We understand the many challenges facing today’s leading physicians. Our differentiated approach leverages deep expertise and experience to build shared savings models designed to reduce health care costs and increase quality of care.
We coordinate shared savings in a variety of ways including:
A Midwest ASC was operating in a market dominated by a high cost health system that threatened physicians’ ability to remain independent. The existing ASC fee structure was not supportive of clinically appropriate case migration, which resulted in ASCs remaining out-of-network or in partnership with high-cost health systems.
Transitioned facility to in-network status via a value-based facility fee schedule
For an ASC in the Southeast, physician employment and strict CON laws hindered independent ASC viability. To promote and optimize the use of ASCs for appropriate services, SCA worked with a commercial payer to develop an incentive structure for surgeons.
Aligned the underlying economics for surgeons who improved quality and cost-of-care for clinically appropriate outpatient surgeries
To accelerate clinically appropriate case migration in the Midwest, SCA implemented a surgical bundle that promotes higher quality care and lower costs, and a streamlined approach to the surgical and recovery processes.
In the Mountain West region, two high-cost health systems significantly impacted the availability of high quality, lower-cost surgical care. SCA worked with a major commercial payer to develop a quality-based value network of surgeons, who are recognized based on clinical outcomes and efficiency.
To lower the cost-of-care for surgical procedures, SCA worked with a commercial payer to implement an internal efficiency program that shares savings with the patient and payer through a fixed reimbursement structure when lower-cost implants are selected for the commercial payer’s patients.
50 percent of the total shared savings are placed into a shared savings pool