GE Health Plan Members Can Now Select UH for Their Joint Replacement Care
University Hospitals has been selected by General Electric (GE) to provide joint replacement surgery services to program eligible health plan members. Through the National Hip and Knee Replacement Centers of Excellence program, members who live out of the area will have the option to travel to Northeast Ohio for surgery at UH Case Medical Center or UH Conneaut Medical Center.
Approximately half a million knee replacements and more than 175,000 hip replacements are performed annually in the United States. With those numbers expected to rise by triple-digit percentages over the next 20 years, large employers such as GE are seeking partnerships with health care systems that are known for their quality and efficiency.
With the addition of UH Case Medical Center and UH Conneaut Medical Center, the GE National Hip and Knee Replacement Centers of Excellence Program offers members the choice of six nationally recognized facilities for their surgery. Benefits to members include enhanced coverage of consultation, device and surgery costs with a warranty, as well as reimbursement of travel expenses for eligible members.
Using a bundled payment model, UH will provide GE with a fixed price for hospital and physician care associated with a joint replacement procedure, rather than billing separately for these services.
“We are drawing on our experience from participating in Medicare’s Bundled Payments for Care Improvement Initiative (BPCI),” said Brent Carson, Vice President, Managed Care & Market Solutions at UH. “We believe that bundling payments encourages collaboration amongst providers, which ultimately lowers cost and improves patient outcomes.” This arrangement with GE reinforces UH’s commitment to value-based care and to working directly with employers to develop partnerships that are beneficial for everyone involved.”
About University Hospitals
Founded in May 1866, University Hospitals serves the needs of patients through an integrated network of 18 hospitals, more than 40 outpatient health centers and primary care physician offices in 15 counties throughout Northeast Ohio. At the core of our $4 billion health system is University Hospitals Case Medical Center, ranked among America’s best hospitals by U.S. News & World Report. The primary affiliate of Case Western Reserve University School of Medicine, UH Case Medical Center is home to some of the most prestigious clinical and research programs in the nation, including cancer, pediatrics, women’s health, orthopedics, radiology, neuroscience, cardiology and cardiovascular surgery, digestive health, transplantation and genetics. Its main campus includes UH Rainbow Babies & Children’s Hospital, ranked among the top children’s hospitals in the nation; UH MacDonald Women’s Hospital, Ohio’s only hospital for women; and UH Seidman Cancer Center, part of the NCI-designated Case Comprehensive Cancer Center at Case Western Reserve University. UH is the second largest employer in Northeast Ohio with 26,000 employees. For more information, go to www.UHhospitals.org.