Bundled payments may sound complicated but they’re not. A bundled payment is simply a single price for the care required to treat a medical condition. G1 simplifies the process.
G1 is a licensed Third Party Administrator (TPA) and works between your insurance company (for example: Blue Shield or a self-insured company) and the doctors that do the work. Our goal is give you one price before the procedure, with a bill that you can easily understand. The methodology draws on the approach of almost every other industry. When purchasing a car, consumers don’t get a bill for the motor, brakes and interior from different suppliers. Why in healthcare do we ask patients to pay each provider on an individual basis?
The average American can have up to 9 operations in their lifetime. If you haven’t been through it yet, you or a close family member will. There IS a better way. The G1 program is one payment. We bundle everything together for one price. One price that you can understand for everything AND we set the prices in advanced. You will receive one price for your operation that you can understand AND we set the prices in advanced. We make it simple – and are often cheaper and more predictable than a hospital bill.
G1 has a local network. We work alongside the doctors that are already in your community. We currently have more than 65 surgery centers in California and more than 70 bundled procedures in Orthopedics, Neurology, Gynecology, ENT, Urology, General Surgery, etc.
If you are currently seeing a provider that would like to do your procedure under a G1 bundled payment, you will receive a call from our patient services representative to discuss your benefits and out of pocket expenses prior to your surgery. G1 will collect your co-payment, deductible, or out of pocket on behalf of your providers for the surgical episode. This includes all the things you need for the day of your operation bundled into one simple fee. For example: surgeon, assistant, anesthesiologist, medications for the day of surgery, nursing, and even post-operative care in some cases.
If you would like to find a physician within our network please call our patient services department at 760.602.7872.