BCBSNC is joining forces with North Carolina doctors and hospitals to reduce costs and improve care through flat-fee payment programs. These programs offer a guaranteed cost for complex procedures like knee and hip replacements. The predetermined fee covers everything from pre-operative care through post-operative appointments and physical therapy visits. If a procedure ends up costing more – for example, if a preventable infection arises  the medical facility absorbs any loss. If it costs less, the facilities are rewarded. These programs have proven to reduce costs by an average of 20 percent, decrease avoidable complications and improve patient mobility and satisfaction.1