Blue Cross & Blue Shield of Mississippi continues to focus on delivering quality care and treatment options for members through our Centers of Excellence. This is helping our members manage healthcare costs while receiving quality and efficient care when seeking treatment for Knee, Hip, Spine and Cardiac Care. Now, our efforts continue through a partnership with Mississippi Sports Medicine to provide knee and hip replacement surgery in an outpatient setting. The center’s facility, Madison Physician Surgery Center, has also been recognized by Blue Cross & Blue Shield of Mississippi as the state’s only outpatient Orthopaedic Center of Excellence.
Traditionally, total hip and knee replacement surgeries have been performed in an inpatient (hospital) setting. Due to clinical advancements MSMOC has perfected over time in the hospital setting, their Network Surgeons are able to deliver an optimal ambulatory outpatient experience for qualified patients, while continuing to ensure quality outcomes. Performing knee and hip procedures in the ambulatory outpatient setting is more cost effective and allows the patient to have surgery and begin recovery at home all within the same day.
“Blue Cross & Blue Shield of Mississippi recognizes our advances in patient outcomes, satisfaction and safety for hip and knee replacement. Now, our surgeons can bring their experience and expertise to an outpatient setting,” says Glen Silverman, chief executive officer at Mississippi Sports Medicine and Orthopaedic Center headquartered in Jackson.
“Thanks to advanced, minimally-invasive surgical techniques that significantly reduce the size of the incision and computer assisted navigation, which improves the accuracy of the surgery, many patients can now have hip or knee replacement and return home the same day allowing them to recover in the comfort of their own home,” says Silverman. “These advances, along with improved pain management and rapid recovery protocols developed by our fellowship-trained surgeons all help in creating a very satisfying surgical experience.”
The average inpatient stay for a total knee or hip replacement surgery is between one to three days compared to a five- to six- hour stay in the ambulatory surgery setting. The shorter length of stay allows the patient to be back home and on the road to recovery the day of surgery. Following discharge, the patient receives frequent visits from a Network Home Healthcare Provider who is in direct, constant communication with MSMOC’s Network Surgeon and team designed to coordinate care.
“Allowing more individual control over postoperative recovery increases patient satisfaction and allows patients to return to work or resume daily activities sooner,” says Dr. Tom Fenter, Chief Medical Officer at Blue Cross & Blue Shield of Mississippi.
In addition to improved patient experience, BCBSMS and MSMOC are moving beyond traditional fee-for-service payment models to a value-based, episode of care payment model. The value-based payment model is based on a single payment to MSMOC for all services rendered to the patient for orthopaedic services, including anesthesia, physical therapy, etc. and tied to quality outcomes and cost-effective care. Many patients may qualify for an additional benefit of a reduced deductible and co-insurance by selecting outpatient surgery at Madison Physician Surgery Center.
MSMOC has become a pioneer in the orthopaedic field as the first BCBSMS Network Provider to receive value-based episode of care payments (bundled payment) and launching the new outpatient Orthopaedic Center of Excellence focused on quality initiatives and enhancing the patient experience.
“Outpatient joint replacement is a major advancement in the delivery of healthcare for all Mississippians and will pave the way for a new national standard,” says Silverman.