Outpatient Surgery Magazine

Did Skin Prep Fuel This Fire? - February 2017 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://outpatientsurgery.uberflip.com/i/782943

Contents of this Issue

Navigation

Page 68 of 146

every joint replace- ment patient to inpa- tient rehab, surgery centers send appropri- ate patients home, where recovery is less expensive," he says. A physician-owned orthopedic surgery center near Mr. Domyahn discharges patients to a hotel across the street for observation following surgery. "The prac- tice told local payers that their team, from the surgeons to the physi- cal therapists, could care for patients cheaper and better," says Mr. Domyahn. "The cost structure is lower, so the facility is making money, and insurers are paying less than they would if patients had gone to the large local hospital. It's a win-win, and patients are still receiving high-quality care." Be sure to negotiate exclusions into payment bundles to protect yourself from medical complications unrelated to the surgical care performed, says Dr. Page. For example, make sure hospitalizations for the treatment of medical complications related to diabetes or heart disease aren't included in the 90-day care bundle. "The better prepared you are to give insurers a comprehensive pic- ture about what you will and will not pay for, and the less you leave up to negotiation, the better off you'll be," she says. When getting started, work with a single physician champion and focus on a single specialty to get a feel for how the system works, says Mr. Leggett. He says now's the time to launch a program, because "in 10 years, most elective procedures will be reimbursed through bundled payments." OSM J A N U A R Y 2 0 1 7 • O U T PA T I E N TS U R G E R Y. N E T • 6 9 Facilities have to know the exact cost of surgery to make bundled payments work, so they can put a clear price on the procedures they host.

Articles in this issue

Archives of this issue

view archives of Outpatient Surgery Magazine - Did Skin Prep Fuel This Fire? - February 2017 - Subscribe to Outpatient Surgery Magazine