In-network multidisciplinary digital care improves outcomes in medicare advantage members with musculoskeletal diagnoses

Introduction: Musculoskeletal (MSK) conditions are a major cost driver for Medicare Advantage (MA) plans. Digital health can improve access to preventive treatments like exercise therapy, but adoption has been challenging in older populations. This study evaluated the effectiveness of a novel, multidisciplinary virtual integrated practice unit (V-IPU) for MA members with MSK conditions. Methods: We retrospectively analyzed 308 consecutive MA beneficiaries completing a 12-week V-IPU. Clinical outcomes at baseline, 6, and 12 weeks included PROMIS Global-10 (physical and mental health), PROMIS Pain Interference (SF4a), PHQ-2, GAD-2. Engagement and satisfaction were also evaluated. Results: Participants improved in PROMIS physical health (+4.7), pain interference (-4.3), and mental health (+2.7) domains, with 93.8% achieving minimal clinically important difference (MCID). Depression and anxiety scores improved by 35.7% and 24.6%, respectively. Engagement and satisfaction of the V-IPU was high. Conclusion: The novel, physician-led V-IPU significantly improved function, pain and mental health in MA members with MSK conditions. Broader use may help improve outcomes and reduce cost for risk-bearing organizations.