What TPAs need to know about musculoskeletal (MSK) disorders

MSK disorders make up one of the fastest growing and largest components of self-funded employer health care budgets, with up to 15% of their current spending directed toward procedures associated with treating employees’ back, neck, knee, shoulder, or hip pain.

The biggest obstacle to recovering from MSK disorders and injuries: 80% of employees who are dealing with chronic pain are not receiving the crucial non-surgical preventive care that experts recommend. This is where Nimble Health comes in.

The Nimble Health process

By putting members first and focusing on their well-being and recovery, Nimble Health enables employees to get back more quickly to their jobs, ready and physically able to work. The Nimble Health process involves experienced care navigators who guide members on their optimal care path, allowing them to manage or alleviate their MSK pain with improved mobility, dexterity, and productivity.

How employers benefit

Nimble Health adds value to self-funded plans in two distinct ways:

  • Optimizing conservative care for members with MSK disorders
  • Helping members navigate MSK surgical options, when necessary

Nimble Health’s high-touch and personalized concierge service is available to all members, acting as a comprehensive MSK benefit which helps alleviate strain on the already-stretched resources of employers. With Nimble Health managing the entire MSK care continuum—from exam and diagnosis through treatment options to elective surgery and post-op care—employers and other self-funded groups realize the benefits of continuous member engagement, high levels of program adoption, less administrative burden, and excellent employee satisfaction.

Physicians of Excellence model

Providing members with visibility into top-performing MSK-trained surgeons and other physician specialists helps employers avoid unnecessary costs and enhances optimal patient outcomes. Nimble Health’s proprietary physician quality algorithms ingest billions of rows of data to continuously score and rank over two million providers, representing 98% of all U.S. doctors.

Matching members with the very best in-network doctors and institutions based on their specific needs and circumstances improves clinical outcomes and can generate substantial financial savings.

Up to 15%

of medical spend is for MSK care, and the percentage is growing.


of workers with chronic pain don’t receive the non-surgical care they need.


of adults are affected by musculoskeletal (MSK) conditions.

171% to 189%

is the projected growth for hip and knee replacement surgeries by 2030.