Solutions · Surgery
The right surgeon, the right decision. Guaranteed.
Surgery is where the biggest, least-managed dollars and the highest-stakes decisions meet. World Class Health routes each episode to the right surgeon and facility on measured outcomes, guides your member one-to-one with a dedicated Nurse Concierge, prices every case against an auditable benchmark, and guarantees the savings in writing.
The exposure
A few surgical episodes drive an outsized share of your spend.
High-cost surgical cases are among the largest unmanaged exposures on a self-insured employer's books, and today you only find out once the claim lands. World Class Health reaches the member first, guides the decision, and puts its own fee at risk on the outcome.
What we cover
Six surgical lines, one standard of selection.
Across every line, the provider is chosen at the individual surgeon and facility level, on appropriateness and measured outcomes.
Joint and musculoskeletal surgery.
The highest-volume elective category, and the one where surgeon choice moves outcomes most.
Cardiac and structural-heart procedures.
High-acuity cases where CMO oversight and the right center make the difference.
Spine surgery, and when not to operate.
Where a conservative path is often the right one; the nurse consult protects against overtreatment.
Women's surgical care, matched to the specialist.
High-volume gynecologic procedures routed to the right surgeon and setting.
Bariatric and metabolic surgery.
A durable lever on downstream metabolic cost, matched to the right program and follow-up.
Common general-surgery procedures.
Everyday operations where a fair price and the right facility make the biggest difference.
The network
Surgical care, within reach.
Every dot is a contracted surgical location in the World Class Health network. Click any location to see its ZIP code.
Illustrative network coverage. In key markets the median distance to a World Class Health provider is under 10 miles.
Transparent pricing
The same operation, a fraction of the price, and you can audit every dollar.
We disclose the exact invoiced charge. Every case is benchmarked against public MRF data, processed by an independent third party with a documented method, auditable by your finance and benefits teams before and after every surgery.
Disclosed and audited case by case against the MRF benchmark.
The member experience
One member, one coordinated surgical journey.
From uncertainty to a guided surgical experience. The through line is simple: your member makes one decision, and World Class Health does the rest: identified early, matched to the right surgeon, and guided by the same nurse from the first call through full recovery.
Working with claims and point-solution signals, the AI flags a member likely heading toward surgery 60–90 days ahead, often before they have chosen a provider, and before the wrong path is set.
Because the member has seen the benefit for months across employer and WCH outreach, a warm, sequenced touch (email, then text, then a nurse's call) lands right as they start to consider surgery.
A short consent form is the handoff. From there the member has one dedicated Nurse Concierge (no call center, no handoffs), accountable from referral through recovery.
Surgeon profiles are surfaced from thousands of data points (volume, complication rates, PROMs) and matched to the member. They choose; the employer waives the out-of-pocket for using the network.
The nurse compiles every record into a referral-ready package and gets the consult scheduled. The plan comes back marked conservative or surgical. Sometimes the right answer is not the OR.
Imaging and pre-op testing are verified complete, a companion is confirmed, and the local PCP is looped in, with the nurse in constant contact across 15–30 touchpoints over the episode.
The nurse confirms readiness a day or two before, and reaches the member's companion the moment there is news after surgery.
Structured check-ins on a set cadence, discharge-note review, symptom triage and PROMs captured throughout, for a minimum of three months. Complications are caught early, often before an ER trip.
Illustrative member journey. Steps and timing vary by case; the constant is a single nurse, accountable start to finish.
Get started
See what surgery could save your plan.
Built on your own claims data, modeled across your surgical population, and written into a guaranteed floor. See exactly where the savings come from before you commit to anything.
Bend the curve. Guarantee the savings.