On This Page: Cost Savings | Member Experience | Utilization Model & Review | Brokers | Adding Regenexx
Cost Savings
Healthcare expenses are out of control, and high costs are putting pressure on employers and members alike. Too often, innovation in healthcare drives minor improvements at an increased cost.
Regenexx is a disruptive innovation that treats common orthopedic injuries at a significantly reduced cost. We leverage more than 15 years of registry data and published research to deliver value to employers and members.
Download the Validation Report
Gain deeper insights into the effectiveness of our services with our Validation Report. This report provides detailed analysis and evidence of cost savings and improved health outcomes achieved through our program.
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Regenexx can intervene on up to 70% of elective orthopedic surgeries. If you are interested in learning about how we may be able to help your business, we can prepare a Regenexx Impact Study with de-identified claims data. Please reach out to one of our team members, here.
Member Experience
At Regenexx, we prioritize providing a seamless and supportive experience for your members. We understand that the journey to recovery can be challenging, and we are here to make it as smooth as possible.
Key Features of the Member Experience
Education Center Support: From the initial consultation to post-treatment follow-up, our team is committed to providing comprehensive support.
New patient evaluation: During the evaluation, the patient may spend up to a full hour with a Regenexx physician who will use the SANS method (stability, articulation, neuromuscular, and symmetry) to identify the root cause of their pain. The physician will evaluate the injury with a full range of motion test, may use advanced ultrasound imaging when needed, and will explain the results in detail. The patient will be assessed for candidacy based on the extensive Regenexx Patient Registry, to determine the likelihood of success with the treatments. Regenexx is committed to providing the patient with all the information needed to make an informed decision about the best treatment option.
Innovative treatments: Access to state-of-the-art regenerative medicine techniques that promote faster recovery and better outcomes.
Member Experience
Utilization Model
If any healthcare solution is to achieve its potential, it must be actively utilized by members, which requires clear and effective communication strategies to promote awareness. We target full utilization and report back to employers on the effectiveness of member engagement strategies.
To ensure members are well-informed about the benefits and availability of Regenexx procedures, we employ a multifaceted communication strategy. This approach maximizes program awareness and participation, leading to improved utilization and saving.
Benefits Cards
We send co-branded Benefits Cards to members, which clearly outline and explain the benefits of Regenexx procedures. These cards detail the various conditions we treat, such as back pain, knee pain, and more, providing members with essential information about how Regenexx can help them.
Targeted Outreach
Utilizing claims data, we identify members who are likely to undergo orthopedic surgery. We reach out to these members to ensure they are aware of Regenexx as a less invasive alternative to traditional surgery.
Educational Webinars
We offer weekly educational webinars for members. These webinars provide an easy and accessible way for members to get their questions answered and learn more about the benefits and procedures offered by Regenexx.
We build a site for each group outlining members’ specific benefits. Our national education call center is available to answer any questions members may have Monday through Friday. There is no cost for our utilization model.
Utilization Review
Utilization review is offered as a standard part of the Regenexx Corporate Program. Regenexx reviews and approves every Regenexx treatment to make sure we’re delivering high-value services to members. We start with two fundamental questions:
- Is the Regenexx procedure appropriate for the patient?
- Is there a cost-savings opportunity compared to the surgical alternative?
The utilization review process also ensures that conservative care is the first step. Physicians may recommend that patients receive physical therapy or a low-dose steroid injection prior to being considered a candidate for a Regenexx procedure (if their condition hasn’t already failed to respond to conservative options).
Our utilization review process combines our expertise and clinical integrity. Regenexx understands that to accurately calculate savings, it is essential to consider how often procedures to treat orthopedic issues fail and lead to surgery. We only move forward with procedures for patients with good candidacy ratings, as poor candidate choices don’t save money—they increase costs over time.
Brokers
We partner with brokers to deliver a musculoskeletal solution to your self-funded groups. Regenexx can reduce the cost of individual surgeries by up to 70%* and is focused on supporting you with clients and prospects.
*Validation Institute. Validation Report. Published 2023. Accessed May 14, 2024.
TPAs
Regenexx partners with over 100 TPAs (third-party administrators) to process claims for self-funded clients. After a plan is amended, TPAs may process Regenexx claims in different ways based on their preferences. Contact us to learn more and to find out if we have worked with your or your client’s TPA before.
Stop Loss Carrier List
Regenexx works with nearly 100 stop-loss carriers. Most carriers will agree to “mirror” the SPD (summary plan description) amendment. Our sales team can support you on a call with the stop–loss carrier. We typically provide a cost-savings study along with our safety paper, which shows that the risks of Regenexx procedures are similar to other injection-based treatments and that the costs are significantly lower than traditional orthopedic surgery.
Regenexx Impact Study
As an insurance broker, your clients rely on you to provide them with the best options for managing healthcare costs while maintaining high standards of care. Request a Regenexx Impact Study, which will provide you an overview of the savings opportunity for clients and summary materials for client meetings. This helps clients make a fully informed decision about adding Regenexx coverage. We use de–identified claims data in these reports.
Implementing Regenexx was very easy. My team would definitely recommend any healthcare plan get in touch with Regenexx to find out about the benefits they can bring to your employees.
Linda Wyatt
VP of Human Resources, Edward C. Levy