep premiums (costs) down

    Now that we are entering the home stretch of the year, many health plans are turning their attention to reimbursement innovation, where many, if not most roads lead to value-based contracting. A recent McKinsey article indicated that premium reductions of 18% have been achieved using value networks, compared to standard, broad-based network products. McKinsey says that “…a provider’s level of ‘skin in the game’ is among the most important predictors of the impact of value-based payment. Finding ways to raise the stakes (both positive and negative) for providers to adopt and perform under value-based payment models is therefore likely to be essential to transforming health care delivery.”

    IPG is both a pioneer and a leader in working with health plans to use value-based contracting as a means to address escalating device and site-of care (SoC) surgical costs. IPG enables informed device selection, promotes transparency and increases awareness of SoC alternatives which benefit health plans, providers and members. Regardless of current contracting strategies and methodologies, we can help you address current unsustainable utilization trends and create effective provider incentives for selecting more cost-effective devices and SoC alternatives.

    Here’s what a forward-thinking Midwest health plan executive said about it: “Inside of a bundled program, IPG becomes a great resource to our provider partners to control implant costs. As those savings are realized by partners, they become more willing to go deeper into the value discussion and shared risk. A place where healthcare needs to go to keep premiums (costs) down.”

    Ways IPG helps engage providers to reduce device cost and facilitate SoC shift, regardless of health plan current contracting methodology:

    1. Standard device carve-out model, where IPG bills separately for the device portion of the procedure. This model not only lowers price variability and device price trend, but also drives immediate savings for health plans and the member based on optimal device selection and site of care. With no cash outlay in this model for the device, the provider can perform the procedure in the lower cost ASC setting, benefiting the facility, health plans and members. To mitigate having the member receive multiple bills for their procedure under this construct, a co-pay benefit structure can be used at a procedure specific level; the financial entity holding the bundle collects the aggregate procedural copay and IPG is paid first dollar for the device. This option provides the greatest benefit to health plans and providers. 
    2. IPG procures the device for the bundled holder. This model is set up where IPG sells the device to the bundle convener and the convener pays IPG, with IPG managing the device utilization requirements to meet health plans’ procedural cost targets. The benefit is that the member receives one claim, but the downside is that unlike the savings created in Option 1, health plans do not participate in device pricing benefits and it creates significant cost pressure on the plan due to the shift of price leverage onto the bundled holder. Additionally, the provider must outlay the cash for the device, which often causes cherry picking of procedures, sending high-cost procedures to the higher cost HOPD, while having health plans pay significantly more facility-based charges on more routine procedures.
    3. Rep-Lite model (this model can be integrated with any of the other options). IPG works with Rep-Lite and the targeted facility to integrate clinical specialist resources into the facility’s operational protocol. This resource is manufacturer-agnostic; however, it promotes the use of more cost-effective device options when clinically appropriate, driving lower costs for health plans. The model also scales quickly where additional procedures can be done in the lower-cost setting because a clinical resource is already integrated within the facility and surgeon’s workflow. The agnostic nature of the model allows for continued cost improvement over time because perverse financial incentives are removed.
    4. IPG brings in a convener.  Health plans and IPG decide who holds the bundle; the entire care team, or an individual care team member such as facility or physician group. Under the overall care team model, a contractual relationship is established that fairly shares clinical and financial risk across all parties. The benefits are that it lowers surgical costs for health plans and members, and creates competitive pricing from manufacturers who want to participate. It is also easily scaled to lower cost ASCs who want to offer more complex procedures and improves cash flow and case volume for the facility.

    Study: Commercial Insurance Cost Savings in Ambulatory Surgery Centers

    Author: Healthcare Bluebook and HealthSmart via Advancing Surgical Care

    A review of commercial medical-claims data found that U.S. healthcare costs are reduced by more than $38 billion per year due to the availability of ambulatory surgery centers (ASCs) as an appropriate setting for outpatient procedures. More than $5 billion of the cost reduction accrues to the patient through lower deductible and coinsurance payments. This cost reduction is driven by the fact that, in general, ASC prices are significantly lower than hospital outpatient department (HOPD) prices for the same procedure in all markets, regardless of payer.

    Read More

     

    Pacira CEO David Stack says 70% of surgeries will be outpatient in 10 years — Here are the key drivers

    Author: Laura Dyrda, Becker’s

    Mr. Stack said he sees the move to outpatient surgery as an important driver for the company’s success in the future. The company estimates around 70 percent of surgeries are done in hospitals and 30 percent are done in ASCs; however, over the next 10 years Mr. Stack projects that will flip to 70 percent of surgeries performed in an outpatient or ambulatory setting and 30 percent in the inpatient hospital.

    Read More

    CONTACT US

    2300 Lakeview Parkway
    Suite 500
    Alpharetta, GA 30009 

    Fax: (866) 753-0194

    GET IN TOUCH

    Please complete the contact form below and we will be in touch with you shortly.

    With a proven track record of results, IPG’s cost management solutions make surgical care more affordable.

    (770) 753-0046


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