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UnitedHealth report: Shifting common outpatient procedures to ASCs could yield significant savings

Conducting widespread surgical procedures in ambulatory surgical facilities can result in important financial savings for sufferers and payers, in accordance with a brand new evaluation from UnitedHealth Group researchers.

The report finds that shifting outpatient procedures for non-complex, commercially insured folks may cut back spending on these providers by 59%. The typical value for these procedures within the hospital was 144% larger than the value in ASCs, in accordance with the report.

Frequent outpatient procedures within the hospital price $7,716 on common in comparison with $3,157 on common in ASCs. That is a spot of $4,559, the report discovered.

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Lambert van der Walde, senior vice chairman and govt director of the Heart for Well being Care Analysis at UnitedHealth Group, advised Fierce Healthcare that well being plans can—and will—be doing extra to empower sufferers to hunt care at different websites when attainable.

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“We’re desperate to guarantee that our members perceive and ask the appropriate questions as they navigate this sophisticated healthcare system,” he stated.

The report discovered that of the ten million routine outpatient surgical procedures carried out by hospital outpatient departments, simply 10% are for folks with complicated comorbidities, comparable to morbid weight problems or end-stage renal illness. In 35% of instances, the affected person doesn’t have an ASC close to their residence.

The remaining 56% of such procedures are amongst non-complex sufferers who reside close to an ASC, and will thus be shifted to that website of care to decrease prices, in accordance with evaluation.

As commercially insured sufferers themselves bear about 15% of the prices of those procedures, this is able to result in financial savings of $684 per process on common.

“It’s a chance to save lots of members cash and ensure these procedures are finished in a high-quality setting,” stated van der Walde.

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