Decisions made before and around complex MSK and cardiovascular procedures can influence recovery, avoidable utilization and other downstream outcomes that matter to health plans.
In 2024, outpatient care for elective cardiac and musculoskeletal surgeries is on the rise, driven by Medicare members catching up on postponed procedures. Technological advancements make outpatient surgeries safer and quicker, with smaller incisions and reduced risks. CMS approval for reimbursement of procedures at Ambulatory Surgery Centers (ASC’s) supports this trend. Research shows outpatient settings offer shorter stays, lower complications, and reduced costs. Payers need to update policies and ensure network visibility to navigate this shift. TurningPoint offers evidence-based solutions to optimize care and incentivize quality, but maintaining patient safety is crucial.
Earlier this month, the New York Times reported on a concerning trend – unnecessary atherectomies are putting patients at an increased risk of amputation. The procedure, used to treat peripheral artery disease, deploys metal blades to remove plaque from artery walls. Its use has nearly doubled in Medicare patients over the last decade, and a significant portion of this volume has shifted to outpatient settings, namely vascular clinics.
Learn how getting patients with lower back pain on the right pathway early in their care is key to improving outcomes and controlling costs.
Learn more about how our new member-facing musculoskeletal recovery program is moving care management upstream and giving patients access to quality care from the comfort of home.
We recently sat down with Dr. Halsey to learn more about the path that led him to medicine, and ultimately, TurningPoint.
If you’re ready to start your search for a UM partner, here are a few things to focus on while vetting your options.
