Projected Annual MSK Financial Impact
ROI Reference
Total Members
Total Members represents the number of eligible individuals included in the ROI model. This may reflect a pilot population, worksite population, employer group, health plan cohort, or targeted member segment.
| Population Size | Common Use |
|---|---|
| 50–100 members | Small pilot or proof-of-concept group |
| 100–500 members | Employer group, onsite pilot, or targeted risk cohort |
| 500–5,000+ members | Larger employer, health plan segment, or expanded deployment |
Pain Prevalence (%)
Pain Prevalence represents the percentage of members reporting musculoskeletal pain or discomfort. This helps estimate how much of the population may be relevant for MSK intervention, education, triage, or prevention.
| Population Type | Typical Pain Prevalence |
|---|---|
| General workforce | 20–35% |
| Physically demanding workforce | 35–55% |
| Self-identified pain population | 50–75%+ |
Moderate / Severe Pain (%)
Moderate / Severe Pain represents the percentage of members with pain intensity high enough to suggest functional impact, increased utilization risk, or need for more active support.
| Risk Level | Typical Range |
|---|---|
| Lower-risk population | 10–20% |
| Mixed commercial population | 20–35% |
| Higher-risk MSK population | 35–55%+ |
Multi-Region Pain (%)
Multi-Region Pain represents the percentage of members reporting pain in more than one body area. Multi-region pain may indicate higher complexity, higher functional burden, and greater likelihood of future utilization.
| Population Type | Typical Multi-Region Pain Range |
|---|---|
| General workforce | 10–25% |
| Mixed MSK population | 25–40% |
| Higher-risk pain population | 40–60%+ |
Monthly Cost Per Member ($)
Monthly Cost Per Member represents the monthly program cost for each eligible member included in the model. This is treated as a per-member-per-month cost and annualized across the full population.
| Pricing Model | Typical Monthly Cost Per Member |
|---|---|
| Low-cost digital wellness add-on | $0.50–$2.00 |
| MSK digital prevention / engagement tool | $2.00–$6.00 |
| Higher-touch MSK support model | $6.00–$15.00+ |
Event Cost ($)
Event Cost represents the estimated average cost of a meaningful MSK-related utilization event. This may include treatment, imaging, specialist care, emergency care, procedures, therapy episodes, workers compensation exposure, or productivity-related costs.
| Event Type | Typical Direct Cost |
|---|---|
| Minor PT / conservative care episode | $500–$2,000 |
| Imaging + specialist escalation | $2,000–$6,000 |
| ER + orthopedic escalation | $5,000–$15,000 |
| Surgery-related MSK episode | $15,000–$50,000+ |
| Workers comp + lost productivity case | $10,000–$100,000+ |
Annual Event Rate (%)
Annual Event Rate is essentially the percentage of high-risk members expected to experience a meaningful MSK-related cost event within a year.
| Population Type | Typical Annual Event Rate |
|---|---|
| General healthy workforce | 5–10% |
| Mixed commercial population | 10–20% |
| Higher-risk MSK population | 20–35% |
| Chronic pain / high-risk identified members | 30–50%+ |
Examples of MSK-related events may include:
- Physical therapy episode
- Imaging such as MRI or X-ray
- Specialist consult
- Emergency room visit related to pain or injury
- Pain-management utilization
- Injection, procedure, or surgery escalation
- Short-term disability episode
Reduction Rate (%)
Reduction Rate represents the expected percentage reduction in MSK-related events due to earlier identification, targeted engagement, personalized action planning, onsite support, or improved self-management.
| Model Type | Suggested Reduction Rate |
|---|---|
| Conservative model | 5–10% |
| Realistic commercial model | 10–20% |
| Strong engagement / onsite support model | 20–30% |
| Aggressive high-impact model | 30%+ |