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Cleveland Clinic Adds Walmart to Bundled Payment Program for Employees

Walmart Addition Expands Pioneering Program to Provide Employers with Solutions to Address Rising Healthcare Costs

October 11, 2012

Cleveland Clinic cardiac surgery expertise will soon be accessible at no cost to Walmart employees as part of the retailer’s newly expanded Centers of Excellence program.  The program gives Walmart associates access to cardiac surgery at the Cleveland Clinic Heart & Vascular Institute with no out-of-pocket cost for the employee.

Cleveland Clinic has been ranked No. 1 nationwide in cardiology and heart surgery by U.S. News & World Report for 18 consecutive years.

The agreement is part of Cleveland Clinic’s Program for Advanced Medical Care (PAMC), which works with self-insured companies to develop innovative solutions that provide their employees with high-quality healthcare while also managing costs. Programs like PAMC between employers and leading specialty hospitals help keep costs down through bundled pricing and better outcomes while giving employees greater access to the best possible care.

“Healthcare is in the midst of an unprecedented transformation and requires innovation to improve the way we deliver care to patients across the United States,” said Cleveland Clinic President and Chief Executive Officer Toby M. Cosgrove, MD “Programs such as these will help get patients to the right place, for the right care, at the right time, while focusing on quality outcomes and cost control."

Cleveland Clinic and Lowe’s pioneered this type of agreement in 2010 when the two organizations announced an employee benefit for full-time Lowe’s employees and their covered dependents. Lowe’s employees and their dependents enrolled in the company’s self-funded medical plan may elect to schedule qualifying heart surgery procedures at Cleveland Clinic at no out-of-pocket cost. Since the program began in 2010, it has expanded to include other areas in addition to heart care. 

“Agreements like these have the potential to significantly reduce healthcare costs for employers, while they give their employees greater access to the country’s best hospitals,” said Michael McMillan, executive director of market and network services at Cleveland Clinic. “By having their procedures performed at centers of excellence, employees are significantly less likely to need expensive re-do surgeries. Further, at Cleveland Clinic, our doctors are not paid per procedure, so they do not have a financial incentive to operate, and may find other, more effective ways to treat the disease.”

Since the Lowe’s alliance began in 2010, Cleveland Clinic has entered into similar agreements with several other self-insured employers around the country.

In the Walmart agreement, Cleveland Clinic is one of four hospitals nationwide chosen to perform specific cardiac surgery procedures for employees. Walmart associates and their dependents who are enrolled in the company’s medical plans will receive consultations and care covered at 100 percent without deductible or coinsurance, plus travel, lodging and food for the patient and a caregiver.

Cleveland Clinic has a unique vantage point to be able to assist companies with managing their healthcare costs thanks to its dual role as both a self-insured employer, with 43,000 employees, and a healthcare provider, treating millions of patients every year. Through its innovative employee wellness programs, Cleveland Clinic has saved more than $15 million in healthcare costs when comparing trend line data from 2003 to 2008 and the trend from 2009 to 2011.

Cleveland Clinic also has a long-standing reputation as a leader in heart care. In fact, no hospital in America sees more patients for heart and vascular conditions than Cleveland Clinic. In 2011, the Cleveland Clinic Miller Family Heart & Vascular Institute saw 404,385 patient visits with its surgeons performing more than 4,000 cardiac surgeries, making it the largest, most experienced cardiovascular practice in the country. 

For more information on the Cleveland Clinic Heart & Vascular Institute, visit clevelandclinic.org/heart, or call 1-800-659-7822.

About Cleveland Clinic

Cleveland Clinic is a nonprofit multispecialty academic medical center that integrates clinical and hospital care with research and education. Located in Cleveland, Ohio, it was founded in 1921 by four renowned physicians with a vision of providing outstanding patient care based upon the principles of cooperation, compassion and innovation. Cleveland Clinic has pioneered many medical breakthroughs, including coronary artery bypass surgery and the first face transplant in the United States. U.S.News & World Report consistently names Cleveland Clinic as one of the nation’s best hospitals in its annual “America’s Best Hospitals” survey. About 2,800 full-time salaried physicians and researchers and 11,000 nurses represent 120 medical specialties and subspecialties. Cleveland Clinic Health System includes a main campus near downtown Cleveland, eight community hospitals and 18 Family Health Centers in Northeast Ohio, Cleveland Clinic Florida, the Lou Ruvo Center for Brain Health in Las Vegas, Cleveland Clinic Canada, and opening in 2013, Cleveland Clinic Abu Dhabi. In 2010, there were 4 million visits throughout the Cleveland Clinic health system and 167,000 hospital admissions. Patients came for treatment from every state and from more than 100 countries. Visit us at www.my.clevelandclinic.org.  Follow us at www.twitter.com/ClevelandClinic.

Media Contact:

Megan Pruce, 216.445.7452, prucem@ccf.org
Wyatt DuBois, 216.445.9946, duboisw@ccf.org