New Musculoskeletal and Pain Management Solution effective for select national ASO accounts January 1, 2020

Musculoskeletal care and interventional pain management (MSK) pose substantial challenges for employers as costs rise, the population ages and physician practice patterns vary widely. With disorders affecting one in every two American adults1, the need for evidence-based care and proactive consumer engagement is essential to better managing care and cost.

 

With that in mind, we are pleased to announce that select National Accounts will utilize the comprehensive Musculoskeletal and Pain Management Solution, administered by AIM Specialty Health. The new MSK program reviews certain spine and joint surgeries, and interventional pain services against clinical appropriateness criteria to help ensure that care aligns with established evidence-based medicine.

 

Transition Period

To ensure continuity of care, we will have a 90 day transition of care for members in active treatment for pain management or for members that have received prior approval through the Anthem precertification.  Providers do not need to obtain authorization through AIM portal for services already in progress or where prior authorization has been obtained with Anthem. 

 

Please contact anthem.com or call the number on the back of the member ID card for member eligibility.

 

1 American Academy of Orthopedic Surgeons