Facts About Musculoskeletal Care

• 20% of commercial & Medicaid members are treated for musculoskeletal conditions each year (30% of Medicare enrollees)
• Musculoskeletal care accounts for 15-20% of the average commercial and Medicaid plan's total medical costs
  (25% of a Medicare plan's medical costs)
• There are very few best practices in musculoskeletal care, resulting in wild variations in treatment across specialists and locations. The same patient may be offered a variety of treatment options with substantial differences in risk and cost, depending on the specialist they choose for treatment.
• Up to 35% of the musculoskeletal care patients receive may be unnecessary and/or unsafe.
• Nexus provides to payers highly specialized evidence-based medical necessity criteria for musculoskeletal conditions, a large team of highly seasoned, matched-specialty physician reviewers, and highly specialized physician peer consultants who can speak directly with the treating physician to optimize care to musculoskeletal patients and reduce medical costs for payers.