Poor outcomes resulting from overuse of preference sensitive surgery are exploding costs for health plans, because up to 30% of surgeries are medically inappropriate. And for the remaining 70%, complications such as infection and sepsis are far too common.
Paradigm’s surgical shared decision support solution, Welvie My SurgerySM, delivers surgical cost savings by teaching members to make more informed, less risky surgery decisions—reducing demand for inappropriate surgeries, while improving outcomes for necessary procedures.
35%
surgical change
decision rate
$5-$9
PMPM
surgery cost savings
3:1
up to 3:1 ROI guarantee
for health plans
Welvie My Surgery is a digital program designed to increase health literacy and self-advocacy, 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 and 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 in shared decision-making, and engages them to self-monitor post-surgical recovery progress, flagging potential signs of infection.
As a result of the program, members choose more appropriate, less costly surgical alternatives. It also improves outcomes for those who do proceed with surgery by teaching them how to prepare and recover.
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
$7.89
PMPM
surgery cost savings
99%
better understood how to prepare for surgery
Lower costs through fewer inappropriate procedures and better outcomes
Up to 3:1 ROI guarantee for health plans
Star ratings support via reduced readmissions, ER visits, and member-level insights
Increased member engagement and satisfaction (90% program completion, 97% satisfaction)
Zero provider abrasion
Increased population 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.
