Becker's ASC Review

July_August_2018_ASC

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41 ORTHOPEDICS 2 orthopedic groups with ASCs partner with insurers on bundled payments in the same week: 5 things to know By Laura Dyrda T wo major orthopedic groups with ASCs on opposite coasts signed partnerships with insurance companies to expand bundled payments during the same week in May. On May 18, Philadelphia-based Rothman Institute and Indepen- dence Blue Cross went public with news of their partnership, a five-year deal bundling the cost of surgery and postoperative care. On May 22, Newport Beach, Calif.-based DISC Sports & Spine Center reported partnering with Global One and Blue Shield to form an in-network bundled payment model. Here are five things to know: 1. Rothman Institute is the first large, independent physician group to affiliate with Independence Blue Cross' health networks model. e practice includes several office locations and more than two dozen outpatient surgery centers across Pennsylvania and New Jersey, as well as Rothman Orthopaedic Specialty Hospital in Bensalem, Pa. 2. e agreement between Rothman and Independence Blue Cross became effective July 1 and expands the procedure selection Roth- man offers under bundled contracts. Physicians now perform hip, knee and shoulder replacements as well as knee arthroscopy, lum- bar laminectomy and spinal fusion for Independence Blue Cross members at bundled rates. 3. Rothman is in charge of the entire episode of care, and Indepen- dence Blue Cross may enter into similar arrangements with other groups if all goes well. e partners plan to share data to provide better care and understand spending to keep costs low. 4. DISC Sports & Spine's partnership with Global One and Blue Shield gives bundled rates to the payer's in-network subscribers for minimally invasive spine surgery, orthopedic surgery, sports medi- cine and pain management services at DISC's surgery centers. 5. e partnership between DISC and Blue Shield went into effect upon annoucement and included surgical services as well as post- operative care. e partners say bundled rates will promote price transparency, as the single cost for a surgical episode will eliminate surprise bills. n https://www.g1surgery.com/ Spine Surgery Simplified. New Global Billing Program with Blue Shield. * • In-network with Blue Shield (ASC & Providers) • State-of-the-Art Outpatient Surgery Center • Lower Costs & Improved Outcomes • Zero MRSA Surgical Infections • 98% Patient Satisfaction Learn more at discmdgroup.com * Partnership with Global 1 - surgery. better.™

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