Unlock Financial Stability and Strengthen Relationships with BLISCare

In the complex world of bundled payments, managing the costs of unexpected surgical outcomes is a significant challenge. Bundlers in the market often struggle to fully recognize these financial risks and have historically shifted the burden onto provider networks or self-insured employer clients. However, such practices can strain resources, damage relationships with providers, and lead to client dissatisfaction:

  • Provider networks may struggle to absorb the financial risk of unexpected surgical outcomes, making participation in bundle contracts less appealing.
  • Clients who purchase bundled services expecting fixed pricing are often dissatisfied when unexpected costs and additional administrative tasks arise.
  • Self-insured employers, aiming to offer quality benefits to employees and their families, may face complaints if unexpected financial burdens impact covered lives.

Achieve Financial Stability Through Risk Management

BLISCare addresses this challenge by providing comprehensive coverage for the costs associated with unexpected surgical outcomes. This approach protects critical relationships and offers peace of mind to both surgeons and employers, enabling them to focus on delivering high-quality care and benefits, free from potential financial setbacks.

Strengthen Provider Relationships

Relying on providers to absorb the risks associated with surgical complications is unsustainable, often leading to strained relationships and high turnover as providers seek to stabilize their financial interests. Embedding BLISCare coverage within the bundle removes this financial burden, allowing providers to focus entirely on patient care, which in turn fosters long-term loyalty and stability within the provider network.

Enhance Client Satisfaction

For self-insured employers, the value of a truly risk-free bundle is immeasurable. BLISCare prevents unexpected costs when surgeries extend or require additional care, while also reducing the administrative burdens caused by a “broken bundle.” This allows bundlers to uphold their promise of simplicity and reliability. Additionally, by preventing unexpected financial burdens, BLISCare reduces the likelihood of employee complaints, thereby maintaining overall client satisfaction.

Tailored Programs to Meet Unique Needs

Every bundled payment arrangement is unique, as are the needs of each organization. BLISCare offers the flexibility to create custom programs tailored to specific price points and coverage requirements. Whether managing high-volume procedures or complex surgical cases, BLISCare designs solutions that ensure financial predictability and comprehensive protection. For bundlers concerned about potential conflicts or the need for an arm’s-length relationship with coverage like BLISCare, we offer solutions to address those concerns as well.

Reinforce and Demonstrate a Commitment to Quality

Partnering with BLISCare also reinforces a bundler’s commitment to quality. By integrating comprehensive risk coverage, bundlers can confidently promote their dedication to high standards of care. Moreover, the data generated through BLISCare enables continuous improvement, helping organizations iterate towards even higher quality outcomes. This data can also be leveraged to demonstrate existing quality metrics to stakeholders, further solidifying the bundler’s reputation for excellence.

Contact us today to discuss how we can help build a sustainable, high-value bundled surgeries business dedicated to delivering quality outcomes. Together, we can create a future defined by lasting provider relationships, satisfied clients, and predictable financial outcomes.

Bliscare We Provide For Patients

“A risk-sharing arrangement offers more value to a physician in situations when there is a measurable risk to each of the parties, not because there is a problem…but just because of the realities of healthcare. ‘Those are the risks people want help with…It’s the risk that providers are being asked to bear in a value-based arrangement.”

-Skin in the Game: Risk-Sharing Models Develop for Medtech MedTech Strategist Market Pathways May 2020 Vol 2.5, page 21