AIM Musculoskeletal Solution

Setting the right care in motion

Protect your members and control your spend

The AIM Musculoskeletal and Pain Management Solution is a musculoskeletal benefits management program that addresses the increasing utilization and costs of musculoskeletal care and pain management. In addition to ensuring clinically appropriate care, our solution rewards providers for making value-based decisions, connects physicians to peers in the same specialties for clinical conversations, and redirects care to cost-effective settings.

We address common and costly musculoskeletal procedures.

Examples

  • Disc replacement
  • Hip replacement
  • Knee replacement
  • Spinal fusion

We address common and costly interventional pain procedures.

Examples

  • Epidural and sacroiliac steroid injection
  • Facet joint injections
  • Spinal cord stimulators
  • Nerve blocks

Safeguard your members’ health

Our Musculoskeletal Solution guides your providers to deliver evidence-based care, which protects your members from clinically inappropriate care and reduces unnecessary expenses.

Ease your providers' experience

Our Musculoskeletal Solution gives your providers access to our musculoskeletal, orthopedic, and pain management physicians and surgeons for specialty-matched peer-to-peer consultations.

Promote affordable, clinically appropriate sites of care

Our Musculoskeletal Solution can guide providers to high-performing, high-value sites of care for your members’ musculoskeletal and pain management needs.

Delivering cost-effective, evidence-based musculoskeletal care

Richard Valdesuso, MD, senior medical director of the AIM Musculoskeletal Solution, shares why quality-driven plans are making evidence-based, affordable musculoskeletal care the norm for their members.

Watch the video

Simplify the path to cost-effective, evidence-based musculoskeletal care

Merged seamlessly into provider workflows through the AIM ProviderPortalSM, our automated clinical review process simplifies your providers’ delivery of evidence-based care. It can identify the most appropriate care for your members or direct your providers to a peer-to-peer conversation with our physicians.

1

Streamline provider requests

Enables providers to easily submit requests for care online

2

Gain clinical assurance

Autoreviews the request for clinical appropriateness, using clinical criteria, your policy, or both.



Clinicians are available for cases that do not meet clinical criteria

3

Prioritize evidence-based care

Directs care to the right test, treatment, or setting

4

Close the loop

Integrates with your technology for claims, care management, and reporting

Multiply your expertise. Showcase your credibility.

An experienced team of physicians and nurses lead and support our Musculoskeletal Solution. Their expertise across numerous clinical specialties expands your organization’s clinical brainpower and acumen immediately. It also reinforces your clinical credibility and accelerates acceptance among your providers.

Richard Valdesuso, MD, MBA, MA

National Medical Director, Musculoskeletal

Our clinician reviewers' specialties

Radiology

Orthopedics

Occupational medicine

Physical medicine

Geriatric medicine

Pain management

Surgery

Explore related insights and perspectives

Case study: How Anthem immediately improved its musculoskeletal performance with AIM

Read how Anthem improved the quality and affordability of musculoskeletal care for its members within a year of switching to our Musculoskeletal Solution.

READ THE CASE STUDY

What are the emerging trends in musculoskeletal care?

The demographics, conditions, and technology that will impact the utilization of musculoskeletal care for years to come

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Why do providers trust the AIM Musculoskeletal Solution?

The Pain Management Institute in Ohio on their experience working with the AIM Musculoskeletal Solution

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How do physicians respond to the AIM Musculoskeletal Solution?

Why physicians feel relief during specialty-matched peer-to-peer discussions with the physician reviewers at AIM

Watch the video

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