Contact us today at 408-323-7920
Integrated Solutions for Musculoskeletal Care


Solving Payers Challenges

The use of Anamatix’s clinical care solution in the areas of physical therapy, wellness, chronic care, and disease and pain management creates a huge opportunity for payers to reduce costs, while providing an enhanced level of care, convenience, and efficiency.

Here’s just one example of potential cost-savings through Anamatix:

Situation: In rehabilitation, routine disorders can account for as much as 40% of therapeutic visits. These disorders can tax a variety of health care system resources by taking clinicians away from providing the specialized and non-routine care that requires their expertise.

Anamatix solution: By relieving clinicians from performing assessments and advising patients regarding routine problems and standardized treatment programs, Anamatix reduces the time and cost burden on the provider and, ultimately, the payer.

A New Paradigm of Care

Anamatix brings significant enhancements to the traditional approach to rehabilitation, chronic pain, disease management, and wellness, which can mean dramatic benefits to all stakeholders—clinicians, patients, payers, and employers. The overall continuum of care can be greatly improved by transferring the access and use of standardized care to the patient, while enhancing clinician efficiency, monitoring, and patient communication.

These improvements can be summarized in five general categories:

  • Cost Management Across the Entire Continuum of Care
  • Extension and Leverage of Existing Resources
  • Consistent Evaluation, Standardized Care and Treatment Progression
  • Improved Compliance, Documentation and Outcome Management
  • Enhance Provider Relations

Cost Management Across the Continuum of Care

Through Anamatix, the patient can operate outside the normal medical system of clinician visits and procedures—at a significantly lower cost. By using Anamatix to provide system-based versus clinician-based treatment, payers can decrease clinical visits for musculoskeletal care, for wellness and prevention, rehabilitation, diabetes, obesity, as well as many other disease states, such as osteoporosis.  With Anamatix as a required part of a payer plan—particularly for the vast majority of treatment programs that are standardized and repetitive like rehabilitation—payers can reduce the number of required therapist visits, while still achieving equivalent or even improved outcomes. Anamatix achieves management of costs by reducing:

  • The number of claims and visits to provide treatment
  • The investment/cost of clinical resources to provide treatment
  • The time spent in patient education and communication
  • Utilization of specialized providers

Extend and Leverage Existing Resources

Using Anamatix, clinics and practitioners can leverage and extend clinical resources by providing a sophisticated, customizable system that expands patient responsibility for continued independent treatment beyond the clinical setting—reducing the need for clinician involvement in instruction for standardized repetitive treatment programs.

By extending a clinician’s “therapeutic reach”, Anamatix provides system-based treatment events, while increasing patient convenience and the flexibility of treatment options. In-depth aspects of musculoskeletal care are addressed:

  • Body mechanics and activities of daily living
  • Pain management
  • Exercise programs
  • Surgical protocols including goals and activities
  • Monitoring of treatment progression
  • Reporting of outcome results
  • Provider/patient follow-up and communication

Consistent Evaluation, Care & Progression

Anamatix decreases payer- and provider-risk through standardizing musculoskeletal evaluation and treatment across the care continuum. The consistency of care for similar conditions no longer depends on available clinician resources, expertise or finances, but rather, on a consistent assessment and treatment framework. Anamatix integrates patients into this evaluation and care framework by allowing them to continually review the exercises and activities, and receive updated care plans based on their progression. Based on user assessments—including subjective perception of health, depression levels, functional activity levels and progress—Anamatix provides a standardized framework from which to automate evaluation and treatment programs and give direct quantifiable feedback on progress, automatically advancing the treatment programs.

Improved Compliance, Documentation and Outcome Management

With a complete system that is convenient, flexible and available, Anamatix creates an environment in which the end-user is a proactive—not passive—participant in their own care. Anamatix integrates the end-user directly into a consistent evaluation and treatment program by allowing them to continually review their activities, current status, and the progression needed for optimal compliance and outcomes.

In addition, Anamatix provides a complete provider/patient communication utility that includes messaging, email and text message alerts, reminders, and a full calendar system. Compliance is enhanced through exception-based monitoring, automated communication, and provider interaction. The result is dramatic clinical efficacy and a positive user experience.

Defined assessment algorithms and detailed reporting capabilities include activity reports, outcome documentation, and treatment progression reports—providing all the information necessary to track patient and group outcomes and measure end-user progression.

Enhanced Provider Relations in Capitated and Other Environments

In light of the growing emphasis on pay-for-performance and capitated care, payers have a growing opportunity to “give something back” to the provider and begin to bridge the gap between payers and providers.

As a payer-provided tool, Anamatix enhances provider relations by allowing musculoskeletal and other providers to treat patients in a time- and cost-efficient manner. Providers are able to leverage and extend clinical resources and time through system-based treatment events. Utilizing Anamatix, the payer also gives the provider an effective, provider-managed tool that allows them to proactively optimize and track their outcomes, while reducing the cost of providing treatment. The bottom line: better outcomes, better tracking, and better financial results for both payer and provider.

Consider this: In rehabilitation, health care stakeholders can recognize ROI’s of 115% or more by eliminating just one clinical rehabilitation visit. With projected reductions of three, five, or more rehabilitation visits per incident, even small payers and self-funded/self-insured employers can deliver millions of dollars to the bottom line every year.