Your Members Are In Pain

MSK Conditions Are Your #1 Cost Driver 

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$245 billion annuallyMSK is the #1 healthcare cost among working-age adults. More than heart disease. More than cancer. 

- Dieleman et al., JAMA 2020 & 2025
Direct access PT
Better outcomes

Direct access PT reduces total healthcare costs and PT costs — with 2× greater functional improvement vs. physician-first access.

Hon S et al. Phys Ther. 2021;101(1):pzaa201 ↗

First-contact PT
45%
Less imaging

First-contact PT cuts imaging rates by 45% and prescription medications by 71% — eliminating unnecessary claims for payers.

Abuhl B et al. Phys Ther. 2025:pzaf080 ↗

Direct access PT
10–30%
Fewer GP visits

Direct access PT reduces GP consultations by 10–30% across 15 studies — with no serious adverse events and non-inferior outcomes.

Fischer M et al. BMC Prim Care. 2026 ↗

PT-first care
89.4%
Fewer opioid Rx

PT-first care for low back pain reduces opioid prescriptions by 89.4%, advanced imaging by 27.9%, and ER visits by 38.3%.

Frogner BK et al. Health Serv Res. 2018;53(6):4629–4646 ↗

Direct access PT
32%
Lower costs at 90 days

Unrestricted direct access PT reduces LBP costs by 32% at 90 days vs. physician-first care — across 59,670 patients.

Garrity BM et al. Phys Ther. 2020;100(1):107–115 ↗

First-contact PT
57–61%
Lower per-patient cost

First-contact PT costs £41–£44 per patient vs. £105.50 for GP-led care — a 57–61% reduction in per-patient costs.

Walsh NE et al. Br J Gen Pract. 2024;74(747):e717–e726 ↗

Direct access PT
Zero
Adverse events

Direct access PT is more cost-effective with fewer visits, less imaging, fewer medications — and zero evidence of harm across 8 studies.

Ojha HA et al. Phys Ther. 2014;94(1):14–30 ↗

Primary care PT
17 of 19
Studies show less imaging

Integrating PTs into primary care reduces imaging in 17/19 studies, medication use in 11/17, and opioid use in 5/5 studies.

Cavanaugh AM et al. Phys Ther. 2026:pzag052 ↗

Early PT post-ER
56%
Lower total costs

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).

Magel J et al. Phys Ther. 2020;100(10):1782–1792 ↗

Early PT
$2,736
Saved per patient

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.

Fritz JM et al. Spine. 2012;37(25):2114–2121 ↗

Early PT
49%
Fewer ER visits

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%.

Marrache M et al. BMC Health Serv Res. 2022;22(1):851 ↗

Direct access PT
Better QoL
At lower cost

Direct access PT delivers better disability and quality-of-life outcomes at lower cost — across 4 studies confirming cost savings.

Demont A et al. Disabil Rehabil. 2021;43(12):1637–1648 ↗

Direct access PT
28 studies
Zero adverse events

Direct access PT has zero adverse events across 28 studies — with higher referral accuracy, better outcomes, and higher patient satisfaction.

Gallotti M et al. J Clin Med. 2023;12(18):5832 ↗

PT triage
85–93%
Probability cost-effective

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
$32,058
Per QALY gained

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.

Fritz JM et al. Spine. 2017;42(5):285–290 ↗

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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Digital MSK
$2,370
Saved per patient / year

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
58%
Fewer surgeries

Digital MSK programs reduce surgery rates by 58% and low-value surgeries by 82% — eliminating the highest-cost claims for payers.

Domingues B et al. J Med Internet Res. 2025 ↗

Virtual PT
1.8×
Return on investment

Virtual PT delivers a 1.8× ROI at both 6 and 12 months — with significantly lower MSK-related claims costs for payers.

Napoleone JM et al. Phys Ther. 2025:pzaf084 ↗

Virtual PT
$1,116–1,523
Per patient / year

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.

Chen F et al. Am J Manag Care. 2023;29(6):e169–e175 ↗

Digital MSK
9 of 10
Studies cost-effective

9 out of 10 economic evaluations found digital MSK interventions cost-effective — with pooled savings of $418 per patient vs. control.

Fatoye F et al. J Med Internet Res. 2023;25:e41113 ↗

Digital MSK
48%
Fewer opioid Rx

Digital MSK programs cut new opioid prescriptions by 48% — reducing downstream pharmacy and ER claims for payers.

