AIM Musculoskeletal Solution

Setting the right care in motion

Control your spend and protect your members

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, engages members in a shared decision-making program, 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 select evidence-based care, which protects your members from clinically inappropriate care and reduces unnecessary expenses.

Promote affordable, clinically appropriate sites of care

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

Empower your members

Our member engagement model is designed to reduce anxiety, drive adherence to care plans, and motivate preventive action.

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

Senior Medical Director, Musculoskeletal

Our clinician reviewers' specialties

Radiology

Orthopedics

Occupational medicine

Physical medicine

Geriatric medicine

Pain management

Surgery

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