IPG PROGRAMS

Solving the issues of managing and reducing
Surgical and Implantable Procedure Costs.

IPG’s programs focus on actively supporting a competitive healthcare marketplace that promotes the delivery of efficient, high-quality surgical services. Our programs are designed to align care with payers, facilities, physicians, manufacturers and other stakeholders who are striving to achieve high quality and cost effective care delivery, bringing value to patients.

IPG Surgical Cost Management Program™

A full-service surgical cost management solution for payers to lower surgical and implant procedural spend.

Through a collaborative, customizable approach, the IPG program, delivers transparency and deep analytics into the drivers of medical expenses and utilization while controlling trend and mitigating the risks around high procedure cost and device utilization. IPGs unique expertise and data analytics ensure identification of opportunities to impact immediate cost containment and influence appropriate behavior while maintaining the highest quality standards.

PROGRAM FEATURES:
  • Price Trend Protection & Predictability
  • Procedure Cost & Utilization Risk Management
  • Reimbursement & Benefit Design Consulting
  • Comprehensive Implant Procedure Management
  • Detailed Savings & Opportunity Trending & Tracking
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IPG Surgical Cost Management Program™

A full-service surgical cost management solution for payers to lower surgical and implant procedural spend.

Through a collaborative, customizable approach, the IPG program, delivers transparency and deep analytics into the drivers of medical expenses and utilization while controlling trend and mitigating the risks around high procedure cost and device utilization. IPGs unique expertise and data analytics ensure identification of opportunities to impact immediate cost containment and influence appropriate behavior while maintaining the highest quality standards.

PROGRAM FEATURES:
  • Price Trend Protection & Predictability
  • Procedure Cost & Utilization Risk Management
  • Reimbursement & Benefit Design Consulting
  • Comprehensive Implant Procedure Management
  • Detailed Savings & Opportunity Trending & Tracking

IPG Active Site of Care Program™

Identifying and shifting care to the optimal cost and quality setting by incorporating incomparable intelligence and expertise around cost and utilization patterns into the reimbursement and re-contracting process.

Through a top-down, bottom-up approach the IPG program designates specific field management teams to activate the targeting, recruiting and coordination of efforts to allow the shift to take place.

Program Features:

  • Reimbursement & Incentive Redesign Strategies
  • Incomparable Analytics to identify and track targeted providers and procedures
  • Enablers required to successfully implement the strategy, to include cost and utilization expertise
  • Active IPG Field Management & Shift Activation support
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IPG Active Site of Care Program™

Identifying and shifting care to the optimal cost and quality setting by incorporating incomparable intelligence and expertise around cost and utilization patterns into the reimbursement and re-contracting process.

Through a top-down, bottom-up approach the IPG program designates specific field management teams to activate the targeting, recruiting and coordination of efforts to allow the shift to take place.

Program Features:

  • Reimbursement & Incentive Redesign Strategies
  • Incomparable Analytics to identify and track targeted providers and procedures
  • Enablers required to successfully implement the strategy, to include cost and utilization expertise
  • Active IPG Field Management & Shift Activation support

Site of Care Optimizer™

The IPG Surgical Cost Management Program™ is a full-service surgical cost management solution for health plans to lower implantable device surgical cost spend.

PRODUCT FEATURES:
  • Inpatient Hospital Solution
  • Bundled Payment Alternative to Provider Contracting
  • Redirection of Care to Most Appropriate Setting: Hospital/HOPD procedures authorized by Medical Management referred to IPG, IPG negotiates with facilities and physicians to accept cases in lower-cost setting, Health plan cost below that of authorized care if IPG able to transition care
  • Site of Care Management
  • Guaranteed Savings Assessment
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IPG Treatment Optimizer™

The IPG Active Site of Care Module™  ……

Product Features:

  • Program Alignment with Client Utilization Management Issues & Medical Management Goals
  • Extends review process beyond medical necessity and into surgeon preference decisions
  • Specialty Matched Physician Review with Outreach to Network Surgeons
  • Utilization Review of all cost drivers: Procedure, Site of Care & Device
  • Expertise: detailed knowledge of the device industry coupled with specialty-matched physician review
  • Depth: utilization review covering all pertinent cost drivers: procedure, site of care and device selection
  • Flexibility: program tailored to a client’s specific utilization issues and medical management goals
  • Detailed tracking and reporting

IPG High Cost Claims Review™

The IPG Surgical Cost Management Program™ is a full-service surgical cost management solution for health plans to lower implantable device surgical cost spend.

PRODUCT FEATURES:
  • Pre/Post Payment Review focused on Device Utilization and High Dollar Claims
  • Detailed review of a surgical case that identifies incorrect billing or utilization
  • Pre/Post Payment Analysis
  • Savings Tracking & Analysis
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ADDITIONAL CAPABILITIES

Bundled Payment Programs

Bundled payment options that focus on realignment of incentives connecting the right care, right providers and right time to ensure the right place and right cost that promotes high-quality, cost-effective healthcare delivery.

High Cost Claims Review Programs

Incorporating deep, technical expertise into the claim adjudication process to identify and correct billing errors at a device and part level that lead to hard savings.

Utilization Management Programs

Innovative, “next generation” solutions to complex and expensive surgical procedures, bringing specialty-matched, deeper expertise to the Utilization Management process to address all procedural cost drivers: Medical Necessity, Site of Care & Device Selection.

OTHER:

  • Member Engagement Programs
  • Quality Improvement Support Services
  • Tiered Pricing Programs

EXPERIENCE SAVINGS WITH IPG

Contact Us Today To See How We Can Impact Your Bottom Line