ENHANCE MEMBER EXPERIENCE
- Lower healthcare costs ($500M per 1M members per year)
- Lower stop loss costs
- Keep members in-network
- Engage PCPs at time of referrals
- Boost and retain employer clients
- Achieve health equity
America is Overtreated
- $210B* wasted on medically unnecessary treatment
- 15-30% of all surgeries are unnecessary
- Only 8% of all surgeries are urgent
- 92 % of all surgeries amenable to referral optimization
Cost of Poor Quality (COPQ)
- 250,000 – 440,000 die each year to medical errors
- Medical errors are third leading cause of mortality in US
- 2008 study estimated COPQ at $720B*
Extensive 50 state network of 30,000 surgeons and hundreds of surgery centers/ hospitals
How It Works
AI-powered technology
1
PCP contacts Concierge. Patients register on SurgiQuality app.
2
PCP staff/Concierge upload medical records & imaging
3
Records sent to surgeons using SurgiConnect
4
Surgeons validate necessity or offer alternative options & report past experience.
5
Patients choose surgeons based on outcomes.
6
Patients contact surgeons rendering opinions.
7
Referred surgeon can report outcomes as well!