Insurers

Insurers

We work with:

Health Insurers

Integrated and innovative musculoskeletal (MSK) care models to reduce claims costs and improve outcomes.

Life Insurers

Technology-enabled early-intervention and return-to-work programmes for group income products.


100% Client retention

The Evidence

There is overwhelming evidence that the traditional ‘disconnected’ model for managing MSK injuries is a failed model.  Put simply, there is far too much reliance on unnecessary and expensive diagnostic tests (such as MRIs) and surgeries and the fragmented model means patients often sit waiting for access to appropriate advice and care when they could be on the road to recovery.

Thankfully, recent years have witnessed the emergence of a range of technologies that are set to transform the field of MSK injury prevention and management.

These technologies are enabling a much more efficient integrated care model characterised by:

  • Early screening and intervention,
  • Access to appropriate levels of care, advice, and feedback in the context that suits the patient,
  • Use of digital supports to empower the patient role in recovery and secondary prevention.


Over Reliance on expensive diagnostic tests

Recent studies have shown a complete misuse of MSK MRI requests in primary care in the UK, with only 4.9% clearly indicated.  Our advanced-practice physios manage all referral decisions, and less than 0.5% of our cases are referred to MRI.

Unnecessary Surgeries:

Independent case reviews suggest that as many as 75% of arthroscopic knee surgeries could have been avoided with appropriate exercise-based rehabilitation.

 

The time has come for digitally enabled remote care

Healthcare professionals are waking up to the potential for using digital to enhance outcomes of care and our experience from dealing with the covid-19 pandemic indicates that patients are very satisfied with it as well.  Recently published clinical trials have demonstrated excellent clinical outcomes, and reduced healthcare costs, through implementation of digitally enabled remote care.

Our founders have 13 years of MSK service delivery experience, including 3 years of providing MSK triage and case management services to health insurers.

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Our programme delivers

More:

  • Preventative care
  • Personalisation (including job types)
  • Engagement
  • Coaching visits

Less:

  • Treatment cost per case
  • MSK diagnostics
  • Surgery intervention
  • Opioid use

What’s more, your outcomes will improve, and we track and trend our analysis.

Our Offering

  • An integrated, end-to-end service that meets all your needs
  • Care continuum designed with your convenience in mind – you can access it in the way that suits you best
  • Integrated mHealth Technology Platform
  • Remote digital screening and assessment
  • Timely access to clinical specialists for personalised plans
  • Ongoing coaching to monitor progress

 

How We Work

Pivot Health reduces the total cost of orthopaedic care for insurers. We achieve this not through gatekeeping and reducing access but by giving your members so much more through technology, integration, improved quality, coaching and prevention.

A fee-for-service reimbursement model that incentivises everyone in the healthcare system to deliver as many services as possible is not sustainable. Our reimbursement models align with our mission to deliver more-affordable, more-predictable and simpler health care to those we serve.

We are confident we can reduce your entire orthopaedic costs, through prevention and achieving better outcomes. Let us show you how.

Our chief scientific officer and chief clinical officer love to take our partners through our data and the published evidence!

Ready to talk?

Contact us