Win-Win-Win Healthcare

Employers

Are you paying more than you were in 2012?

Surgery Benefit Management

Give the members of your health plan the opportunity to eliminate all patient responsibility including co-pays and deductibles through the Surgery Benefit Management Program (SBM). Sano Surgery has negotiated a proprietary fee schedule with the highest quality private practice physicians and facilities across the United States. All laboratory services, imaging tests, and outpatient procedures and surgeries all qualify. The result of deploying SBM is a reduction of 50-70%.


SurgeryFutures™

SurgeryFutures™ and SurgeryOptions™ are deployed by sophisticated employers for the purposes of hedging future healthcare expenses. Employers may contract for the next 3-5 years and lock in prices for the 800 most utilized healthcare treatments.

For example, spine fusions have a global price exceeding 100K. Today, top spine facilities and surgeons will sell futures and options contracts on fusions to employers at a significant discount. This is a win-win for employer and surgeons.


Network Development

Network development is for innovative and forward thinking self-insured employers that desire to have their own proprietary transparent pricing and bundled payment networks. What does this mean? It means creating your own in-network based on all-in prices that are all pre-negotiated. This provides employers with up-front and transparent prices on the 800 most common procedures and and eliminates balance billing.


Data, Analysis, & Finance

Sano Surgery provides self-insured employers, labor unions, and private equity companies with detailed analysis of medical claims. This leads to an opportunity to reduce healthcare expenses and a higher valuation for the acquisition or disposition.

The analysis also provides a roadmap to redeploy capital and increase the stock price. For example, when we reduce expenses by 50 million on a 500 million dollar healthcare spend, a company with a PE of 20 now increases its market cap by 1 billion dollars. These are marked changes and generally achieved by changing very little.

 
There are more than 9,000 billing codes for individual procedures and units of care. But there is not a single billing code for patient adherence or improvement, or for helping patients stay well.
— Clayton M. Christensen,
 

If a family does not have $1,000 in savings and a deductible of $4,500 does it matter if they have healthcare coverage?
— Dutch Rojas
 
 

Let’s Chat

Use the form below to contact us regarding your enquiry. Please be as detailed as possible and include the name of your company. You may also email us to set an appointment.

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