No gap surgery for patients requiring joint replacement
New cooperation between private hospital operator, doctors and health insurer guarantees “no gaps” for patients having joint replacement surgery.
Vermont Private Hospital (part of the Nexus Hospitals Group) in Melbourne’s eastern suburbs is the first to offer a new style of private health insurance arrangement guaranteeing that patients needing joint replacement can have their surgery with no out-of-pocket costs.
The new service is a first-of-its-kind cooperative arrangement between private hospital, doctors and private health insurer which eliminates out of pocket costs for privately insured patients and implements an innovative model of care which reduces the time patients need to stay in hospital.
Nexus Hospitals CEO Andrew Petering says the new ‘Zero Out of Pocket’ or ‘ZOOP’ arrangement is aimed at giving patients certainty that – apart from any applicable excess under their policy – all other costs for their hospital admission will be covered by their private health insurance.
“Patients with private health insurance want their insurance to cover all of their out of pocket costs. Historically, private health insurance in Australia hasn’t been able to provide that certainty because of the way that the healthcare system is regulated.
“When you take out car insurance, you know that if you need to use it, all of your costs are covered. All you pay is a pre-agreed excess and everything else is taken care of by your insurance company. We’ve introduced ZOOP to give patients with health insurance that same peace of mind.”
Under the new arrangement, patients will also receive cover for additional services both before and after their hospital stay, aimed at improving their recovery and helping patients get back on their feet faster. These include “prehabilitation” assessment and education by a specialist physiotherapist to optimally prepare them for surgery, access to smartphone app technology to customise their recovery, and options to receive nursing and rehabilitation care at home.
Orthopaedic surgeon Dr Daevyd Rodda was the first surgeon to perform joint replacements at Vermont Private Hospital under the ZOOP initiative. He said he has wanted to be able to offer this kind of service to patients for some time, but the way the healthcare system is regulated couldn’t guarantee patients wouldn’t pay a gap.
“Eliminating out of pocket costs for patients is the holy grail for private hospital care. The only way we can ensure no gaps for patients is to have doctors, the private hospital and the private health insurer cooperating to ensure everything is covered.”
“One of the first patients to have their knee replacement at Vermont Private also needs to have her other knee as well as a hip replaced. Without access to this kind of arrangement she would have had significant out of pocket expenses to cover the cost of all three surgeries, which was prohibitive for her. Now, she can use her health insurance and be fully covered with no gaps.”
Nexus Hospitals Chief Operating Officer, Scott Bell, says that the additional support services provided before and after surgery means that patients are able to have a much shorter hospital stay after surgery. A recent patient of Dr Rodda’s was able to have a total knee replacement surgery and was discharged home the same day – the first such procedure performed in Australia as day surgery.
“New surgical and anaesthetic techniques for joint replacement mean that patients can be back on their feet and recovering much faster. With the right support in place at home, research has shown time and again that patients have better outcomes and a better experience when they recover in the comfort of their own home.”
“The average stay in Australian hospitals after hip or knee joint replacement surgery is over four days, plus many patients have an additional stay for rehabilitation which can be a week or more. In other countries length of stay has been shortened dramatically in recent years as new surgical techniques have been introduced, and in the US and Europe many hip and knee replacements are being performed as day surgery or discharged the next morning.”
Medibank is the first Private Health Insurer to support the Nexus ZOOP arrangement for joint replacement surgery at Vermont Private Hospital. Nexus and Medibank are proposing to expand the arrangement to cover joint replacement surgery in other locations around Australia, and Nexus is also looking at expanding the arrangement to offer no-gap surgery for other treatments such as hernia repair.
You can see more about the ZOOP arrangement on the Medibank website.
About Dr Daevyd Rodda:
Dr Daevyd Rodda is a specialist orthopaedic surgeon and a renowned expert in lower limb joint replacement surgery. He has trained extensively around Australia and at various centres of excellence in Europe and North America. He has a special interest in Anterior approach, minimally invasive total hip replacement and rapid recovery total knee replacement. He performs several hundred of these procedures each year and teaches these complex operations to other surgeons around Australia.
Dr Rodda is Director of Victorian Orthopaedic Group, located in Kew, Victoria.
Ph: 03 9853 7099
About Vermont Private Hospital:
First opening in 2016, Vermont Private Hospital is a short stay hospital offering surgical care in orthopaedic surgery, ophthalmology, plastic and reconstructive surgery, chronic pain and other specialties. Vermont Private is part of the Nexus Hospitals Group. Ph: 03 8547 1111.
