Inappropriate surgeries put patients in harm’s way physically, emotionally, and financially. And for the payers responsible for their care, poor outcomes associated with overutilization of preference-sensitive surgeries can explode costs.
Paradigm’s surgical shared decision support solution, Welvie My SurgerySM, is a population-based, evidence-backed platform that reduces member demand for inappropriate surgeries, while also improving outcomes for necessary procedures.
Welvie My Surgery is designed to increase health literacy, giving members more clarity and confidence to explore their options, ask important questions of their clinical team, and make better decisions.
The program guides members through their surgical journey to simplify complex care decisions, as well as detect or even prevent complications.
Welvie My Surgery enables your members to understand their surgical risk factors and surgical alternatives, teaches them how to work with their physician to make the most appropriate treatment decision, and engages them to self-monitor and self-report post-surgical recovery progress, flagging potential infection.
Our approach drives behavior change and is proven to yield better results for members and lower costs for our clients. In fact, a three-year, randomized control trial by the Centers for Medicare and Medicaid Services—the largest ever conducted to evaluate a shared decision-making program—validates the power of Welvie My Surgery in improving outcomes, including reducing readmissions, deaths, and ER visits; lowering costs; and delivering a positive member experience.
fewer readmissions
medical cost savings
better understood how to prepare for surgery
Lower costs through fewer inappropriate procedures and better outcomes
Quality improvement via reduced readmissions and ER visits
Increased member engagement and satisfaction (97%+ satisfaction rates)
Increased health literacy
Outreach
Engages members through both population-based and focused, data-informed communications based on surgical indicators and comorbidities
Assess
Evaluates member risk, health status, and current medical issues via direct information gathering and claims data
Educate
Teaches member how to make an informed and appropriate surgical decision based on their risk level; surfaces alternatives to surgery
Decide & Plan
Guides member to prepare for selected surgery or alternative treatment; includes a personalized post-surgical plan
Monitor
Engages member to self-monitor/self-report during recovery to prevent and proactively identify potential infections; prompts treatment when needed
Explore our other solutions that support better outcomes and lower costs across the patient journey
Empower your members to make more fully informed care decisions for better outcomes.