December 10, 2017

ForeSight Medical Launches Encompass Specialty Surgical Network for Workers’ Comp

Tampa, FL – ForeSight Medical has launched Encompass Specialty Surgical Network, a specialized orthopedic, spine and pain management surgical network for workers’ compensation payers.

The leading provider of surgical device cost containment in workers’ compensation, ForeSight leveraged its deep domain experience and extensive surgical data and analytics platform to develop the first narrow network of best-in-class providers, world renowned physician groups and the ambulatory surgical centers that are customized for their surgical techniques.

“Ambulatory surgical centers are the safest and most efficient sites of care for most workers’ compensation related surgeries,” said ForeSight President Brian Bell. “However, legacy networks typically focus on broad-based facility agreements, which inadvertently drive over 70 percent of injured employees’ surgeries into a less efficient, cost-prohibitive site of care, the hospital.”

Encompass manages surgery from the initial surgical consultation through discharge, streamlining authorization, reserve-setting, scheduling, patient relations, billing, and payment processing. Encompass utilizes a proprietary scoring system to ensure patients see the highest quality, most responsible providers early in the treatment path to ensure the best outcome. Surgical Care Coordinators schedule the procedure with a top quality surgeon who has privileges at an in-network ambulatory surgical center. These coordinators proactively support all aspects of patient care and customer service. An advanced outcomes reporting platform delivers actionable analytics to medical managers, including comprehensive savings, outcomes and provider performance metrics.

The industry’s first specialty surgery management organization, Encompass focuses on the quality of surgical outcomes, lower surgical revision rates and off-label utilization, and post-operative medical expenses that reduce return-to-work rates. “Encompass will deliver unmatched savings, superior patient outcomes and actionable reporting,” Bell said, noting that the company is uniquely positioned to thrive in this space.

In addition to its vast, true-cost, geo-specific surgical data, Encompass has a management team with 50 combined years of experience in the surgical care continuum. The team’s profound understanding of administration, clinician and site-of care dynamics enhances a payer’s ability to manage costs and surgical outcomes.

Source: Foresight/King Knight

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