5 ASC 'musts' of contracting with TPAs, medical management companies

Many ASCs want more spine and orthopedic cases which, according to Robert Zasa, managing partner and founder of ASD management, can be accomplished through direct contracting with third party administrators and medical management groups.

Mr. Zasa spoke at the Becker's 13th Annual Spine, Orthopedic and Pain Management-Driven ASC Conference + The Future of Spine in Chicago June 12. According to Mr. Zasa, to directly contract with TPAs and medical management companies to boost spine and orthopedic cases, ASCs must:

1. Go "wholesale" to those who help large companies save dollars in paid claims.

2. Demonstrate results in quality and efficacy, not just lower costs.

3. Show the TPAs and medical management companies that the ASC has an integrated model, not just less expensive procedures.

4. Have a cluster of ASCs in a market to serve specific clients, similar to a teachers' union or large regional self-insured employer.

5. Understand the clients' needs for basic marketing that outlines where the medical costs for those with insurance are being spent and prove that dollars aren't going to too many pain injections, fusions and other unnecessary tests and treatments.

"As ASCs, we can't do population health the way hospitals can, but by following these steps, we can offer comprehensive care at bundled rates steps in our niche and we can be superb at that," said Mr. Zasa.

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