Commercial Payers and Surgeons: How BLISCare Empowers Your Practice for Patient-Centered Care

The healthcare landscape is shifting rapidly, especially for surgeons navigating the challenges posed by commercial payers. Across multiple specialties, surgeons are walking away from traditional practices—not because they want to, but because commercial payers have made it nearly impossible to operate effectively. The reason? Overwhelming insurance denials and constant reimbursement delays that threaten the very core of patient care.

A recent investigation from ABC Action News reveals the growing frustrations among surgeons who are feeling “completely handcuffed” by commercial payers. The story, titled “They’ve Completely Handcuffed Us: Surgeons Leave Specialties Over Insurance Denials, Reimbursement Delays,” sheds light on the mounting pressure these commercial payer systems impose on medical professionals, forcing some surgeons to abandon their specialties altogether. This unsettling trend is not only affecting surgeons but also their patients, who are left vulnerable in a fragmented healthcare system.

The Problem with Commercial Insurance

Insurance companies wield significant power in determining the course of patient care. Pre-authorizations, denials, and reduced reimbursement rates are just a few of the tools used to cut costs—often at the expense of patient well-being and physician autonomy. Surgeons report spending hours battling with insurance companies, time that could otherwise be spent with patients or focused on advancing their practice.

The ABC investigation highlighted cases where surgeons, despite years of expertise and proven outcomes, faced repeated denials for medically necessary procedures. In some instances, patients were left scrambling to find alternative care, while surgeons were left with stacks of unpaid claims and growing frustration.

There is a Better Way: Direct Contracting and Free Market Medicine

The Free Market Medical Association (FMMA) is paving the way for surgeons and medical professionals to take back control. By stepping off the commercial insurance “train wreck,” as some providers have described it, surgeons are regaining their independence and putting patient care back at the forefront. Direct contracting allows practices to negotiate transparent, upfront pricing directly with patients or self-insured employers, cutting out the red tape and delays associated with traditional insurance.

This model is transformative, empowering practices to focus on outcomes rather than paperwork. Patients benefit from clear, understandable pricing and faster access to the care they need without the fear of surprise medical bills or denials.

Where BLISCare Comes In

At BLISCare, we understand the risks associated with moving away from commercial payers. While the benefits are substantial, it’s important to protect both your practice and your patients from unexpected complications or costs. That’s where we come in.

BLISCare partners with medical practices that are ready to embrace direct contracting and free-market principles. We provide downside risk protection that allows you to step away from commercial insurance without sacrificing your financial stability or patient trust.

Take Back Control of Your Practice

Are you ready to break free from commercial payers and take control of your practice? Contact BLISCare today to discover how we can protect your practice and empower your patients with transparent, reliable coverage. Let’s redefine patient care—one surgery at a time.