Vori Health – Validation Institute Podcast Ep 24

Vori Health is at the forefront of transforming musculoskeletal care by reducing unnecessary surgery and medical expenses. Their innovative approach focuses on evidence-based solutions and a patient-first philosophy. This strategy ensures optimal outcomes and cost reductions for both individuals and employers.

Key Takeaways from Vori Health’s Approach

  1. Reduction of Unnecessary Surgeries: Vori Health prioritizes non-surgical treatments, significantly cutting down on unnecessary surgeries. This not only improves patient safety but also leads to considerable cost savings.
  2. Patient-First Strategy: Every care plan is uniquely tailored, keeping the patient’s health goals and outcomes at the forefront. This personalized approach ensures higher patient satisfaction and better recovery outcomes.
  3. Integrated Care Team: By employing a multidisciplinary team including non-operative physicians, physical therapists, and care navigators, Vori Health offers a holistic treatment model. This collaborative approach ensures that all aspects of a patient’s care are addressed, promoting optimal health.
  4. Commitment to Validation and Transparency: Vori Health’s focus on validation and transparent reporting of outcomes fosters trust and credibility. Their evidence-based methods are a testament to their dedication to quality care and accountability in musculoskeletal health.

 

Introduction to Musculoskeletal Solutions

Validation Institute:

“Today we are talking about musculoskeletal solutions with Vori Health. We’ll explore how employers can put an end to needless surgical expenses, support their workforce in accessing optimal MSK care through expert medical teams, all the while achieving substantial cost reductions. Let me get started by introducing the CEO and co-founder of Vori Health, Dr. Ryan Grant. Hello, Ryan, and thank you for being here today.”

Dr. Ryan Grant, CEO and Co-founder of Vori Health:

“Thanks for having me.”

Addressing the Overutilization of Surgery

Validation Institute:

“So, I know I kicked off with a fraction of what Vori does, but can you tell me more about the problem you were solving and for whom?”

Dr. Ryan Grant, CEO and Co-founder of Vori Health:

“That’s a great question. My background: neurosurgeon by training, fellowship training in spine surgery, spent some time getting educated at University of Pennsylvania, then was up at Yale University, and more recently at Geisinger Medical Center.

I decided to shut my practice down during the pandemic. To be blunt, we operate way too much as surgeons. Surgery has its place but it’s heavily overutilized.

Depending on who you want to read, including Harvard Business Review, the average health system does over 50 percent unnecessary or inappropriate spine surgery.

They’re not bad people; you could spend a semester on how we got here as a country since World War II. But how systems have built business models around facility fees, which is how they mostly get paid for surgical procedures.

Those are the same institutions that also train the new guard, the new clinicians. And so, really, now we’re at an education crisis where nobody thinks we’re doing anything wrong, but we sort of have lost our way.

Even all of that wanted to start over and build a new care model from scratch that puts patients first, that follows the evidence, that doesn’t do unnecessary surgery or unnecessary imaging or not unnecessary injections.

These are people’s loved ones, and if you’re going to take somebody to the operating room to cut them literally open with a scalpel, it better be for really evidence-based best practice procedures.”

Differentiating Vori Health

Validation Institute:

“Wow. And what sets Vori apart from other MSK solutions?”

Dr. Ryan Grant, CEO and Co-founder of Vori Health:

“That’s a great question. There are several other players in the space, particularly on the virtual side. They tend to be heavily physical therapy only.

I would argue that physical therapy is necessary but insufficient, and so we wanted to tackle this from a medical practice standpoint. What does that mean?

We are doctor-led, physician-led. We employ non-operative physicians trained in either sports medicine or physical medicine rehabilitation, that would be the corollary of what the cardiologist is to the heart surgeon, who actually work together with doctors of physical therapy and health coaches and care navigators to actually have a true integrated care team who then practices evidence-based care with the patient’s goals at mind.

Other thing that we also want to tackle is a lot of musculoskeletal orthopedic surgeries, which includes back, neck, hip, knee, shoulder; many of the procedures are quality of life operations.

So making sure we have conversations with patients: Is surgery a necessity or is it an option? I’ll be the first to admit, I was taught to talk to people in absolutes—surgery, you should have surgery—versus a lot of these surgeries really belong, in my opinion, in the facelift category.

