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Delivering High-Value Musculoskeletal Care - A Virtual Care Solution That Preserves In-Person Physical Therapy Volume
Daniel J Verhagen1,2, Joseph J Kucksdorf3,2, Jodi L Young4
1Team Facilitator, Emplify Health by Bellin, Green Bay, WI, USA.
NEJM Catalyst Innovations in Care Delivery
|July 8, 2026
Summary
Virtual musculoskeletal care may increase rehabilitation access for patients facing barriers. A pilot study showed it added to total visits, suggesting it reached individuals not attending in-person therapy.
Area of Science:
- Healthcare management
- Rehabilitation medicine
- Digital health
Background:
- Musculoskeletal conditions pose challenges, including high costs and chronic pain.
- Barriers like accessibility and cost limit patient engagement in conservative treatments such as physical therapy.
- Virtual musculoskeletal care offers a potential solution to improve access to rehabilitation services.
Purpose of the Study:
- To evaluate the impact of a third-party virtual musculoskeletal care platform on healthcare utilization.
- To assess if virtual care can overcome barriers to noninvasive rehabilitation services.
Main Methods:
- A pilot study was conducted using an insured population.
- A third-party virtual platform was implemented to facilitate virtual musculoskeletal care.
- Healthcare utilization data (in-person and virtual visits) was analyzed.
Main Results:
- The integration of virtual musculoskeletal care did not decrease in-person visits.
- The virtual solution increased the total number of combined (virtual and in-person) visits.
- It is plausible that virtual care engaged patients who would not have accessed in-person therapy.
Conclusions:
- Virtual musculoskeletal care may expand access to rehabilitation for certain patient groups.
- Further research is needed to determine if virtual care reduces long-term healthcare costs and utilization.
- The study highlights the potential of digital health solutions in managing musculoskeletal conditions.
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