RecoveryOne

MedCity News: CMS’s Newly Released Remote Therapeutic Monitoring Codes Allow Providers to Bill for Digital Health, but Only if Payers Adopt Them

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By Sean Kinsman

Early this year, the Centers for Medicare & Medicaid Services released a group of new reimbursement codes that have the potential to catapult digital health solutions for musculoskeletal (MSK) and respiratory care to the next level.

Providers are now able to bill payers using Remote Therapeutic Monitoring codes, or RTM, for digital MSK or respiratory services related to the cost, set-up, and monitoring of software and devices that measure patient therapy adherence and therapy response. For providers who have been impacted by pandemic-related burnout and staffing shortages, these codes now provide the financial structure and incentive to scale digital treatments and therapies for their patients who suffer from MSK or respiratory problems. MSK conditions alone are a huge driver of US healthcare spending and disability with one out of two people impacted by an MSK-related issue.

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No Need to Wear a Sensor with RecoveryOne’s New Motion Trainer

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Company enhances virtual physical therapy via computer vision and AI technology

WALNUT CREEK, Calif., March 1, 2022 /PRNewswire/ — RecoveryOne, a leading digital health innovator dedicated to improving health outcomes for recovery from musculoskeletal (MSK) injuries of all types and reducing costs, announced the availability of Motion Trainer, a new computer vision and AI technology capability that strengthens its virtual physical therapy and MSK solution. This new feature offers an enhanced interactive experience that can improve exercise performance, drive better adherence and lead to better clinical outcomes.

Motion Trainer is a new tracking capability that empowers an individual to achieve faster, stronger and more efficacious recovery by providing real-time feedback and form correction without the use of a wearable sensor. While wearable sensors can be beneficial, in virtual physical therapy, they can introduce unnecessary challenges, including low adoption rates that can affect adherence and increase costs because of added equipment. In addition, they can present technical issues such as incorrect placement of devices or loss of Bluetooth connectivity. Motion Trainer uses the device’s built-in camera and an app or browser-based device, such as a laptop, eliminating the need to strap on devices or incur additional costs for extra hardware while making it simple to engage.

“We want to ensure that real-time feedback is available to all of our users at a low cost,” said Miriam Beecham, executive vice president and chief product officer at RecoveryOne. “By eliminating body-worn sensors that many of our competitors require, the barrier to entry is removed, thereby increasing ease-of-use and access to care. For employers and health plans, RecoveryOne’s virtual MSK solution, with its nearly 200 therapeutic care pathways, provides a low cost and now more than ever, a highly effective program.”

Along with the sheer number of individuals affected by MSK conditions, low adherence to physical therapy programs contributes to overall U.S. healthcare spending and related costs. For example, associated absenteeism and lost productivity due to painful MSK conditions resulted in an annual cost of around $600 billion, more than heart disease ($309 billion), cancer ($243 billion), or diabetes ($188 billion). Now with the added feature of Motion Trainer, RecoveryOne’s solution, as an employee benefit or through a health plan, can help save money, as well as help employees avoid days off and potential lost wages. 

Motion Trainer adapts and tracks motion and repetitions, providing visual and audio guidance to help customers correctly perform their exercises. The interactive experience can help increase engagement and adherence, one of the key drivers to better recovery, health outcomes and overall healthcare costs. 

RecoveryOne’s virtual MSK solution is the only full-body, virtual solution supported by more than 200 proprietary clinical pathways and nearly 2,000 therapeutic exercises. The addition of Motion Trainer means that customers will have the most interactive and personalized virtual physical therapy care pathway plan available. 

“We know that recovery from an injury can be a difficult journey and frequently involves some pain to regain mobility,” said Sean Kinsman, chief clinical officer, RecoveryOne. “We will continue to add new features to help engage users, but we know that tech alone is usually not the only answer, and that’s where our behavioral modification team along with our physical therapists can step in and help customers stay motivated.”

Motion Trainer is now available for members who are newly enrolling in care pathways for chronic and acute low back pain. Additional pathways for the back will be added this quarter, and support for neck, knee, and shoulder conditions will quickly follow. The computer vision technology for Motion Trainer is provided by Kemtai.

The company recently announced an expansion with Cigna to offer RecoveryOne to Medicare Advantage customers. After securing a $33 million Series C funding round, RecoveryOne has also added key appointments to its sales, client success and product innovation teams to assist health plans and employers provide members or employees with a complete MSK solution. 

