Aware Health Blog

Osteoarthritis: Unnecessary Interventions Inflate Costs for Self-Funded Plans

Written by Aware Health Team | Aug 22, 2024 4:41:18 PM
View the discussion below to learn:
  1. What is OA? 
  2. Why is it so expensive for self funded employers?
  3. What can employers and their broker partners do about it?
 
 
OA occurs when the cartilage between joints, such as the hip, knee, and shoulder, begins to wear down, leading to inflammation and discomfort. This wear and tear is a normal part of aging, but many people diagnosed with OA end up undergoing unnecessary surgeries, driving up costs for employers.
 
Dr. McDonald emphasized that OA can often be managed through conservative, non-surgical approaches. Key to this is an early and accurate diagnosis. Many patients are sent for imaging, such as X-rays, that often reveal OA, but this diagnosis may not actually be the root cause of their pain. Other conditions, such as patellofemoral pain syndrome or tendonitis, can be overlooked. That’s why it’s critical to consult with non surgical MSK specialists who can offer a more thorough evaluation.
 
Non-surgical management of OA involves strengthening the muscles around the joint, reducing inflammation, and addressing lifestyle factors like sleep, nutrition, and exercise. Dr. McDonald encourages employers and patients to seek MSK experts early on, before resorting to more aggressive and expensive treatments. Providing patients with education, setting clear expectations, and building their confidence can make all the difference in their journey to recovery.
 
If you're a self-funded employer or broker consultant dealing with high MSK costs due to OA, know that you have options. Conservative care can offer effective solutions without the need for surgery, helping patients recover faster while reducing costs for employers. 
 
Contact us today to learn how we can help your organization better manage OA and other MSK issues.