Colon and Hemorrhoids Resources for Payors and Employers

Colon + Hemorrhoids

Minimally invasive colorectal surgery resources for payors

Learn more about minimally invasive colorectal surgery and their benefits/risks with these resources:

Shared Decision Making

Shared Decision Making (SDM) is a collaborative process that allows patients and providers to make health care treatment decisions together, taking into account the best scientific evidence available, as well as the patient’s values and preferences. Shared Decision Making honors both the provider’s expert knowledge and the patient’s right to be fully informed of all care options and the potential harms and benefits. This process provides patients with the support they need to make the best individualized care decisions, while allowing providers to feel confident in the care they prescribe.

SDM guides help patients understand their health condition, the available treatment and screening options, and the possible outcomes of these options.

Health Plans: A comprehensive resource ready for utilization with your provider network.
Employers: A resource to assist employees when surgical decisions need to be made – place in your onsite clinics or within your health website.

Our Shared Decision Making guide for Colectomy is available here.

Minimally invasive surgery and reimbursement

Differences have been found between minimally invasive surgery vs. open procedures for shorter hospital length of stay, quicker return to work and return to normal activities. For more details, review the study of over 112 clinical papers regarding the following MIP Procedures: Cholecystectomy, Appendectomy, Colectomy, Hysterectomy, Ventral Hernia Repair and Fundoplication.

  • Adam R. Roumm, MSPH, Laura Pizzi, PharmD, MPH, Neil I. Goldfarb, and Herbert Cohn, MD. Minimally Invasive: Minimally Reimbursed? An Examination of Six Laparoscopic Surgical Procedures Surgical Innovation. Vol 12, No 3 (September), 2005: pp 261-287. PubMed Link

Minimally invasive surgery outcomes for appendectomy and colectomy

A recent study of national payor claims finds that minimally invasive surgical (MIS) techniques for appendectomy and colectomy offer several clinical & cost benefits when compared to open surgical procedures, including:

  • lower infection rates
  • fewer complications
  • shorter hospital stays
  • lower health care expenditures
  • Terrence M. Fullum, Joseph A. Ladapo, Bijan J. Borah, et al. Comparison of the clinical and economic outcomes between open and minimally invasive appendectomy and colectomy: evidence from a large commercial payer database, Surgical Endoscopy, 2010 April, 24(4):845-53 PubMed Link

Colon & hemorrhoids resources for employers

Share these resources with your employees and health plan members to help them understand the facts about their possible options for minimally invasive procedures:

American Society of Colon and Rectal Surgeons (ASCRS)

American Gastroenterological Association

American Cancer Society

C3: Colorectal Cancer Coalition

CancerCare

Colon Cancer Alliance

National Cancer Institute

Crohn's disease

Crohn's and Colitis Foundation

Ulcerative colitis
http://digestive.niddk.nih.gov/ddiseases/pubs/colitis/
http://www.mayoclinic.com/health/ulcerative-colitis/DS00598

Diverticular Disease
http://digestive.niddk.nih.gov/ddiseases/pubs/diverticulosis/
http://www.webmd.com/digestive-disorders/diverticular-disease

Non-cancerous polyps

http://www.webmd.com/colorectal-cancer/tc/colon-polyps-topic-overview
http://digestive.niddk.nih.gov/ddiseases/pubs/colonpolyps_ez/

Hemorrhoids

National Digestive Diseases Clearinghouse – Hemorrhoids

Value of Choice Colorectal Health Education Kit

Colon Surgery Options Colon Cancer Facts

Shared Decision Making for Colectomy

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