Scott Bell 0414 686 073 email@example.com
News November 7, 2019
Medibank Zero Out of Pocket Joint Surgery Partnership
Nexus Hospitals’ partnership with Medibank Private featured in the Australian Financial Review today, with Medibank CEO Craig Drummond highlighting our zero out of pocket joint replacement surgery model as a way of delivering high value healthcare whilst maximising the value of private healthcare expenditure. More information on our zero out of pocket model is available […]
News August 19, 2019
No gap, short stay joint surgery pilot
Vermont Private Hospital has partnered with Medibank Private and Orthopaedic Surgeon Dr Daevyd Rodda to pilot a short stay, no gap joint surgery for suitable patients. The model of care featured on Channel 9 News on Monday 19th August.
News August 17, 2019
Revolutionary therapy for Fuch’s endothelial dystrophy
Dr Greg Moloney’s ground breaking treatment for Fuch’s endothelial dystrophy was featured on the 730 Report this week. Fuch’s affects 1 in every 25 Australians over the age of 40, and until recently, treatment options have been limited. Dr Moloney, who operates with us at Bondi Junction Private Hospital and Crows Nest Day Hospital, has […]
Nexus Pulse News August 7, 2019
A message from the CEO
June and July have continued to be busy at Nexus, with the rebranding of Nexus’ 13 hospitals now nearly complete. Each facility has taken on a new logo, uniting the group under a single brand. This represents an important step on the Nexus journey to create a readily identifiable hospital group with a reputation of […]
Press Releases News August 6, 2019
Tasman Private Hospital Development
Announcing our Greenfields development in Hobart Nexus Hospitals Press Release Hospital and associated health services in Hobart will get a much-needed boost with the proposed construction of a new Tasman Private Hospital at 48-52 New Town Road on the site of the old WIN TV studios. The Development Application to the Hobart City Council involving […]
Press Releases News July 25, 2019
Tennyson Centre Day Hospital successful in its tender for public work
We are delighted to announce that Tennyson Centre Day Hospital has been successful in its tender for public work as part of a collaboration between the public and private healthcare sectors in South Australia, aiming to reduce public surgery waiting times. Surgery shake-up as public shift to private As of yesterday, there were 17,462 people […]
Press Releases July 24, 2019
ASO Conference in partnership with Nexus
It was great to partner again with the Australian Society of Ophthalmologists as Platinum Sponsors for another very successful Business Expo over the weekend. Nexus is delighted to be in a position to support Australia’s Ophthalmologists in realising their career goals.
Nexus Pulse News June 3, 2019
Message from the CEO
Expanding the Nexus portfolio of world-class hospitals The Nexus journey is a story of partnership. We have a strong commitment to partner with our surgeons and staff, to build a national network of world class, boutique hospitals. This model is underpinned by our commitment to provide highly trained hospital and theatre staff focused on a […]
News February 6, 2019
Optimising Visual Outcomes in Cataract Surgery
Ophthalmologist Dr Johnny Wu, who operates at our Southbank Day Surgery in Perth, recently presented at the 2018 Asia Pacific Association of Cataract and Refractive Surgeons Annual Meeting in Thailand. His own clinical trial on the performance of the Vivinex™ Toric T2 intraocular lens formed the basis of his talk on cataract surgery and astigmatism. Click to […]
News Nexus Pulse December 3, 2018
Mindfulness – A focused approach to staff wellbeing
During the year, Nexus has embarked on a group wide initiative to provide mindfulness training to staff across all our hospital sites. We believe strongly in the adage that if we are well, our wellness spills over onto others. This is critical if we are to provide exceptional care for patients in our facilities each and […]
News Nexus Pulse December 3, 2018
Building a quality workforce
We all know that recruiting and retaining high quality, skilled staff is a constant challenge in healthcare. Maintaining a stable and experienced team is central to providing an outstanding experience for doctors and great outcomes for patients. To address this challenge, Bondi Junction Private Hospital (BJPH) has this year piloted two in-house training programs that […]
Nexus Pulse News December 3, 2018
Message from the CEO
Nexus was founded with the aim of partnering with doctors to build a high-quality, national network of surgical hospitals. In the five years since we celebrated our first hospital partnership, we have achieved a large part of this goal. We have openly shared best practices across our hospitals to deliver a better patient experience, increased […]
News August 27, 2018
Troutman Cornea Prize for Young Clinician Investigators
Nexus Hospitals would like to congratulate corneal surgeon Dr Greg Moloney, who operates with us at Crows Nest Day Hospital and Bondi Junction Private Hospital. Greg was recently awarded the prestigious Troutman Cornea Prize for Young Clinician Investigators. The award is bestowed annually by the US-based Cornea Society for the paper judged the most outstanding and innovative in […]
News August 13, 2018
Glaucoma breakthrough identifies genetic markers for those at risk of going blind
