Your Members Are In Pain
MSK Conditions Are Your #1 Cost Driver
$245 billion annually — MSK is the #1 healthcare cost among working-age adults. More than heart disease. More than cancer.
- Dieleman et al., JAMA 2020 & 2025Direct access PT reduces total healthcare costs and PT costs — with 2× greater functional improvement vs. physician-first access.
First-contact PT cuts imaging rates by 45% and prescription medications by 71% — eliminating unnecessary claims for payers.
Direct access PT reduces GP consultations by 10–30% across 15 studies — with no serious adverse events and non-inferior outcomes.
PT-first care for low back pain reduces opioid prescriptions by 89.4%, advanced imaging by 27.9%, and ER visits by 38.3%.
Unrestricted direct access PT reduces LBP costs by 32% at 90 days vs. physician-first care — across 59,670 patients.
First-contact PT costs £41–£44 per patient vs. £105.50 for GP-led care — a 57–61% reduction in per-patient costs.
Direct access PT is more cost-effective with fewer visits, less imaging, fewer medications — and zero evidence of harm across 8 studies.
Integrating PTs into primary care reduces imaging in 17/19 studies, medication use in 11/17, and opioid use in 5/5 studies.
Early PT after an ER visit cuts surgery risk by 53%, long-term opioid use by 55%, and total costs by 56% ($3,806 vs. $8,689).
Early PT within 14 days reduces surgery risk by 55%, advanced imaging by 66%, injections by 58%, and total costs by $2,736 per patient.
Early PT for acute LBP across ~980,000 patients reduces 30-day ER visits by 49%, advanced imaging by 43%, and pain specialist visits by 51%.
Direct access PT delivers better disability and quality-of-life outcomes at lower cost — across 4 studies confirming cost savings.
Direct access PT has zero adverse events across 28 studies — with higher referral accuracy, better outcomes, and higher patient satisfaction.
PT triage in primary care is cost-effective at 85–93% probability — with lower total costs and slightly higher QALYs from a societal perspective.
Bornhöft L et al. BMC Musculoskelet Disord. 2019;20(1):186 ↗
Early PT is cost-effective at $32,058 per QALY — well below the standard willingness-to-pay threshold — with better quality of life at 1 year.
The MSK Solution Your Plan Has Been Missing.
From prevention to recovery — evidence-based MSK care that reduces claims, cuts unnecessary utilization, and gets members back to function.
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Data-driven MSK screenings for your members. Identify high-risk members before claims happen — not after.
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Evidence-based protocols. Fewer surgeries. Lower claims. Condition-specific reconditioning that gets members back to function and off the claims roster.
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Health coaching by Doctors of Physical Therapy. Reduce chronic pain burden, medication use, and avoidable expensive procedures.
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Outcomes-tied. Aligned with your plan. Per-member-per-year payment models where our incentives are directly tied to your cost and quality metrics.
Digital MSK care saves payers $2,370 per patient per year — driven by surgery avoidance, reduced imaging, and fewer office visits.
Pereira AP et al. Arch Phys Med Rehabil. 2026;107(4):665–675 ↗
Digital MSK programs reduce surgery rates by 58% and low-value surgeries by 82% — eliminating the highest-cost claims for payers.
Virtual PT delivers a 1.8× ROI at both 6 and 12 months — with significantly lower MSK-related claims costs for payers.
Virtual PT saves payers $1,116–$1,523 per patient per year in direct medical costs — with a 2.0× ROI on medical savings alone.
9 out of 10 economic evaluations found digital MSK interventions cost-effective — with pooled savings of $418 per patient vs. control.
Digital MSK programs cut new opioid prescriptions by 48% — reducing downstream pharmacy and ER claims for payers.
Digital MSK participants use 5.7% fewer invasive services and 8.1% less imaging at 12 months — reducing downstream claims costs.
Tele-PT integrated into primary care resolves injuries in 17% fewer visits — saving $193–$1,411 per injury per patient.
Digital MSK programs achieve 30–40% cost reductions with 15–40% adherence gains compared to traditional rehabilitation.
Early conservative therapy for neck pain reduces payer costs by 24.8% — and patients are 81% more likely to remain opioid-free at 1 year.
Wellness program participants file 3.6 fewer claims and have $1,346 lower total claims costs per year compared to non-participants.
