{"id":6306,"date":"2019-07-03T13:48:47","date_gmt":"2019-07-03T17:48:47","guid":{"rendered":"https:\/\/roundstoneinsurance.com\/?p=6306"},"modified":"2022-12-14T08:16:31","modified_gmt":"2022-12-14T13:16:31","slug":"success-story-turnkey-solution-for-liver-transplant-surgery","status":"publish","type":"post","link":"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/success-story-turnkey-solution-for-liver-transplant-surgery\/","title":{"rendered":"Turnkey Solution for Liver Transplant Surgery"},"content":{"rendered":"\n<p>While a liver transplant surgery is the second most common transplant surgery after the kidney, it is not a common health care condition faced by a majority of Americans. According to <a href=\"https:\/\/unos.org\/\"><span style=\"text-decoration: underline;\">the United Network for Organ Sharing<\/span><\/a>, less than 1% of the U.S. population has had an organ transplant. These surgeries are only necessary after every other treatment option has been exhausted and\/or completely ruled out. Needless to say, it can be overwhelming to navigate through the process of selecting the right path of care to get the best possible outcome.<\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"has-text-color\" style=\"color:#39495b\"><h2><strong>Centers of Excellence<\/strong><\/h2><\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>Not every hospital offers the same level of care when it comes to major medical procedures such as an organ transplant. Fortunately, there are medical resources located within hospital systems referred to as Centers of Excellence. They can assist both the patient and their employer in guiding them through the transplant process \u2013 before, during and after surgery.&nbsp;<\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>Centers of Excellence are specialized programs found within healthcare institutions that provide an exceptionally high level of expertise and resources focused on a particular area of medical care.&nbsp; Delivered through a comprehensive, integrated approach, these centers afford many advantages for healthcare providers and the populations they serve by offering high-quality care at a lower cost.<\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>Patients benefit from utilizing a Center of Excellence by acting as a <a href=\"https:\/\/roundstoneinsurance.com\/excelsior\/blog\/cultivating-a-culture-of-health-care-consumerism\/\"><span style=\"text-decoration: underline;\">consumer of their own health care<\/span><\/a>. Employers should assist their employees by offering tools to locate high-quality doctors, hospitals and health systems to reduce the overall cost of healthcare. This will not only save the patient money if a major surgery is critical, but it will also provide savings for the employer group as well.<\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"has-text-color\" style=\"color:#39495b\"><h2><strong>Cost Containment Success<\/strong><\/h2><\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>It is typical of health insurance companies to require a pre-certification for a liver transplant surgery to ensure the requested service meets established guidelines. Recently, the Roundstone <a href=\"https:\/\/roundstoneinsurance.com\/excelsior\/roundstone-csi-dashboard\/\"><span style=\"text-decoration: underline;\">Cost Savings Investigators<\/span><\/a> (CSI team)\u2014made up of nurses and cost containment experts\u2014was made aware of a liver transplant surgery with an expected cost of $600,000. This cost was determined by the average national rate for liver transplants.   <\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>The CSI team took action by reaching out to several Centers of Excellence to determine how nearby hospitals close to the patient ranked in performing liver transplants. Then, the team dug deep to uncover the medical costs associated with a liver transplant surgery. The CSI team presented the patient and their employer with three hospital options\u2014all under half the price of the original expected price.<\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>The three presented Center of Excellence facilities all ranked within the top ten regionally in terms of hospital systems performing liver transplant surgeries. The hospital selected was local to the patient and had an expected cost of $265,000 for the surgery. Overall, the employer realized a cost-savings of at least $300,000 along with the reassurance that the patient was receiving the best quality of care.<\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>Unlike other industries, high cost does not always determine high-quality in health care. In fact, the best-ranking hospital systems usually have the lowest costs. It is important for employers to educate their employees in order to save them money and ensure they get the best possible care. To learn how you can actively engage your employees in their health care choices, <a href=\"https:\/\/roundstoneinsurance.com\/excelsior\/contact-us\/\"><span style=\"text-decoration: underline;\">contact Roundstone<\/span><\/a> today.<\/p>\n","protected":false},"excerpt":{"rendered":"<p class=\"excerpt\">While a liver transplant surgery is the second most common transplant surgery after the kidney, it is not a common health care condition faced by a majority of Americans. According to the United Network for Organ Sharing, less than 1% of the U.S. population has had an organ transplant. These surgeries are only necessary after every other treatment option has been exhausted and\/or completely ruled out. Needless to say, it can be overwhelming to navigate through the process of selecting the right path of care to get the best possible outcome.<\/p>\n","protected":false},"author":24,"featured_media":6307,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3004],"tags":[],"class_list":["post-6306","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-success-story"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v22.8 (Yoast SEO v25.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Liver Transplant Surgery Story | Roundstone Insurance<\/title>\n<meta name=\"description\" content=\"Self-funded captive health insurance plans offer mid-market employers the opportunity to make the right choices when employees needs a liver transplant surgery.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, 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