How to Stop Paying for the Wrong MSK Care | with Tom Weber & Peter Krahn
"He went from injury Friday night to in front of the correct surgeon on Monday afternoon." - Dr. Tom Weber, MD Ortho
Most MSK spend goes to the wrong care: ER visits for back pain, $3,000 MRIs that could cost $450, weeks of waiting, and surgeries that never needed to happen. Dr. Tom Weber spent 24 years as an orthopedic and sports medicine physician before building MD Ortho to fix that. It gives every employee a physician-led team that steers them to the right care from the first call.
Tom and Peter Krahn explain how MD Ortho covers both employee benefits and workers' comp, why their clients average 15 to 20% utilization, and how every client has seen at least a 2x return. They also share how a retiree avoided a $25,000 surgery and how a call about neck pain turned out to be a heart attack.
If MSK claims are quietly draining your plan, this is the episode for you. Tune in.
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Chapters:
(00:00:00) Intro: Injured Friday, Seeing a Surgeon by Monday
(00:00:30) Meet Dr. Tom Weber, Peter Krahn, and MD Ortho
(00:02:17) From Ancillary Sales to MSK
(00:05:11) Why a Sports Medicine Doctor Built MD Ortho
(00:08:11) Covering Workers' Comp and Employee Benefits
(00:11:54) The Team Physician Model
(00:13:44) The Most Common MSK Problems
(00:15:22) Should Employers Waive Copays?
(00:18:03) How MD Ortho Measures ROI
(00:20:01) Driving 15 to 20% Utilization
(00:24:56) Why Workers' Comp Is Different
(00:28:35) Working With DPC and Onsite Clinics
(00:30:56) The $25,000 Surgery That Didn't Happen
(00:35:34) How to Add MD Ortho to Your Plan
(00:42:29) Stop-Loss and a 0% Renewal
(00:45:35) Catching a Heart Attack Over Video
(00:49:02) What's Next for MD Ortho
(00:51:09) Fully Insured Plans and Group Size
(00:53:25) Where Healthcare Is Headed
(00:59:41) Closing Thoughts
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