MEMBER ENGAGEMENT

From Aches to Action

Helping Members Take Control of Their MSK Health

It starts with a stiff neck after a long workday. A dull ache in the lower back after sitting too long. A sore knee that lingers a little longer after exercise. Most musculoskeletal (MSK) issues don’t begin with a catastrophic injury… they build up over time, slowly impacting mobility, productivity, and quality of life. For payers and TPAs, this slow progression leads to rising costs, unnecessary procedures, and disengaged members who wait too long to seek care. The problem isn’t just the condition itself – it’s how we manage it.

Why Traditional Approaches to MSK Care Fall Short

The standard model of MSK treatment is reactive:
  • Members ignore early symptoms or self-medicate with over-the-counter pain relief.
  • When pain worsens, they visit their primary care doctor—who often prescribes painkillers or unnecessary imaging.
  • If the issue persists, they may be referred to costly procedures or even surgery—some of which could have been avoided.
Meanwhile, proven lower-cost interventions, like physical therapy, movement-based rehabilitation, and lifestyle adjustments, are often underutilized. So, how can payers help members take action sooner, reducing both long-term costs and unnecessary suffering? The answer lies in engagement that’s smarter, earlier, and more personalized.

A Better Playbook for MSK Engagement

Step 1: Make Prevention Easy and Accessible

Most people don’t think about MSK health until they’re already in pain. That needs to change. Payers can drive early intervention by:

  • Offering digital education on posture, ergonomics, and movement-based pain prevention
  • Promoting virtual PT consults for early symptom management
  • Incentivizing members to complete preventive wellness screenings
Step 2: Use Data to Find the Members Who Need Help—Before They Need Surgery

Instead of waiting for claims data to flag a problem, predictive analytics can identify at-risk members based on:

  • Missed PT appointments
  • Multiple doctor visits for the same pain complaint
  • Patterns of opioid prescriptions without rehab referrals
Step 3: Give Members a Pathway to Smarter Care

Once at-risk members are identified, engagement should be:

  • Personalized: match members with the right interventions (lifestyle changes, PT, pain coaching)
  • Multi-channel: some need digital nudges, others need live coaching
  • Ongoing: MSK health isn’t a one-and-done treatment; it requires consistent support

 

How Clarity Helps Payers Take a Smarter Approach to MSK Engagement

At Clarity, we help payers and TPAs step in before MSK pain becomes a high-cost claim. Our Member Engagement platform combines:

  • Predictive analytics to identify at-risk members early
  • Proactive, multi-channel outreach to guide members toward the right care
  • Data-driven insights to help reduce unnecessary imaging, surgeries, and opioid prescriptions

Because when members get the right support at the right time, they move better, feel better, and cost less.

Let’s talk about making MSK engagement smarter, earlier, and more effective.

Help Members Take Control of Their MSK Health

Go from aches to action with Clarity.