How one insurance group saved millions through bundled rates for surgeries

Employee Benefit News October 29, 2021
Bruce Shutan

Going under the knife can be costly for health plan sponsors and participants alike, especially in affluent areas such as Northern California’s picturesque Monterey Peninsula. A lack of competition makes specialty care costs notably higher in this region than the nearby San Francisco Bay Area, Los Angeles and much of the U.S.

But the Municipalities, Colleges, Schools Insurance Group (MCSIG) has had just the opposite experience with a planned surgery program. It leverages pre-negotiated, bundled rates — which include the cost of pre- and post-op care, offering completely transparent pricing — with high-quality surgical providers that offer affordable rates. MCSIG is a self-funded, joint-power governmental authority that covers 11,048 employees of public schools, colleges and municipalities, along with their dependents.

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