Employers
Smart information for self-funded surgical decisions
Your members make surgical decisions on incomplete information. Your plan absorbs the cost variance. SurgiQuality is the smart-information platform that gives members access to risk-adjusted outcomes data, multi-opinion infrastructure, and cross-specialty consultation.
methodology used in medical-malpractice forensic analysis
same statistical framework as public surgical reporting
member-facing apps + plan administrator portal
Sanjay Prasad, MD FACS — 30+ years clinical experience
What your plan would save
Self-funded employers save $500–$1,000 per employee per year when members access risk-adjusted outcomes data, multi-opinion infrastructure, and cross-specialty consultation. Below is what that translates to at typical plan sizes — measured against your plan's own surgical-spend baseline, not promised in advance.
How SurgiQuality delivers the savings
Self-funded plans spend a meaningful share of medical dollars on surgical episodes. Most plans have no rigorous, risk-adjusted outcomes data on the surgeons their members see. Existing surgical-management vendors offer "centers of excellence" claims and proprietary scoring you can't audit. SurgiQuality is structurally different — published methodology, member-driven choice, plan-level transparency.
Three pillars
Risk-Adjusted Outcomes Data
Procedure-specific surgeon outcomes data with confidence intervals, validated against EMR data where possible. Same statistical framework as STS public reporting, ACS NSQIP, and CMS Hospital Compare — applied at the individual surgeon level.
5-star outcomes scoring as the member-facing presentation; risk-adjusted statistics underneath.
Multi-Opinion Infrastructure
Members can solicit second and third opinions through the platform before scheduling surgery. Patient-driven; no platform direction. Roughly 15–30% of recommended elective procedures are reconsidered when members have rigorous second-opinion access.
Mobile and web; opt-in for members who want better information.
Cross-Specialty Consultation
A member considering spine surgery can also receive opinions from PM&R, pain medicine, or interventional specialists who manage the same condition non-surgically. A bariatric candidate can hear from obesity medicine and endocrinology.
Surfaces non-surgical alternatives where they exist.
How members and plans use it
Member-driven access
Plan members opt in via mobile app or web. They search for procedures, see risk-adjusted surgeon outcomes data, request second opinions, schedule cross-specialty consultations.
Informed decision
Members make their own choice — armed with data, multi-opinion review, and cross-specialty perspectives. SurgiQuality provides the information; members decide.
Plan-level reporting
Quarterly aggregate reporting on member utilization, plan savings vs. baseline, outcome differences, and member satisfaction. No PHI exposure to the plan; aggregate only. Fits standard QBR formats.
Pilot to deployment
Most employers start with a 6-month limited pilot — defined member subset, measurement against control. Plan-wide deployment based on pilot results. Light implementation lift; works alongside existing TPA / health plan / PBM.
Built broker-friendly
No commission complications
SurgiQuality is paid by the employer, not by the broker. You can recommend us to self-funded clients without commission disclosure issues, AKS exposure, or referral-fee complexity.
QBR-ready reporting
Plan-level utilization, savings, and outcome reporting flows through you — formatted for the quarterly business reviews you already run with your employer clients. Measurable savings data is your conversation, not ours.
Differentiator for your book
Most surgical-management vendors are interchangeable. Methodology that's published, Daubert-defensible, and member-driven (not steerage) gives you something concrete to bring to your competitive renewals.
Light lift for you and your client
Implementation alongside existing TPA / health plan / PBM. No vendor stack rebuild. Member communications + plan-document language are the integration footprint. Pilot first, scale second.
Why this isn't another surgical-management vendor
Cost
Two-component pricing — a base platform fee covering infrastructure, plus a per-case admin fee billed only when a member actually uses the platform for a procedure decision.
Platform Fee
Annual flat fee covering plan-level reporting, data integration, methodology updates, and member-facing apps (iOS, Android, web).
Predictable. Independent of utilization. Scoped per engagement based on plan size and reporting cadence.
Per-Case Admin Fee
Billed only when a member used the platform for outcomes review, second opinion, or cross-specialty consultation that informed their procedure decision.
Pay-for-use. Aligns SurgiQuality interest with member engagement and measurable savings.
Platform Fee Waived
For employers meeting qualifying criteria, the platform fee is waived under a shared-savings structure. Per-case admin fee continues; total cost flexes to utilization.
Lowest-friction entry. SurgiQuality earns from measurable plan savings.
Specific dollar amounts scoped per engagement based on plan size, current vendor stack, and target deployment scope. Submit the Cost Analysis form below — full custom model with both fee components returned within one business day.
Go deeper
Read the methodology in detail
~25 pages. Risk-adjustment specification, peer-cohort construction, Daubert factor mapping. Same methodology used in our medical-malpractice forensic outcomes service.
Request the white paper →Get a customized savings model
Submit your plan basics. We'll build a year-1 and year-3 savings estimate plus pilot framework, returned within one business day. No commitment.
Request cost analysis →Frequently asked questions
Can you guarantee the $500–$1,000/employee savings?
No vendor can guarantee savings without a member-mix and utilization analysis. Our pilot framework is structured to measure savings against your plan's baseline, not promise them in advance. Self-funded employers consistently see savings in the $500–$1,000 per-employee-per-year range. SurgiQuality uses two-component pricing (platform fee + per-case admin fee); the platform fee is waived for qualifying employers under a shared-savings structure.
Will this conflict with our TPA or health plan?
No. SurgiQuality runs alongside your existing TPA / health plan / PBM. We don't replace administrative infrastructure. Plans typically integrate via member communications and plan-document language updates.
What member data do you receive?
Aggregate utilization data only at the plan-sponsor reporting layer. Member-level PHI stays within the platform under HIPAA-aligned data handling. We do not share member-level information with the plan sponsor.
How do members find the platform?
Plan-document updates, open-enrollment communications, employer benefits portals, and onboarding for new hires. Implementation includes member communication templates for HR teams to use.
Is the methodology Daubert-defensible?
Yes. The same methodology is used by our forensic outcomes service for medical-malpractice defense — including Daubert hearings. Full white paper at surgiquality.com/legal/methodology.
How does this work for us as the broker?
SurgiQuality is paid by the employer, not the broker — no commission complications, no AKS exposure, no referral-fee disclosure friction. Plan-level reporting flows through you in standard QBR formats, so you walk into your client business reviews with measurable savings data. Pilot, then scale, alongside your existing vendor stack — light implementation lift on you and your client.
What's the typical evaluation timeline?
60–90 days from initial scoping call to executed pilot agreement. Pilot itself runs 6 months. Full plan-wide deployment evaluated based on pilot results. The Cost Analysis Form below kicks off the scoping conversation.
Insisting on Surgical Excellence
Two paths to start. Both lead to a customized savings model and an optional 20-minute scoping call with Sanjay Prasad, MD FACS.