Helping manage the high cost of orthopedic surgery
The Optum Spine and Joint Solution (SJS) program provides access to surgeons and expert facilities that qualify to become part of our Centers of Excellence and accept bundled case rates for in-scope procedures to create alignment among members, employers and providers.
Employers benefit from the predictable claims expenses, as well as a 30% reduction in costly complications and readmissions, save an average of $10,000 or more per operation, and also benefit from 25% lower costs, on average, when compared with median costs in the same metropolitan areas.1
*The Centers of Excellence (COE) program providers and medical centers are independent contractors who render care and treatment to health plan members. The COE program does not provide direct health care services or practice medicine, and the COE providers and medical centers are solely responsible for medical judgments and related treatments. The COE program is not liable for any act or omission, including negligence, committed by any independent contracted health care professional or medical center.
1. Optum analysis, book of business, July 2013-September 2014, Oct. 20, 2014