About RecoveryOne
RecoveryOne is a recovery-focused virtual physical therapy solution for employers, partners, and health plans. In reinventing MSK care delivery, we have created evidence-based programs rich in human-connected care and amplified through technology that help members from head to toe and everything in between. RecoveryOne is reimagining conventional MSK recovery by giving users a highly engaging and tailored experience that reduces costs and speeds recovery. For more information, visit RecoveryOne.com and follow us on LinkedIn.

RecoveryOne Expands Executive Team to Accelerate Growth in Employer Market

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WALNUT CREEK, Calif., February 16, 2022 /PRNewswire/ — RecoveryOne, a leading digital health innovator dedicated to improving health outcomes for recovery from musculoskeletal (MSK) injuries of all types and reducing costs, today announced the appointment of two sales leaders, Dustin Armitage and Matt Cervi.  Both executives bring their expertise within the self-insured employer market to expedite sales and influence product and growth strategy.

“With the massive increase in demand for virtual MSK solutions, we continue to expand our team to further empower more individuals with access to a lower cost, clinically-validated solution,” said Brian Harrigan, EVP, employer sales and client success of RecoveryOne. “The addition of tenured sales talent will enhance our efforts to ensure employees gain access to RecoveryOne’s solution via their employers, thereby providing them with the ability to recover from pain affordably, and on their schedule. In turn, we hope to see a reduction in absenteeism and an increase in recovery.” 

Dustin Armitage, vice president, sales, will leverage his more than 13 years of combined sales experience driving strategic opportunities and initiatives with health plan partners and large employers at such companies as Sapphire Digital (acquired by Zelis) Welltok (acquired by Virgin Pulse), and Ovia Health.   “I have dedicated my career to helping people live better lives, and after evaluating multiple solutions to achieve this, it was evident RecoveryOne is the solution I want to help bring to market,” said Armitage. “I am thrilled to be joining a team with exceptional people, culture and a crucial mission to provide access to a full-body virtual MSK solution to achieve better health outcomes.”

As Vice President, Sales, Matt Cervi will collaborate with self-insured employers to help drive utilization of the RecoveryOne solution. Previously, Cervi was at DayTwo, a Diabetes solution provider, where he expanded US market share through growth channels including health plans and health systems. Prior to DayTwo, Cervi was vice president, business development at Healthstat Inc., where he drove national sales within the Primary Care and Occupational Care Clinic Market, focusing on the customers’ needs as they pertained to wellness programs and chronic disease management, among others. “My mission has always been to help others understand the complexities of healthcare and how to solve for a constantly evolving space,” said Cervi.  “I look forward to bringing this passion to RecoveryOne while keeping top of mind the importance of individual experiences and how there is not a one-size-fits-all solution to recovery.”

Musculoskeletal diseases, such as back, knee and neck injuries, affect one out of two individuals in the U.S. The associated absenteeism and lost productivity due to painful MSK conditions results in an annual cost of around $600 billion, more than heart disease, cancer, or diabetes. In today’s competitive job market, more employers are adding wellness benefits to help with retention. RecoveryOne enables employees to access care when it’s convenient for them and includes customized care plans as well as access to behavioral health coaches to help keep employees engaged until they are fully recovered.

RecoveryOne offers a human-first approach, recognizing that no two people recover the same. Unlike competitors, the company has 200+ clinically-validated treatment pathways and 2,000+ therapeutic exercises that collectively address the entire body, providing the industry’s only complete full-body virtual MSK solution. With the addition of Armitage and Cervi, RecoveryOne will continue expanding its market share and support consumer success by providing a lower cost, more accessible and complete solution than others in this market. 

About RecoveryOne
RecoveryOne is a recovery-focused virtual physical therapy solution for employers, partners, and health plans. In reinventing MSK care delivery, we have created evidence-based programs rich in human-connected care and amplified through technology that help members from head to toe and everything in between. RecoveryOne is reimagining conventional MSK recovery by giving users a highly engaging and tailored experience that reduces costs and speeds recovery. For more information, visit RecoveryOne.com and follow us on LinkedIn.

Contact:
Sandra Katz
1-917-692-5643
Sandra@120over80mktg.com

Mobi Health News: Digital musculoskeletal care is booming. Where does the market go from here?

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Mobi Health News | By Emily Olsen, February 04, 2022

Musculoskeletal care is a big problem for the U.S. healthcare system, digital health companies say. Disorders are common and expensive to treat, but care that could cut down those high costs is inaccessible to many who need it.

That message is resonating with investors. Over the past year, they’ve poured hundreds of millions of dollars into the digital MSK space. Unicorns Hinge Health and SWORD health both closed multiple rounds of funding in 2021, some worth nine figures. 

