Over the past two centuries, a vital aspect of medical care has gradually faded: genuine compassion. Going back millennia, practitioners had limited means to influence the course of illness. Unfortunately, some of their practices, such as bleeding, purging, emetics, and the use of mercury, often worsened the patient’s condition. Hippocrates, recognizing the prevalence of dubious medical practices, emphasized the oath “first, do no harm.” Despite their limited ability to cure diseases, practitioners, including surgeons, doctors, witch doctors, shamans, seers, mystics, Yuta’s, sorcerers, and houngans, were trusted and sought after primarily because they conveyed a sincere desire to help, exhibited sympathy for the patient’s progress, and demonstrated empathy for both the patient and their family. Their genuine concern for the patient was their most valuable ware. Otherwise, they recognized that nature would take its course. This underscores the profound impact of genuine concern in the realm of healthcare.
As time has passed, the landscape of medicine has transformed, equipping practitioners with more effective tools to combat illnesses. Patients have increasingly fixated on the available technological solutions, assuming that the practitioner’s concern would remain unwavering. However, today, the economics of medicine have relegated concern to the background. Technology is now the quantifiable, codifiable, and billable centerpiece, overshadowing genuine human concern. Regrettably, concern is not a reimbursable aspect within the current insurance system, leaving many to opt for out-of-pocket concierge care.
When most patients find themselves in dire need, they call their practitioners, only to be met with a recording advising them to dial 911. The message is clear: we provide care on our terms, not yours. If you can’t wait, seek care elsewhere. However, with concierge care, the practitioner answers the call, aligning with the patient’s schedule. Here, you are paying for concern—the authentic care for your well-being.
The introduction of electronic medical records has compounded the issue. Practitioners are paid only for documented procedures with coded entries, which fail to capture the essence of concern that patients yearn for above all else. While ordering the right technology and potentially relying on AI in the future may streamline disease targeting, it still leaves patients dreading interactions with the healthcare system. Long wait times, frequent practitioner turnover, minimal explanations, and a lack of personal relationships are what patients encounter. All they seek is reassurance that the practitioner genuinely cares about their outcome, not just the meticulous documentation on a computer screen designed to avoid legal repercussions.
A.V.A.T.A.R® (the Alignment of vital Assets to Accelerate Recovery) steps in to reintroduce genuine concern into medical practice A.V.A.T.A.R® consolidates all the essential stages of the healthcare process, encompassing family education, pre-operative preparation, nursing care, anesthesia, surgical intervention, utilization of medical devices, rehabilitation, and personalized concierge communication. These elements collectively play a pivotal role in shaping outcomes that extend far beyond the mere surgical event.
A.V.A.T.A.R® invests in guiding each patient through the surgical pathway, from start to finish, with a personal navigator available around the clock. This ensures that care aligns with the patient’s schedule and needs, preventing issues from escalating and complications from arising. In doing so, A.V.A.T.A.R® fosters a sense of security and contentment among patients, while assuring better outcomes and quicker recoveries.
A.V.A.T.A.R® offers precisely what modern medicine needs: better care at lower costs. But how do we measure the quality of care? Practitioners have standardized methods of assessing quality, and with A.V.A.T.A.R®, complications such as infections and the need for return surgery are one-tenth of national averages. This is a significant improvement, but not enough. Unfortunately, practitioners’ perceptions of care often differ from those of patients. To bridge this gap, A.V.A.T.A.R® relies on Patient-Reported Outcome Measures, equivalent to the M-SANE score. The AVATAR Report Card asks patients to grade their experience on a scale of 1 to 10, with an average score of over 9.4. Patients love A.V.A.T.A.R® because they experience less pain, faster recovery, and better outcomes. With A.V.A.T.A.R®, they genuinely feel and experience concern, all while saving costs.
So, how does A.V.A.T.A.R® accomplish this? It redirects reimbursement from administration to the practitioner, valuing the time and effort required to communicate genuine concern to the patient. Given that fee-for-service models do not recognize concern as a reimbursable service, A.V.A.T.A.R® relies on a bundled payment system to bridge the gap. It views most medical and surgical technologies as commodities, widely available and standardized. The true cost of these commodities and associated care parameters is relatively predictable in terms of time, labor, and materials, with minimal variation. Unfortunately, the pricing of these commodities from city to city varies significantly without apparent reason, especially concerning insurance costs.
By bundling the episode of care, A.V.A.T.A.R® eliminates much of the administrative overhead and cost-shifting responsible for skyrocketing insurance premiums. Insurers pay a single, comprehensive fee that covers the entire bundle, encompassing surgery, anesthesia, implants, nursing, physical therapy, and durable medical equipment, extending up to 90 days post-operatively. This approach enhances efficiency, reduces complications, and lowers administrative costs, rendering the bundled model a fraction of the cost compared to the a la carte fee-for-service system. Importantly, this approach leaves room for profit that can be reinvested in concern, not just care.
Prospective bundles offer a solution to the problematic incentives prevalent in the current healthcare system. Our program aims to transform and improve upon the existing flawed systems, presenting a genuine win-win scenario for patients, payers, and providers by delivering true value.
In essence, A.V.A.T.A.R® rekindles the essence of medical practice by placing concern at the forefront of healthcare. With Bundled Payment, It ensures that the patient’s needs and well-being remain the central focus, all while optimizing costs and outcomes. A.V.A.T.A.R® is precisely what patients want and deserve.