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Hospitals/ Surgery Centers – Direct Access to Surgical Patients From Employers

February 22, 2018

Hospitals are growing their physical plant with more operating rooms and surgery centers are sprouting up all over the nation in response to growing demand for surgical services. Despite this demand, most hospitals and surgery centers have under-utilized operating room time, because of block-time under-utilization related to seasonal fluctuations, scheduling issues related to insurance pre-approval, last minute cancellations or surgical schedule coordination with surgeon’s vacation schedules. Filling this under-utilized time is of paramount interest to CFOs striving to meet quarterly targets. Delay in reimbursement for services from insurance carriers is placing increased stress on the system.

The SurgiConnect platform is a powerful solution to fill under-utilized operating room time and ensure timely payment for services.

This platform gives surgery centers and hospitals access to surgical patients, directly from nationwide employers. The service is entirely free.

How It Works:

SurgiConnect through SurgiPrice contracts with nationwide employers to manage non-acute surgical care for their employees. The Founder is the Medical Director for the Agency Growth Mastermind Network, an organization of about 100 best-in-class benefits consultants, who collectively manage nearly a thousand employers with self-insured health plans.

When employees need a surgical procedure, they upload pertinent medical records and imaging data onto a HIPAA-compliant server. Board-certified surgeons receive a push notification on their smart phones, about a patient in need of surgery. They review the records and imaging on the app, determine medical necessity and report bundled pricing and quality metrics.

The bundled price includes the surgeon’s fee, surgery center/hospital fee and anesthesia fee. Surgeons enter their fee and report facility names where they are credentialed. Facility fee and anesthesia fees are then obtained from the facility. Alternatively, for employed surgeons, the facility could enter an all-inclusive bundled price. All fees are kept strictly confidential from all parties.

Quality metrics are procedure-specific and include information such as number of cases performed, success rates and complication rates.

Patients receive the list of surgeons and facilities, that responded, with their qualifications, and then make their choice. At the time of scheduling, funds for the procedure are set aside. Once the procedure is performed, surgeons report outcomes data to SurgiConnect, usually at the first post-op day. Once outcomes are reported, the funds are sent in full to all parties.

What are the advantages to surgeons?

  1. Free access to surgical patients
  2. Prompt payment with no accounts receivables
  3. Fill under-utilized OR time
  4. Great way to get new associates busy right away

What are the advantages to hospitals/surgery centers?

  1. Free access to surgical patients.
  2. Prompt payment with no accounts receivables.
  3. Fill under-utilized OR time.
  4. Great way to get newly formed surgery centers/hospitals busy right away.

How Do You Sign Up?

SurgiConnect App: Board-certified surgeons access the app here:

SurgiConnect iOS app

SurgiConnect Android app

Only AAA-HC or JCAHO certified surgery centers or JCAHO hospitals can use this service.

Website Surgiconnect.com

What does it cost?

The service is free. SurgiConnect does not charge surgeons, surgery centers or hospitals to use this service.

How Do Surgeons, Surgery Centers and Hospitals and Anesthesiologists Get Paid?

Once the procedure is performed, surgeons report outcomes data to SurgiConnect, usually at the first post-op day. Once outcomes are reported, the funds are released in full.

How Does SurgiConnect Get Paid?

SurgiConnect gets paid from the employer, to offer the service to their employees.

How many employers is SurgiConnect working with and where are they located?

SurgiConnect is implementing the platform with employers in all 50 States. The Founder is the Medical Director for the Agency Growth Mastermind Network, an organization of about 100 best-in-class benefits consultants, who collectively manage nearly a thousand employers with self-insured health plans.

Sanjay Prasad, MD, FACS