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A Nonprofit Hospital in Texas Delivers Greater Value

Value-based bundles help meet a provider’s objectives for lower costs.

With 25 hospitals in the Dallas-Fort Worth region, Texas Health Resources (THR) is the largest nonprofit health-care-delivery system in Texas, serving a region of more than 6.2 million people. Recently, THR began working with BCG to help it develop a set of value-based bundled offerings for employers, insurance plans, and individual consumers. The new offerings are designed to be both comprehensive in coverage, including professionals and facilities for the entire episode of care, and completely transparent in terms of pricing and outcomes.

THR’s new bundled services are the result of a partnership with clinicians to create episode-related packages for specific medical procedures such as lumbar laminectomy—a surgical procedure performed primarily to alleviate leg pain caused by lumbar spinal stenosis—or coronary-artery-bypass grafting. The clinicians take the lead in developing outcomes measures to ensure high quality, a positive patient experience, and superior value through cost-effective care delivery. Then, a multidisciplinary team—including physicians who specialize in the chosen procedures, staff at the facility where the procedures are performed, and THR staff who provide analytical and financial support—collaborate to redesign the clinical-care pathway to better achieve those outcomes.

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