Comprehensive wellness programs show 32.6% cost growth over 4 years vs. 47.5% for non-participants — a 14.9 percentage-point gap.
Jenkins KR, Bales SL. Am J Health Promot. 2023;37(3):375–380 ↗
Workplace MSK early intervention reduces compensation claims by 18%, costs per claim by 26%, and days absent by 37%.
An MSK disability management program cuts medical costs per injury by 45% ($4,848 → $2,679) and reduces injury incidence by up to 50%.
Telerehabilitation produces more QALYs at lower cost than in-person PT — the first RCT to demonstrate cost-effectiveness from a health system perspective.
We integrate into your network to reduce MSK costs, cut avoidable utilization, and improve outcomes — with data you can take to your board.
✓ Doctor of Physical Therapy-led care ✓ Evidence-based, guideline-adherent protocols ✓ Value-based contracting available ✓ Measurable outcomes tied to your quality metrics
A Clinical Partner Team For Your Members.
How Our Programs Work
Integrated, evidence-based MSK care — from identification to outcomes.
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We find the members who need us most. Using claims data, referrals, and member self-screening, we identify high-risk MSK members before conditions escalate into high-cost claims.
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Every member starts with a DPT-led evaluation. A Doctor of Physical Therapy conducts a comprehensive MSK assessment — identifying underlying injury mechanisms, ruling out red flags, and building a protocol around the member's condition, goals, and schedule.
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Care delivered in-person, digitally, or both. Evidence-based protocols are delivered through the channel that works for each member (in-clinic, via telehealth, or through our digital program) with weekly adaptations based on progress.
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Members learn to manage their condition long-term. DPT-led coaching sessions address pain science, movement education, and self-management strategies — reducing dependency on passive care and repeat utilization.
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We track functional outcomes measures, pain scores, utilization, and cost metrics at every stage that you can use for quality improvement.
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Our incentives are aligned with yours. We offer capitated PMPM and PPPY models where our compensation is tied directly to outcomes — not volume. If your members don't get better, we don't get paid.
Early guideline-adherent PT for low back pain is associated with 60% lower total LBP-related costs — across 753,450 patients in the Military Health System.
PT-first care reduces opioid prescriptions by 89.4%, advanced imaging by 27.9%, and ER visits by 38.3% — eliminating the highest-waste services from the care pathway.
Early PT is cost-effective at $32,058 per QALY — well below the standard willingness-to-pay threshold — with better quality of life at 1 year.
Higher inpatient rehabilitation is associated with up to 90% higher odds of community discharge after joint replacement — a key quality metric in bundled payment models.
Preoperative PT reduces post-acute care utilization by 29% after total joint replacement — saving $871 per episode in skilled nursing and rehab costs.
PT in the emergency department reduces imaging by 25%, opioid administration by 47%, and ED length of stay by 35% — delivering immediate value at the point of entry.
Direct-access PT in the ED produces lower pain, better function, and fewer return visits at 1 and 3 months — with less opioid and prescription medication use.
Early PT after an ER visit cuts surgery risk by 53%, long-term opioid use by 55%, and total costs by 56% — the highest-value intervention at the post-ED transition point.
PT-led orthopedic triage achieves equivalent diagnostic accuracy, higher surgery conversion rates (55–91% vs. 22–38%), shorter wait times, and lower costs than surgeon-led triage.
Samsson KS et al. BMC Musculoskelet Disord. 2020;21(1):673 ↗
Guideline-adherent PT — active over passive treatments — is associated with decreased healthcare utilization and overall cost savings for patients with low back pain.
Physical therapy is cost-effective or cost-saving in 9 of 19 comparisons — with improved health outcomes in almost all studies across MSK, neurological, and cardiopulmonary conditions.
Supervised exercise PT for hip/knee OA is cost-effective and cost-saving at 2 years — with a net benefit of NZ$6,312 from a societal perspective.
Abbott JH et al. Osteoarthritis Cartilage. 2019;27(3):424–434 ↗
PT vs. glucocorticoid injection for knee OA is cost-effective at greater than 95% probability — supporting PT as the higher-value first-line treatment.
A core set of 6 patient-reported outcome-based quality indicators for PT in LBP has been validated — enabling value-based benchmarking across 219 practices.
Post-acute care costs after total hip arthroplasty declined by 41% nationally ($5,903 → $3,485) following Medicare bundled payment programs incentivizing PT-led rehabilitation pathways.
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