THE POWER OF SBM CARE COORDINATION
case studies
We can highlight 1000’s of cases where our proprietary contracts and relationships save self-funded companies like yours an average of 40% on their annual surgery expenses, simply by calling SBM and working with our care coordinators. We truly will help you and your employees find the best surgery providers and facilities at the very best price. Put us to the test and see how much you’ll love white-glove concierge service for all your surgery needs.
Case Study #1
Total Hip Arthroscopy
– Utah Client
SAVINGS
$26,340 for the employer
$ 7,000 for the employee
SAVINGS: $26,340 for the employer, $7,000 for the employee
REQUESTED SURGERY:
Right Hip Arthroscopy with labral repair; 46 year old female in Utah
SBM BUNDLED RATE:
$21,300 paid by her employer, $0 paid by the employee
PREVIOUS SURGERY:
Left Hip Arthroscopy with labral repair
PREVIOUS COST:
$47,640 paid by her “discount” network + $7,000 deductible paid by the employee.
This patient was referred from a self-funded employer with about 2,000 employees. 2 years previous to this surgical need she had undergone a right hip arthroscopy with labral repair. Her result had been excellent, and she needed the other hip scoped and repaired. She requested the same surgeon and facility. The facility was already contracted with SBM. The surgeon was contacted and agreed to perform the surgery at our negotiated rate.
RESULT:
The patient had an excellent result. Her deductible was entirely waived by her employer.
Case Study #2
Total Knee Replacement
– New Jersey Client
SAVINGS
$32,325 for the employer
$ 7,000 for the employee
SAVINGS: $32,325 for the employer, $7,000 for the employee
REQUESTED SURGERY:
Left Total Knee Replacement, average “discount” network cost: $57,200
PATIENT:
48 year old male in New Jersey
SBM BUNDLED RATE:
$24,875 paid by his employer fund, zero out of pocket to the employee
This patient contacted SBM through his HR Director and indicated that his need for pain pills had become an issue that was effecting his work quality and quality of life. He had suffered a football injury in high school many years earlier and had been experiencing increasing pain. Because of his work in the warehouse, he was no longer able to perform his work in a satisfactory manner.
RESULT:
This patient had an excellent result and was able to return to work after 3 weeks. He experienced a high degree of pain relief and function after recovery. His deductible was entirely waived by his employer.
Case Study #3
Revision Spine Fusion Surgery
– Texas Client
SAVINGS
$47,500 for the employer
$ 7,000 for the employee
SAVINGS: $47,500 for the employer, $7,000 for the employee
REQUESTED SURGERY: Revision spine fusion surgery, multi-level, average “discount network” cost: $97,200
PATIENT:
59 year old female in Texas
SBM BUNDLED RATE:
$49,700 paid by her employer fund, $0 out-of pocket to the employee.
This patient had been surgically treated six years previously with a two level laminectomy and fusion. This fusion had effected levels above and below, and the patient has a 4 level revision fusion. Her pain level was high, she was using opioids daily to manage pain.
RESULT:
This patient had an excellent short term result. She remarked that her pain was greatly relieved and her early recovery had been easier than the first surgery.
How Do I Know if SBM is Right for Me?
Unlocking Efficiency and Cost Savings to Help Your Self-Funded Company Achieve More Affordable Surgeries. In recent years, a significant trend has emerged in the realm of healthcare— a collective push towards more affordable surgery. As healthcare costs continue to be a pressing concern for individuals and organizations alike, the quest for accessible and cost-effective surgical solutions is reshaping the landscape of medical care. This article delves into the factors driving the trend towards more affordable surgery and explores the innovative strategies and technologies contributing to this transformative shift.
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