Better outcomes start with better decisions

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.

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8:1
ROI
25%
reduction in inappropriate surgeries
35%
surgical change
decision rate

Welvie My Surgery 2.0

Welvie My Surgery

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.

A proven solution

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.

103 per 1k

fewer readmissions

$13.83 PMPM

medical cost savings

99%

better understood how to prepare for surgery

About the program

Welvie My Surgery is a cloud-based, interactive, and self-guided program that captures members at all stages of their decision-making (60+ days before a potential surgery on average). The population-wide intervention strategy is designed with providers in mind and is non-abrasive. The Welvie My Surgery curriculum encompasses over 50 surgeries and provides actionable information to help people work with their doctors to avoid unnecessary procedures and optimize necessary ones. And the program identifies high-risk cases through regular reporting.

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

Our program approach

1

Outreach

Engages members through both population-based and focused, data-informed communications based on surgical indicators and comorbidities

2

Assess

Evaluates member risk, health status, and current medical issues via direct information gathering and claims data

3

Educate

Teaches member how to make an informed and appropriate surgical decision based on their risk level; surfaces alternatives to surgery

4

Decide & Plan

Guides member to prepare for selected surgery or alternative treatment; includes a personalized post-surgical plan

5

Monitor

Engages member to self-monitor/self-report during recovery to prevent and proactively identify potential infections; prompts treatment when needed

More Shared Decision Support solutions

Explore our other solutions that support better outcomes and lower costs across the patient journey

See solutions

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Better decisions
start here.

Empower your members to make more fully informed care decisions for better outcomes.