Wang G et al. J Pain Res. 2023;16:2609–2618 ↗

Digital MSK
8.1%
Less imaging

Digital MSK participants use 5.7% fewer invasive services and 8.1% less imaging at 12 months — reducing downstream claims costs.

Wang G et al. BMC Musculoskelet Disord. 2022;23(1):237 ↗

Tele-PT
17%
Fewer visits

Tele-PT integrated into primary care resolves injuries in 17% fewer visits — saving $193–$1,411 per injury per patient.

Stewart CJ et al. J Med Internet Res. 2025;27:e76794 ↗

Digital MSK
30–40%
Cost reduction

Digital MSK programs achieve 30–40% cost reductions with 15–40% adherence gains compared to traditional rehabilitation.

Lee YK et al. J Clin Med. 2025;14(23):8467 ↗

MSK Prevention
24.8%
Lower payer costs

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.

Jin MC et al. JAMA Netw Open. 2022;5(7):e2222062 ↗

Wellness programs
$1,346
Lower claims / year

Wellness program participants file 3.6 fewer claims and have $1,346 lower total claims costs per year compared to non-participants.

Merrill RM. J Occup Environ Med. 2018;60(11):985–989 ↗

Wellness programs
14.9 pts
Slower cost growth

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 ↗

MSK early intervention
26%
Lower cost per claim

Workplace MSK early intervention reduces compensation claims by 18%, costs per claim by 26%, and days absent by 37%.

Donovan M et al. J Occup Rehabil. 2017;27(1):24–34 ↗

MSK prevention
45%
Lower medical costs

An MSK disability management program cuts medical costs per injury by 45% ($4,848 → $2,679) and reduces injury incidence by up to 50%.

Bunn WB et al. Am J Manag Care. 2006;12 Spec no.:SP27–32 ↗

Telerehabilitation
More QALYs
At lower cost

Telerehabilitation produces more QALYs at lower cost than in-person PT — the first RCT to demonstrate cost-effectiveness from a health system perspective.

Hinman RS et al. Lancet. 2024;403(10433):1267–1278 ↗

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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Guideline adherence
60%
Lower LBP costs

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.

Childs JD et al. BMC Health Serv Res. 2015;15:150 ↗

Waste elimination
89.4%
Fewer opioid Rx

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.

Frogner BK et al. Health Serv Res. 2018;53(6):4629–4646 ↗

Cost-effectiveness
$32,058
Per QALY gained

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.

Fritz JM et al. Spine. 2017;42(5):285–290 ↗

Bundled payments
90%
Higher community discharge

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.

Kumar A et al. Phys Ther. 2022;102(4):pzab313 ↗

Bundled payments
$871
Saved per episode

Preoperative PT reduces post-acute care utilization by 29% after total joint replacement — saving $871 per episode in skilled nursing and rehab costs.

Snow R et al. J Bone Joint Surg Am. 2014;96(19):e165 ↗

ED value
47%
Fewer ED opioids

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.

Pugh A et al. PLoS One. 2020;15(4):e0231476 ↗

ED value
Fewer
ED return visits

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.

Gagnon R et al. Acad Emerg Med. 2021;28(8):848–858 ↗

Post-ED transition
56%
Lower total costs

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.

Magel J et al. Phys Ther. 2020;100(10):1782–1792 ↗

PT-led triage
55–91%
Surgery conversion rate

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 adherence
Lower
Utilization & costs

Guideline-adherent PT — active over passive treatments — is associated with decreased healthcare utilization and overall cost savings for patients with low back pain.

Hanney WJ et al. PLoS One. 2016;11(6):e0156799 ↗

Cost-effectiveness
9–10 of 19
Comparisons favor PT

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.

Bürge E et al. Phys Ther. 2016;96(6):774–786 ↗

OA management
NZ$6,312
Net benefit at 2 years

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 ↗

OA management
>95%
Probability cost-effective

PT vs. glucocorticoid injection for knee OA is cost-effective at greater than 95% probability — supporting PT as the higher-value first-line treatment.

Rhon DI et al. JAMA Netw Open. 2022;5(1):e2142709 ↗

Quality metrics
65,815
Episodes validated

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.

Verburg AC et al. Phys Ther. 2021;101(8):pzab118 ↗

Bundled payments
41%
Drop in post-acute costs

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.

Serino J et al. J Bone Joint Surg Am. 2022;104(3):255–264 ↗

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