Home » Services » Benefit Plan Design

Benefit Plan Design

Page Structure

Expand all | Collapse all

Incentivize Outcomes

Integrated Mechanical Care (IMC) believes group health, workers’ compensation, and disability benefit plans should incentivize all health industry stakeholders around the health, wellness, and productive capacity of patients.

While many clinical practitioners and healthcare provider organizations are committed to delivering appropriate musculoskeletal care, some have unfortunate economic and political interests that may influence their orthopedic diagnostic and treatment strategies.

IMC has been working with self-insured employers (SIEs), accountable care organizations (ACOs), and home- and community-based service (HCBS) providers for years—ensuring benefit plans reward MSD patient outcomes rather than orthopedic procedure volumes.

By introducing greater transparency in benefit plan design and orthopedic condition management, IMC helps ensure MSD patient wellbeing remains at the forefront of clinical decision making.

Engage the Full Range of Stakeholders

IMC is highly respected for its groundbreaking, collaborative benefit design work with:

  1. employees, dependants, and retirees who have suffered from MSDs;
  2. self-insured, partially self-insured, and fully insured employers who may be carrying the bulk of the orthopedic cost burden;
  3. primary care physicians, specialty physicians, hospitals and health systems, and home- and community-based service (HCBS) providers who want to deliver great orthopedic care;
  4. accountable care organizations (ACOs), third-party administrators, and third-party payers (TPPs) that see escalating musculoskeletal costs as a business concern; and
  5. medical, health, and public policymakers who care about population health and socioeconomic development.

The Company helps these health industry stakeholders:

  1. analyze the cost, incidence, and prevalence of MSDs in targeted populations;
  2. evaluate MSD-related self-care, diagnostic, and treatment patterns;
  3. identify drivers of favorable and unfavorable outcomes of orthopedic care;
  4. build employee wellness, productive capacity, and socioeconomic performance metrics into orthopedic provider selection criteria and compensation models; and
  5. integrate MSD-related healthcare information, administration, financing, and delivery systems to optimize individual and population health at the lowest possible cost.

Adopt a Proven Model

This orthopedic benefit design strategy maximizes MSD patient satisfaction and wellbeing, protects and enhances economic performance of healthcare’s purchasers, and delivers orthopedic cost savings upwards of 25%—all while reducing:

  • unnecessary or overly risky MSD-related clinical encounters;
  • direct and indirect costs of orthopedic complications;
  • preventable MSDs and condition recurrence rates;
  • the overall cost of group health insurance programs;
  • the number, duration, and costs of workers’ compensation cases;
  • the number, duration, and costs of short-term and long-term disability cases; and
  • MSD-related absenteeism, presenteeism, cognitive distractions, functional limitations, work disruptions, limitations in productive capacity,  inhibitors of productivity, and substandard earnings performance.

The result?

A happier, healthier, and more engaged workforce…and a greater ROI on your human capital.

Sound helpful?

Contact Us Today