MCSIG provides a variety of healthcare plans to more than 70 school systems and municipalities in California. From January 2015 through December 2018, MCSIG members that reside on California's Central Coast received 485 surgeries through G1's Ambulatory Surgery Center (ASC) bundled payment network.
The total savings to MCSIG during this period was $7,121,250. The all-inclusive bundled payment includes the physicians and facility fees for an episode of care. The cases were performed at five ASCs by more than 70 surgeons. The cases involved a wide variety of surgeries including total joint replacement, spine surgery, complex joint repair, hysterectomy, gall bladder removal, tonsillectomy, thyroidectomy, hernia repair, mastectomy, and breast reconstruction.
"While the cost savings have been tremendous, the consistently amazing outcomes our members have received over the last four years working with G1 are even better," explained Michael Larsen, Executive Director of MCSIG. "The quality is exceptional, and pricing is near miraculous from what others are charging along the Central Coast."
The average savings per case was $14,683. The ASCs, surgeons, and G1 were at risk for the cost of complications related to the surgery during the episode of care. The complication rate, including infections and readmissions, was extremely low, at less than 1 percent.
"G1 is uniquely able to leverage the great value ASCs provide to payers and patients through surgical bundled payments," said Tom Wilson, Co-Founder of Global 1. "The G1 bundled payment program is patient-centric, providing price transparency, budget certainty and excellent outcomes to patients and their employers."
MCSIG's innovative health plan emphasizes wellness and rewards its members for selecting centers of excellence, including the G1 provider network, through waiving the member's out-of-pocket expenses.
MCSIG, founded in 1982, provides comprehensive, accessible, and affordable healthcare, promoting early detection and preventative care through a wide range of health plans, to over 70 school districts, municipalities and other public entities in California. http://www.mcsig.com/
G1 is among the nation's largest administrators of commercially insured surgical bundled payments with more than 125 facilities and 1,500 physicians in its network. G1's innovative bundled payment structure delivers transparent, cost-effective surgical services with improved medical outcomes. www.surgerybetter.com