Nexus Hospitals would like to congratulate our Hobart Day Surgery surgeon, Professor Alex Hewitt, who is part of a team of Australian researchers studying glaucoma. The group have recently identified new genetic markers that increase the risk of developing the damaging eye disease almost sixfold, giving hope for better prediction, and opening the door to developing preventative […]
News July 31, 2018
Nexus Hospitals welcomes the government’s announcement of Medicare funding for Corneal Cross Linking in the treatment of keratoconus
Nexus Hospitals welcomes the government’s announcement of Medicare funding for Corneal Cross Linking in the treatment of keratoconus, will be added to the Medicare Benefits Scheme from the 1st of May 2018, significantly improving the affordability of this procedure. This funding will allow greater community access to first line treatment of progressive keratoconus, and in suitable […]
News July 24, 2018
Nexus Hospitals supports Interplast Australia & New Zealand
Interplast sends teams of volunteer plastic and reconstructive surgeons, anaesthetists, nurses and allied health professionals to provide free life-changing treatment and medical training in developing countries across the Asia Pacific region, including; Bangladesh, Bhutan, Indonesia, Laos, Mongolia, Myanmar, Nepal, Philippines, Sri Lanka, Vietnam, Kiribati, Papua New Guinea, Samoa, Solomon Islands, Tonga, Fiji, and Vanuatu. In […]
News July 29, 2017
Radical Sight-Saving Procedure Performed in Australia for the First Time
A radical procedure to restore a patient’s vision using a lens embedded in an extracted tooth has been performed for the first time in the southern hemisphere. The procedure, osteo-odonto keratoprosthesis, was performed at Sydney Eye Hospital by a team led by ophthalmologist and Nexus partner surgeon Dr Greg Moloney. This innovate procedure was the […]
News April 16, 2017
Nexus Contributes to Ministerial Advisory Committee on Private Health Insurance Reform
Federal Health Minister Greg Hunt is leading a review of the Private Health Insurance system, continuing the work of previous health minister Sussan Ley. As part of this ongoing review, Nexus Director Scott Bell was appointed to represent the day hospitals sector as part of a working group of industry stakeholders including private hospital operators, […]
News April 2, 2017
Volunteer Nursing with Cambodia Vision
Jenny Tate, an ophthalmic nurse based at Kogarah Private Hospital, recently travelled with fellow team member Catherine Perry on a medical mission to a remote Cambodian community. Jenny shares their experiences with us here. Cambodia Vision is a non profit organisation. Their aim is to work in small provincial towns in Cambodia,focusing on blindness prevention […]
Nexus Pulse News December 19, 2016
Nexus Hospitals Newsletter – December 2016
Vermont Private Hospital We are very proud to announce the successful completion and accreditation of Vermont Private Hospital, our brand new development at Vermont South in Melbourne’s eastern suburbs. With four operating theatres and private suites to accommodate overnight patients, the hospital has already attracted significant attention from the local medical community. Our first ophthalmic […]
News October 16, 2016
At Nexus we have continued to invest in growth within our existing hospitals by introducing new specialties, additional surgeons and new equipment. Most recently we have included new high-end endoscopic equipment at our Insight Clinic in Albury, new ophthalmic equipment in Charlestown to support the introduction of a retinal surgery and the provision of operating theatre […]
News August 15, 2016
Bondi Junction Private Hospital
On 9 June 2016 Nexus acquired Bondi Junction Private Hospital, a two theatre overnight facility located in the heart of Bondi Junction in Sydney’s eastern suburbs. Bondi Junction Private was historically focused primarily on plastic and ENT surgery. However, we recently established a high-quality ophthalmology service at Bondi Junction Private which is actively engaged with surgeons from […]
News August 1, 2016
National Day Surgeries joins forces with Nexus Hospitals
National Day Surgeries has a proud history of developing hospital projects in conjunction with surgeon ownership that spans over twenty years. Their approach to partnering with surgeons and developing first-class facilities, focusing on best practice patient care, resonates strongly with the Nexus philosophy. For this reason the two groups have found a very strong alignment […]
News June 15, 2016
Nexus continues its exciting expansion
Nexus is proud to announce that five new hospitals have recently joined our rapidly expanding group. Bondi Junction Private Hospital was acquired by Nexus Hospitals on 9th June 2016 Three facilities owned by National Day Surgeries and associated surgeons also joined the Nexus Hospitals group on 30th June 2016 – Tennyson Centre Day Hospital (Adelaide), […]
News June 15, 2016
New Nexus Facility coming to Vermont South
We are very proud to introduce you to Vermont Private Hospital Being built in Melbourne’s eastern suburbs, Vermont Private Hospital is the latest specialist surgical facility for Nexus Hospitals. The hospital’s grand opening is scheduled for September 2016. Vermont Private Hospital has been designed to provide advanced surgical care for patients requiring day or short-stay […]