Gynecology Resources for Payors and Employers

Gynecology

Gynecology resources for payors

Learn more about minimally invasive gynecology procedures 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 Hysterectomy is available here.

The effects of laparoscopic cholecystectomy, hysterectomy, and appendectomy on nosocomial infection risks

Minimally invasive hysterectomy and cholecystectomy are shown to be associated with lower infection rates, fewer complications, shorter hospital stays, and lower expenditures than open surgery. For more details, review the retrospective database analysis of over 11,000 patients that examined the effect of MIP vs. open procedures on the rate of nosocomial infections for three procedures: Cholecystectomy, Hysterectomy and Appendectomy.

  • Brill A, Ghosh K, Gunnarsson C et al. The effects of laparoscopic cholecystectomy, hysterectomy, and appendectomy on nosocomial infection risks. Surgical Endoscopy. 2008; 22(4):1112-8. PubMed Link

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 and hysterectomy

Minimally invasive hysterectomies (laparoscopic or vaginal approach) have been shown to improve clinical and economic outcomes versus an open abdominal approach. For more details, review the findings of a retrospective study, using a large U.S. managed care plan database.

  • Warren L, Ladapo JA, Borah BJ, et al, Open Abdominal versus Laparoscopic and Vaginal Hysterectomy: Analysis of a Large United States Payer Measuring Quality and Cost of Care. Journal of Minimally Invasive Gynecology. Sept.Oct.2009. Vol 16 No.5. PubMed Link

Gynecology resources for employees

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

AAPPO (American Association of Preferred Provider Organizations)
Evidence Based Benefit Design for Women’s Health Initiatives, looks at the topics of Women’s Health and provides considerations and guidance for PPO's.

Credentialing Guidelines for Operative Endoscopy

Smarterpatient

MedlinePlus – Hysterectomy

AAGL (American Association of Gynecologic Laparoscopists)

American College of Obstetricians and Gynecologists (ACOG)
ACOG is a non-profit organization and is the nation's leading group of professionals providing healthcare for women. Their goals include promoting patient education and stimulating patient understanding of, and involvement in, medical care.

Value of Choice Hysterectomy Health Education Kit

Hysterectomy Brochure Hysterectomy Facts

Shared Decision Making for Hysterectomy

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