bodysmart pres

Post on 12-Jul-2015

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THE PROBLEM

The traditional medical process of review and approval for musculoskeletal

care has failed the employee, employer and insurance company. Many large

insurance companies approve over 97% of all requests for

surgery, MRI, narcotics and pain management. Few, if any options, exist to

shift the paradigm of spine care. The outcomes to support the escalating rise

in in invasive spine care, narcotic use, pain management and imaging are not

in existence.

THE SOLUTION

bodysmart is a conservative continuum of care following evidence based guidelines and best practice clinical pathways. It is supported by an interactive online care center which prevents or avoids the current costly medical pathway to the surgeons office by supporting the PCP and advocating for the best spine care.

bodysmart directly provides a new pathway of musculoskeletal treatment and is a conservative model within the medical home of the primary care physician forgoing expensive medical treatments.

THE RESULTS

Reduction in annual healthcare costs associated with musculoskeletal care.

Patient will not have MRI, CT/Scans or specialist referrals within the four to six weeks post injury, unless medically necessary.

THE GOAL

Avoid the escalating costs of spine care.

Reduce annual healthcare cost associated with spine care.

Enhance patient healthcare experience and relationship primary care provider.

Provide quality care and reduce healthcare costs in pharmacy, diagnostics and pain management

THE KEYS

Primary Care Partnership

Outcomes based and supported

Evidence based clinical guidelines

Identification of best practices

Online portal for education and self guided treatment

Benefits Plan design supports bodysmart program

Collaborative approach with UR/CM

No specialist referral including diagnostics for 4-6 weeks

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