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.
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
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.
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Press release published on Business Wire September 25, 2018.
The more financial responsibility patients share with their insurers, and the more they understand the disparity in prices charged by freestanding ambulatory surgery centers
We’ve developed a comprehensive approach to outpatient hip and knee replacements, so we know a thing or two about what it takes to launch a successful program.
CMS has proposed canceling the cardiac and expanded joint replacement bundled payment models.
A short drive in the Los Angeles area can yield big differences in price for knee or hip replacement surgery.