Surgery cost caps save pension fund 19% without hurting health

Published Updated 4 Min Read

(Bloomberg) — The nation’s largest pension fund and health insurer WellPoint Inc. cut medical costs 19% by capping the price of some surgeries, in the latest sign payers are taking a tougher line against rising hospital claims.

The California Public Employees Retirement System saved $5.5 million under a pilot project it started with WellPoint in 2011, according to a study released by the Indianapolis-based insurer at a Baltimore health conference Sunday. Retirees proved at least as healthy as those who didn’t opt for the lower-cost procedures, WellPoint said.


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