Smarter network strategies for better value

Balance affordability, access and quality with network solutions designed around your workforce.

Pain is all too common

Musculoskeletal (MSK) conditions affect a significant portion of the workforce and are a leading driver of health care spend and lost productivity. Many employees delay care, receive inconsistent treatment or move too quickly to high-cost interventions like surgery.

A more proactive, guided approach can help employees access support earlier, avoid unnecessary procedures and improve outcomes when surgery is the only option.

 


 

a woman in a yoga pose watching a tablet

Virtual physical therapy with Sword

The first human-led, AI-powered platform to predict, prevent and treat pain.

Sword’s solutions make it possible for people to get virtual care for preventive, acute and chronic musculoskeletal disorders, pelvic health conditions, fall prevention and post-surgical rehab. Our members can receive personalized treatment right in their homes, freeing them from pain and reducing the financial burden on employers.

Download virtual physical therapy overview

FAQs

Sword Health is an industry leader in demonstrating expanded reach of digitally enabled clinical-grade MSK care – without compromise to quality and clinical outcomes. Sword’s solutions make it possible for people to get virtual care for preventive, acute and chronic musculoskeletal disorders, pelvic health conditions, fall prevention, and post-surgical rehab.

Sword believes everyone’s pain is different, requiring a tailored approach. That’s why Sword represents multiple treatment pathways, all interconnected but available under a single enrollment experience.

Thrive: Digital physical therapy for lasting pain relief. Sword’s first flagship product delivers AI-powered physical therapy from the comfort and privacy of home. Their FDA-listed device uses advanced computer vision technology to guide members as they perform their exercises. Their virtual PT addresses all joints and limbs with compliance and outcomes superior to traditional physical therapy.

Bloom: pelvic health therapy that’s sensitive. Bloom is an innovative, digital pelvic-therapy solution that helps the 25% of women suffering from urinary leaking, bowel disorders, pelvic pain, and more, in all stages of life, including pregnancy, postpartum and menopause – all with a selected pelvic health specialist.

Move: for low acuity and maintenance. Move was designed with a focus on movement as medicine. Using the same clinical professional support and wearable technology integrations, the program helps members address low-pain issues by improving their mobility, strength, and balance.

Predict: Sword’s AI-powered detection engine finds and engages high-risk members via personalized outreach before they become high-cost claimants.

On Call: for 24/7 access to clinical pain specialists. On-Call is designed to provide on- demand expert care. Members get immediate help for MSK pain and conditions, all within the Sword app any time of the day or night.

Academy: for engaging education and prevention. Sword’s in-app learning portal features the highest quality physical health education and resources to understand a member’s pain, reduce their risks, avoid injuries and build healthy habits

Programs can last anywhere from 8-12 weeks. The time period will vary dependent on the member and condition(s) they may be dealing with.

 


 

High-quality surgical care with Musculoskeletal Centers of Excellence (MSK COE)

Surgeries can be costly, and outcomes can vary depending on where employees receive care. Employers often bear that cost regardless of whether a procedure goes well or leads to complications.

That’s why we selected the highest quality, most cost-efficient providers for hips, knees and spinal surgeries based on internal and third-party quality data. This helps members achieve better care, cost savings and a streamlined surgical journey.

Download the quality surgical care overview
Doctor talking to older couple

FAQs

Priority Health helps guide employees to carefully selected providers for hip, knee and spinal surgeries based on internal and third-party quality data. Employees benefit from lower cost sharing and travel support for eligible procedures, while employers benefit from savings opportunities by leveraging high-value, high-quality care.

  • Total hip replacement
  • Total knee replacement
  • Lumbar Fusion
  • Lumbar Laminectomy
  • Cervical Fusion
  • Cervical Laminectomy

If members need to travel to a facility that is more than 50 miles from their residence, the embedded travel rider covers IRS eligible travel expenses up to $1,000 per contract year for covered services provided by a Priority Health Centers of Excellence provider.

  • Prior authorization is required
  • Travel reimbursement covers reasonable expenses for transportation, meals and lodging related to prior authorized services
  • Amounts reimbursed for travel expenses do not apply to member’s deductible or out-of-pocket limit. Eligible travel expense reimbursements will track toward the PriorityHSA deductible, pursuant to IRS rules governing health savings accounts.

 


 

Priority Health x Hospice of Michigan

Don’t just take our word for it

“We have a lot of nurses and home health aides who do physical work and lifting, so the MSK Center of Excellence has been nice to have that support for some of those injuries that may take place.”

— Associate Vice President, Human Resources, Hospice of Michigan

Ready to take the next step?

Let's build a better plan together. Contact your agent or a Priority Health sales rep today.