By Shane Stone, Senior VP of Sales
According to a recent survey of chief human resource officers and senior benefit managers, employees are suboptimal health consumers and do little shopping for the best cost and quality of care delivery.1 HR execs largely agree on the pressing need to move toward more consumerism.2
To enable greater consumerism, workers must be better educated on how to seek transparency and quality data when making specific healthcare decisions. But this is a tall, long-term task. Healthcare is short on transparency and long on complexity.
Value-based surgery benefits offer a compelling response to this challenge. Today. Discounted surgical costs are shared with employers and employees upfront, and the quality of care is top-notch, as ranked by an independent, nationally renowned ratings service. So, patient outcomes are excellent, and employees return to work healthy. And quickly.
BridgeHealth identifies top-quartile centers of excellence — by practice, procedure and specific physician group. We negotiate with these high-performing surgical teams for episode-of-care case rates for orthopedic, spine, women’s health, bariatric, cardiac, neurological and general surgical procedures, bundling the various charges for each surgery into a single price averaging 30-50 percent less than that of PPO plans.3 Then, we bring this value-based surgery option to self-funded employers.
BridgeHealth’s surgery solution also advances consumerism and employee engagement. Our care coordinators assist plan members every step of the way, with decision support, case review, surgery scheduling, travel arrangements and post-op follow-up. Through this concierge service, employees gain insight into the cost and quality of their surgical options. Our care coordinators not only bring transparency to planned surgeries, our country’s costliest medical services, but lessen workers’ worry and stress, as well.
- Troy, Tevi D., and Jones, Kara L., “State of Employer-Sponsored Health Care: Part 1 – Top Concerns of CHROs and Their Teams,” American Health Policy Institute, 2016.
- BridgeHealth bundled surgical case rates versus negotiated in-network surgical rates of clients’ managed care plans.