upgrade. For example, for $3,295 per eye, patients get laser cataract
surgery, implantation of presbyopia-correcting IOLs and treatment of
astigmatism. If they're not satisfied with their vision, they can get
post-op LASIK.
Do the right thing
Although Geisinger initially received pushback for establishing "cook-
book medicine," surgeons and patients eventually realized the approach
was a strong one. "The goal was not to force you to buy a suit off the
rack," says Dr. Casale. "In fact, we insist the suit be custom-made for
you. But what we're insisting is that the tailor makes these 30 measure-
ments and takes these 30 things into account before he starts to cut
material and sew it together."
Once Geisinger implemented its warranty program, surgeons were
"delighted," according to Dr. Casale. "What's happened is you've
assured them because of the system that the right thing is going to
happen, not depending on which nurse or PA or technician is on-call
that day," says Dr. Casale.
OSM
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