Centers of Excellence for Superior Care

The current state of healthcare in the United States, as well as the quality of care offered by most medical providers are both far from being ideal: both patients and their employers are continually forced to spend more on healthcare, but the quality itself is neither guaranteed nor in proportion to the outrageous prices charged by hospitals for major surgical treatments.

The patient safety in hospital setting has been improving, yet there were still 121 adverse events per 1,000 hospitalizations, according to the 2014 National Healthcare Quality and Disparities Report, which monitors trends for patient centeredness, efficiency of care, timeliness of care, effectiveness of care, as well as patient safety. [1] Other compelling facts have also been revealed:

● Cost per error in US hospitals was $15,000 in the year 2013.
● Cost of preventable adverse events for adults in US hospitals totaled an astounding sum of $22 billion in the year 2013. [2]
● Regardless of the healthcare burden of their employers, lower income patients constantly receive poorer quality of healthcare.
● One in 25 patients acquired an infection during hospital stay in the year 2011.
● About 75,000 of those infected died of pneumonia, surgical site infections and other complications according to the Centers for Disease Control and Prevention. [3]

All this unfavorable data and its lamentable results highlight just how wasteful healthcare can be if one neglects the quality of a medical provider, and the prices of specific surgical procedures are not pre-negotiated. Within the last decade, it has become increasingly difficult to gain objective information about specific hospitals and their performance. A plethora of hospital quality measuring systems have emerged, but for patients as lay people it is incredibly demanding to navigate through the maze of quality indicators, ratios and indexes, and they typically end up following online testimonials, popularity ratings amongst physicians, and other sources whose credibility is largely debatable.

When looking for a different approach to dealing with healthcare costs, BridgeHealth offers an attractive alternative to traditional carriers. Through building its own High Performance Surgical Network, BridgeHealth helps to negotiate bundled prices of surgical treatments within a network of hospital providers ranked in the top 25% nationally in the Comparion CareChex Hospital Quality Rating tool. Using advanced statistical methods, Comparion system calculates ratings and scores based on various quality measures including:

● Clinical Categories – overall hospital care, overall medical care, overall surgical care, joint replacement, hip fracture repair, cancer care, etc.
● Quality Categories – patient safety, patient satisfaction, mortality, complications, etc. [4]

Bottom Line, CareChex is the most accurate quality rating method currently available to compare hospital providers and hospital care.

Not only does BridgeHealth offer a top-rated network of hospital providers, but it also assists self-insured organizations and their plan members with pre-negotiated bundled case rate pricing. Choosing the right provider through the High Performance Network saves Plan Members and Plan Sponsors in costs on major surgeries, minimizes adverse effects, post-surgery complications and hospital readmissions.

1) 2014 National Healthcare Quality and Disparities Report, Agency for Healthcare Research and Quality, http://www.ahrq.gov/news/blog/ahrqviews/042015.html
2) 2013 National Healthcare Quality Report, Agency for Healthcare Research and Quality, http://www.ahrq.gov/research/findings/nhqrdr/nhqr13/index.html
3) 1 in 25 Patients Acquire Hospital Infections, http://www.fiercehealthcare.com/story/1-25-patients-acquire-hospital-infections/2014-03-26
4) Hospital Quality Scoring and Rating Methods, http://www.carechex.com/ScoringRatingMethods.aspx