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market – only those who are in-
dependently ranked in the top
quartile based on factors such
as complication rates, surgical
outcomes, and more – provid-
ers also benefit from quality
recognition and positioning
against their competition.
Plan members, meanwhile,
benefit from full transparency
in regards to the cost of their
surgery, and what their share
is. They are also offered a suite
of tools and services, plus ded-
icated individual “care coordi-
nators,” to walk them through
every step of the process, start-
ing from when they are consid-
ering surgery. That kind of in-
depth guidance goes a long way
to relieving worry and anxiety.
Also, because of BridgeHealth’s
stringent standards in selecting
providers, members also have
assurance they are receiving
top-quality care, which can go
even farther.
Employers, lastly, are winning
because their employees are
healthier, and their healthcare
costs are lower. BridgeHealth
achieves those savings through
pre-negotiated bundled case
rates, as well as by “eliminating
a lot of the waste,” Mark says
– usually by providing a higher
quality of care.
When it comes to surgical solu-
tions, much of the cost usually
comes from revisions, from sur-
geries that need to be redone
or from infections that result.
With BridgeHealth’s top-quality
providers, those revision and
infection rates are lower and
surgery can even sometimes be
avoided. That means members
get back to work more quickly,
and at a lower cost.
Over the years, BridgeHealth
has grown significantly and
steadily on the back of their “ev-
eryone wins” model. They now
have members in all 50 states,
providers in 31 states and
counting, over 700 surgeons in
their program, and they have
performed in excess of 12,000
surgeries.
“We’ve really developed an ex-
pertise in what we’re doing,”
APRIL 2019