Tag: cash pay
-
Knee and Hip Replacement Bundles Saved Patients 3.9% per Surgery
The U.S. healthcare system is undergoing a fundamental shift from the traditional fee-for-service (FFS) model toward bundled payment models [1]. However, debate remains over which services are well-suited for bundled payments and which are not. In this blog, we explore this question by summarizing a systematic review published in Health Affairs, which examined the impact…
-
Medicare Benchmarking: Comparing ASCs and HOPDs for Outpatient Procedures
Outpatient surgeries like colonoscopies, cataract removals, and joint repairs are considered elective/shoppable services. The cost for these procedures can vary significantly across providers and settings (independent Ambulatory Surgical Centers (ASCs) or Hospital Outpatient Departments (HOPDs)). For employers and benefits managers, understanding this price variation is not only important but also a valuable cost-saving opportunity. By…
-
How Paying Providers Directly Can Slash Your Medical Bills
This is the story of a dad whose three-year-old son landed him in the emergency department (ER), fearing appendicitis. After about 45 minutes of his son’s agonizing moans, a miraculous five-second burp seemed to cure him completely. Relieved! the dad requested to leave, only to be surprised by the bill: $4,179. How could a simple…