But they weren’t the only companies competing for venture dollars: Kaia Health, RecoveryOne and SpineZone also raked in millions of dollars in deals last year. Meanwhile, DarioHealth, which also offers tools for managing chronic conditions like hypertension and diabetes, bought its way into the space by acquiring Upright Technologies. It announced the launch of its MSK platform, called Dario Move, in October. 

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RecoveryOne’s Virtual Physical Therapy and Musculoskeletal Solution Now Available to Select Cigna Medicare Advantage Customers as In-Network Benefit

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Cigna Medicare Advantage virtual physical therapy

WALNUT CREEK, Calif., January 24, 2022 /PRNewswire/ — RecoveryOne, a leading digital health innovator dedicated to improving health outcomes for recovery from musculoskeletal (MSK) injuries of all types and reducing costs, today announced it has expanded its collaboration with Cigna to offer virtual physical therapy and a broad MSK solution for Medicare Advantage (MA) customers. 

Cigna MA customers within the Tennessee market, which includes plans in North Mississippi, Virginia and North Georgia, can now access RecoveryOne’s virtual solution to help treat MSK conditions and injuries as an in-network benefit.

“Our solution covers the majority of MSK conditions from head to toe, and with experience that spans more than eight years of working with older populations,” said Mark Luck Olson, CEO of RecoveryOne. “As such, the solution is uniquely qualified to address some of the most common and complex conditions including total joint procedures, fractures from falls and low back pain which is the most burdensome of all MSK conditions.” 

Musculoskeletal diseases affect nearly three out of four people age 65 and over in the United States, with the most common MSK ailments being degenerative joint changes, such as osteoarthritis within the spine, hip and knee, and fall-related injuries. In fact, a recent study revealed that $45 billion was spent by public insurance, such as Medicare, from 1996-2016 on MSK disorders with low back and neck pain. As the U.S. population continues to expand and as MSK costs escalate each year, it is critical to detect and treat MSK conditions to help older adults stay healthy. 

“We are proud to expand our partnership with Cigna to improve the overall quality of life, including pain reduction and a return to previous functionality for the Medicare Advantage population,” said Dustin Eggers, EVP and chief commercial officer of RecoveryOne. “We look forward to offering the RecoveryOne platform to additional markets in the New Year.”

With a national shortage of physical therapists and growing demand, as well as seniors being isolated at home during the COVID-19 pandemic, virtual MSK solutions are more important than ever. RecoveryOne’s platform and clinical programs are specifically designed to offer on-demand evaluations and physical therapy, personalized recovery plans and behavioral support to help drive clinical success.

“Our Medicare Advantage customers are seeking accessible, easy-to-use and proven virtual care solutions,” said Dr. Michael Reardon, whose duties currently include leading clinical operations for Cigna’s Medicare business. “By working with RecoveryOne, we are able to offer much needed, cost-effective care that addresses some of the most troublesome musculoskeletal conditions, such as low back pain and osteoarthritis that customers can access from the privacy and comfort of their own home.” 

RecoveryOne’s offering is:

  • Accessible and scalable: Empowering Medicare Advantage customers to receive personalized treatment from the comfort of their homes on their terms. The program is designed to minimize equipment and utilize one’s own body weight or everyday household items, saving travel to gyms and the costs of expensive gym equipment.
  • Cost-effective: RecoveryOne’s focus is to increase utilization and lower costs while maintaining a high-quality customer experience and helping improve health outcomes. Based on national claims data from more than 350,000 members, RecoveryOne reduced the total medical cost by $751 per member per month for MSK-related diagnoses.  Additionally, the analysis found RecoveryOne reduced costs by nearly 77% for low back pain and 84% for rotator cuff tears. 
  • Evidence-based:  RecoveryOne was founded by a preeminent orthopedic surgeon, and clinical rigor remains key to the only full-body, virtual solution supported by 200+ proprietary clinical pathways and 2,000+ therapeutic exercises. 

RecoveryOne and Cigna have had a longstanding relationship, including an investment by Cigna Ventures in January 2020. In addition, RecoveryOne’s MSK solution is currently available to Cigna’s employer clients with under 500 employees, making Cigna the first health plan to pilot and rollout the use of RecoveryOne as a consumer tool. This solution is included on Express Scripts’ Digital Health Formulary. 

About RecoveryOneRecoveryOne is a recovery-focused virtual physical therapy solution for employers, partners, and health plans. In reinventing MSK care delivery, we have created evidence-based programs rich in human-connected care and amplified through technology that help members from head to toe and everything in between. RecoveryOne is reimagining conventional MSK recovery by giving users a highly engaging and tailored experience that reduces costs and speeds recovery. For more information, visit RecoveryOne.com and follow us on LinkedIn.