Value-Based Care and Musculoskeletal Rehabilitation

Purpose of Review: The purpose of this study is to summarize published literature on health-care quality, and value-based principles in musculoskeletal (MSK) medicine as it relates to physical medicine & rehabilitation (PM&R) practitioners. This review specifically focuses on spine care as a case example. Related policy and practice issues and future research needs will also be discussed. Recent Findings: Results of a recent study on the effects of required PM&R consultation prior to surgical evaluation for low back pain management contradicted the conclusions of a previous landmark study on a similar topic. Summary: Physiatrists involved in musculoskeletal care need to be aware of the shift in focus from volume of care to value-based care. Clinical registries and practice guidelines are increasingly available, practical to use, and should be utilized to improve quality of care provided to patients with MSK disorders. Continuous improvements in quality of care provided and cost savings will drive upward the value of MSK care delivered. Future research in MSK care outcomes needs to evaluate not only effectiveness and efficacy but also cost and value.