SUCCESS STORIES

“We needed a strategy to focus on maximizing patient value through the alignment of clinically appropriate surgical services at the most cost effective site of care. This approach helped us stabilize our premium trend and lowered our out-of-pocket expenses for our members, all while maintaining clinical quality.”
-Director of Network Contracting and Strategic Development
Health Plan Partner

SUCCESS STORIES

“We needed a strategy to focus on maximizing patient value through the alignment of clinically appropriate surgical services at the most cost effective site of care. This approach helped us stabilize our premium trend and lowered our out-of-pocket expenses for our members, all while maintaining clinical quality.”
-Troy S. (Director of Healthcare Reimbursement and Strategy)
Blue Cross & Blue Shield of North Carolina

“Not having to outlay the cash for these procedures with the IPG program was a huge consideration for us in being able to perform these higher acuity, higher dollar cases.”

– Chief Administrative Officer
(Pinnacle Orthopedics)

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“The IPG-Pinnacle model is a great success story that we are replicating across Georgia and other Aetna markets to promote the appropriate coverage and reimbursement structure that supports eligible procedures, like total joints and spine cases to be delivered in the optimal cost and quality setting. Working with IPG allows us to identify those eligible facilities, surgeons and procedures that can be done in a more affordable setting thereby helping us manage our surgical costs to the benefit of our members.”

– Director of Network Management
(Aetna)

“Mt. Dora’s partnership with IPG has allowed facilities like us to negotiate coverage and reimbursement through their health plan partners to perform these partial and total joint and other procedures. Not having to outlay the cash for the procedure has given us the financial viability to be able to perform these procedures at affordable rates, subsequently leaving our physicians and patients happier and more satisfied.”

– RN/BSN/Director of Nursing
(Surgery Center of Mount Dora)

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“For the first time in 23 years as a physician I am not only able to help my patients choose the best treatment for their problem, I am also able to help them find the most cost effective way to provide that care. The thought that physicians don’t understand the bigger business of healthcare is just not true. Thanks to companies like IPG, SCA, and BCBCNC and their willingness to work directly with physicians, together, we are making a big difference in the cost of Healthcare. This is really an opportunity for not only ASCs but hospitals and their physicians as well to collaborate with all parties to bring lower cost, high quality care to consumers.”

– Orthopedic Surgeon
(OrthoCarolina – Charlotte Surgery Center)

“We want to help our customers make better decisions with their healthcare dollars. They need transparency in order to make that happen. That is one of the reasons our relationship with IPG is so valuable to us and to our customers.”

– Vice President and Medical Director
(Health Plan Partner)

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“In the orthopaedic device space, DePuy Mitek is continually looking for ways to improve their technologies. As one of DePuy’s primary distributors, working with IPG has not only simplified the process with the facilities, but has allowed for further education on their products and provided access to both facilities and patients to improved technologies.”

– President
(DePuy Mitek Distributor)

“The IPG partnership helped us stabilize our premium trend and lowered out-of-pocket expenses for our members, all while maintaining clinical quality. We have seen a significant downward trend in case volume from 88.7% to 81.9% of overall case mix in the high-cost setting, with a corresponding upward trend from 12% to 20% in a lower cost, high-quality setting, resulting in an average savings of approximately $3,500 to $8,000 per case.”

– Director, Healthcare Reimbursement & Strategy
(Leading Blues Plan)

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“Being part of the IPG Manufacturer Network has allowed our sales team a new found access to key decision makers in accounts where we previously had no presence. We are always looking for a competitive advantage and our partnership with IPG has provided us that benefit.”

– President, Advanced Medical Technologies, Inc
(Sports Medicine Distributor)

“The cost optimization program we implemented with IPG complimented our overall strategy, and has demonstrated an ROI beyond our expectations. Through collaborations with our facilities and physicians, our partnership with IPG has allowed us to maximize the value to the member from both a cost and quality perspective.”

– Senior Consultant, Healthcare Reimbursement and Strategy
(Health Plan Partner)

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“The IPG program infrastructure and partnership with Anthem really does support facilities that want to remain independent, or physicians who want to deliver care in the independent setting to the benefit of the patient. Not only has the program enabled us to get paid enough to perform higher acuity cases, but it alleviates the typical billing and reimbursement processes, and we don’t have to outlay the cash for the procedure.”

– RN, CASC, CNOR Administrator
(Wooster Ambulatory Surgery Center)

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