Why Employers Should Reframe How They Think About Surgery Benefits

Focus on getting people the right care, not more surgery 

Misaligned incentives around the business of surgery too often shape decision-making, with incentives motivated by volume, not value or clinical necessity.

Transcarent is reframing surgery care benefits by prioritizing getting people the right care through expert guidance, data-driven solutions, and second opinions - which sometimes means surgery isn’t the right option.

Understand the hidden costs of surgery 

A recent survey found that surgery often becomes a financial and logistical challenge for employees. From unexpected bills to post-surgical complications, it can be difficult to get high-quality, cost-effective care. Transcarent shines a light on the key statistics employers should know to improve outcomes, ensure predictable costs, and increase employee satisfaction. 

Make expert second opinions standard, avoid unnecessary surgery

Unnecessary surgeries are costly, risky, and sometimes inappropriate. A multi-step clinical review with expert second opinions can help reduce unnecessary procedures, complications, and costs. This approach enables informed health choices, enhanced outcomes, and better care.

Focus on people, not procedures 

For years, Centers of Excellence (COEs) have measured success by the number of procedures performed. Transcarent takes a more people-centric approach, working to find the best option for each individual by prioritizing outcomes, delivering comprehensive support throughout the journey, and offering cost transparency. This enables better care and helps reduce unnecessary treatments and expenses.

Go beyond location when it comes to surgery access 

To meet demand, traditional networks often prioritize geographic coverage and network participation over outcomes. However, choosing surgical care based solely on proximity can compromise outcomes due to variable quality even within the same area—leading to higher costs and complications. Instead, focusing on expert diagnoses, second opinions, and quality provider choices helps ensure surgical care is appropriate, safe, and effective.

Take the guesswork out of choosing a surgery benefit 

When choosing a surgery benefit solution, discount percentages or generic averages aren’t just inadequate, they may be misleading. Discover how a data-driven comparison using real claims removes guesswork and replaces assumptions with evidence that supports smart decisions.

The questions employers should ask their COE today

Ready to reframe surgery benefits at your organization? Discover the essential questions every benefits leader should ask before choosing a surgery COE solution in our new action guide. Get tips for ensuring the best care, lowering costs, and providing a seamless experience, all while avoiding hidden risks and surprises.