High Performance Surgery Network OCTOBER 9, 2015.

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Presentation transcript:

High Performance Surgery Network OCTOBER 9, 2015

We solve healthcare problems for self funded employer’s The continued rise in healthcare costs is one of self funded employer’s biggest business challenges The BridgeHealth High Performance Surgery Network provides a solution that improves healthcare quality and outcomes while significantly lowering the cost of healthcare.

Predictable Cost and Quality Members directed to top facilities for the appropriate procedure Using a predictable, pre-negotiated case rate for planned surgeries Before:After:

Value Proposition for Self Funded Employers

Provider Quality Credentialing

Surgeon Qualifications

Standard Episode of Care Bundles include: ConsultationPre-Admission Testing Pre-Operative Appointment Surgery (including anesthesia, facility charges, surgeon/assistant surgeon fees, etc.) Physical Therapy – inpatient or occurring prior to first post-op Surgeon Post-Op Services (up to 90 days) *Physician Post-Op Services (up to 90 days) *specific to traveling patients who are unable to see their surgeon for post-op care Continuing Physical Therapy

All-in-One Pricing & Advance Payment Bundles include: PRE-OP Pre-admission testing and pre-op consultation Hospital admission Surgery Anesthesia Doctors’ fees Implant device Facility fees Hospital stay Lab test Care coordination SURGERY All professional services, facility charges and related expenses between pre-op and post-op FOLLOW-UP Any post-surgery care through first post-operative follow up visit Physical therapy Home healthcare Skilled nursing care DME used prior to first post operative follow up BridgeHealth is payer for the case rate

Network Value Proposition

Care Coordination Process Program Explanation Decision Support Coaching Consent & Records Collection Review of Provider Options & Provider Selection 1 Case Review & Acceptance (Surgery scheduled or avoided) Coordination of logistics around surgery (travel in some cases) Surgery Post-surgery instructions and follow-up