Self and Third Party Payers
Payers in a bundled payment program include patients, insurance companies, and self insured entities. The payer in this model makes a one-time payment in full to the Neurological Institute at the start of the treatment. No further co-payments or deductible amounts are considered.
The surgeons will provide diagnosis and treatment to patients suffering from one of the defined bundled diagnoses for up to 6 months for nonsurgical patients and if surgery is required, 60 days postoperatively. The Neurological Institute will provide detailed electronic medical documentation and summary reporting for the patient's medical record.
Pre-certifications, pre-authorizations, peer review, and pre-determinations of coverage will no longer be needed or required.