Why health plans are missing one of their most costly surgical care categories

Webinar Description

Preference-sensitive surgeries — like spine fusions, hip replacements and cataract surgeries — represent a significant and often underestimated source of payer medical spend. Yet most health plans have no clear line of sight into this category.

Because these procedures cut across virtually every specialty, their cumulative financial impact often remains hidden until costs are already locked in.

Leading plans are changing that. By complementing existing UM methods with upstream, member-focused intervention, they’re reducing inappropriate procedures and the complications that can follow: ER visits, inpatient admissions and sepsis cases.

In this webinar, leaders walk through the strategies behind these outcomes.

You’ll learn:

• Why preference-sensitive surgery is a hidden driver of surgical spend
• How upstream shared decision support reduces inappropriate procedures and downstream complications
• How two complementary strategies can deliver $5,000+ in annual savings per member
• Key findings from a matched cohort study across Medicare and commercial populations

Watch the replay and download the slides