Significant Improvements for Medicare Advantage Members Through Integrated Virtual MSK Care Model

Transforming Musculoskeletal Care for Older Adults

A recently published peer-reviewed study in Telemedicine Reports reveals that Vori Health's integrated virtual care model significantly enhances outcomes for Medicare Advantage (MA) members grappling with musculoskeletal (MSK) issues. This study highlights the urgent need for substantial reforms in MSK care services, especially as nearly half of older adults in the U.S. over 65 reported experiencing back pain, with many others suffering from lower limb discomfort.

Musculoskeletal conditions have emerged as a leading cause of disability among older individuals and a significant driver of healthcare expenditures for Medicare, which surged by 8.1% in 2023. The study involved 100 consecutive MA patients from a regional plan in the Mountain West, with an average age of 72, most of whom were dealing with chronic ailments such as low back pain and osteoarthritis.

The patients received coordinated virtual care from a team comprising non-surgical physicians, physical therapists, health coaches, and dietitians. The results were overwhelmingly positive; an impressive 83% of participants reported notable reductions in pain levels, while between 84% to 86% of patients experienced improvements in their physical health, as indicated by p-values below .001.

One standout feature of the study was the staggering reduction in unnecessary interventions; imaging was required in only 2% of cases, and a mere 3% of patients needed in-person referrals. This underscores the benefits of timely medical evaluations and a conservative approach toward treatment. Additionally, almost half of the participants engaged with a health coach, and 15% consulted a dietitian, illustrating the program's emphasis on holistic care that targets the individual as a whole.

Moreover, the findings align with the preferences expressed by older adults regarding their care options. A national survey commissioned by Vori Health revealed that 67% of seniors would feel increased confidence if both a physician and a physical therapist were involved in their initial visit before considering any surgical interventions. In contrast, only 5% felt comfortable beginning treatment with physical therapy alone.

Dr. Mary O'Connor, Chief Medical Officer of Vori Health and co-author of the study, articulated, “This study validates what older adults have been expressing—they desire comprehensive, well-coordinated care that feels medically thorough.” She emphasized that integrating physicians and physical therapists from the outset significantly enhances treatment outcomes and fosters a more supportive recovery journey.

Founded by surgeons from Yale and the Mayo Clinic, Vori Health stands as a pioneering force in the MSK care landscape. The practice is the first nationwide, physician-led initiative delivering both integrated virtual and in-person care to patients. By fusing together various health professionals, including specialists and therapists, Vori Health aims to eliminate unnecessary procedures and improve both patient outcomes and cost-efficiency for employers and health plans alike. To explore more about Vori Health and its innovative approach, visit www.vorihealth.com.

In conclusion, as the healthcare landscape continues to evolve, initiatives like Vori Health’s integrated virtual care model not only promise to elevate the standards of care for Medicare Advantage members but also pave the way for a more integrated and efficient approach to managing MSK conditions in older adults.