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Driving surgical affordability and quality through active
medical device management and site of care optimization -
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Driving surgical affordability and quality through active
medical device management and site of care optimization -
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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.
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.
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.
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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
COST SAVINGS
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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.
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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.
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.
Pacira CEO David Stack says 70% of surgeries will be outpatient in 10 years — Here are the key drivers
Author:
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.
CONTACT US
2300 Lakeview Parkway
Suite 500
Alpharetta, GA 30009
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With a proven track record of results, IPG’s cost management solutions make surgical care more affordable.
