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Mo DEPARTMENTAL MATTERS INDIAN RIVER COUNTY MEMORANDUM To: Jason Brown County Administrator From: Suzanne Boyll Human Resources Director Date: May 2, 2021 Subject: Addition of SurgeryPlus Benefit as Optional Benefit for Individuals Insured on the County's Group Health Plan Background Indian River County offers a Group Health Plan to eligible employees, retirees and dependents of the Board of County Commissioners, Sheriff's Office, Clerk of Circuit Court, Property Appraiser, Tax Collector and Supervisor of Elections. The plan performance is reviewed throughout the year and opportunities for cost savings and benefit enhancements or modifications are reviewed, evaluated, and presented to the Board of County Commissioners for consideration. Staff has been presented with a program to create an enhanced benefit for our covered members as well as provide a savings to the plan. The program presented for consideration is SurgeryPlus, which is a supplemental benefit for non -emergent surgeries using a national network of Surgeons of Excellence that have been credentialed by SurgeryPlus. The overall goal of the program is to improve quality and outcomes for plannable surgical procedures and also to reduce overall costs to the plan and covered members. Under SurgeryPlus, covered members would have an additional option to choose from when seeking a provider to perform certain non -emergent surgeries. The types of procedures by category are: • Joint replacement & Revision • Spine • Orthopedic • Cardiac • Gynecology • Hernia Repair • Ear, Nose & Throat (ENT) • Gastroenterology (GI) • Gallbladder • Thyroid • Pain Management Procedures To qualify as a Surgeon of Excellence, licensed providers must be board certified, be fellowship trained, have no State sanctions, complete a reputational review, and pass a comprehensive malpractice review.. This credentialing process ensures a high level of quality for surgical 38