What do I mean by that? Nobody needs a facelift. How bad do your wrinkles bother you as you age is a very personal decision. If they really bother you, you can escalate to injections, and if they still bother you, you can escalate to evidence-based best practice facelift procedures with a plastic surgeon.

Or if they don’t bother you, you can do nothing about it. And so, that’s a very specific. If you only have pain—not to minimize how uncomfortable you might be—first, have you exhausted a non-operative program?

Then, if you do meet criteria for potential surgery, is it a necessity or is it just an option, and if it’s an option, does the patient understand that?

Most people, if you audit them on the surgical arm, they don’t know that surgery was an option. They think they have to have it because they were told to.”

Cost Reduction and Validation

Validation Institute:

“And how do you reduce overall cost for employers and plans?”

Dr. Ryan Grant, CEO and Co-founder of Vori Health:

“That’s a great question. Reducing unnecessary surgery is part of it, don’t get me wrong. I’m not anti-surgery. Surgery has its place. We refer about three percent of our patients onto the surgical arm.

It’s just reducing the unnecessary or inappropriate surgical expense. Also making sure that someone has the right diagnosis. So for example somebody comes in with back pain which is the most common condition also one of the top Google searches though back pain is also the number one cause of years lived with disability across the entire planet.

And so it’s very prevalent, very prominent: over 50 percent of people have back pain at any given moment, usually, and over 85 to 90 percent of people will experience back pain during their lifetime at some point.

I’m sure most people listening have had their back hurt at some point. And so, if someone comes in, the first question is, are we sure they don’t have cancer? This is part of our clinical fit, make sure they don’t have cancer fracture.

We worried about something dangerous that’s very rare to make sure they get into the right pathway. Next, that gets into what’s the most likely driver of their pain.

Back pain could be multifactorial, and some people, up to 25 percent of back pain, can come actually from the pelvis where the spine inserts, and it’s not actually from the back itself but it feels like it.

Up to 40 percent of back pain can actually come from the hip, so are we working at first? Are we going to work on the right body part? Back pain doesn’t just mean spine.

The next goal is assuming they don’t have anything dangerous. What is the patient trying to achieve beyond pain? Nancy wants to walk her kid to school, but she feels she can her back hurts; that’s her favorite pastime. Fatima wants to keep running marathons, but her knee hurts. Like, what is the person trying to get to?

Mrs. Johnson just wants to walk around Target and be able to shop with minimal pain unassisted, like those are all very different goals. The person who wants to run a marathon versus walk around Target, those are very different care plans in terms of how aggressive they are.

So, are we meeting the patient’s goals? Most people will get better with the right diagnosis, the right care plan that’s around their goals.

And then, given that we’re in medical practice, we can write non-opiate pain pills. We don’t push pills, but some people will benefit from having a prescription in lieu of going to the ER to get through a care plan.

We will wean them off those medications before they finish. Some people do meet criteria for Imaging, and we don’t push Imaging, but if it makes sense, we can.

Our competitors can’t order Imaging or write prescriptions because they’re not medical practices, so that’s another differentiator.And then, for those who do meet criteria for surgery, meaning they have exhausted and completed the whole care plan, get people ready and optimized for surgery to decrease length of stay, infection, surgical complications, and then get them over to surgical partners. So really, an end to end is how we think about it.

Validation Institute:

You’re doing such amazing things, so can I ask why did you pursue validation?

Dr. Ryan Grant, CEO and Co-founder of Vori Health:

It’s a great question. Your new company, you got to start to have proof in the pudding of does it work.

What are the results? Third-party to third parties is looking at your data to say yes, we agree, is very powerful. It helps build trust. It helps build on that story of just don’t take my word for it, just pick it.

What are we actually showing and what are our outcomes, etc.?

Validation Institute:

I encourage everyone to go to validationinstitute.com and download the Vori Health Report and see for themselves.

Now, before I let you go, as you know, it’s a rigorous process to get validated. We know many companies make ridiculous ounces unsubstantiated claims, so what advice would you have for a company considering validation?

Dr. Ryan Grant, CEO and Co-founder of Vori Health:

That’s a great question. What are you trying to get to? When we went through this, this is beyond just a marketing play. We want to make sure the way we decide value is one first is the value to the patient, to the member, another human being.

So are they reaching their goals? Are we decreasing depression, anxiety, pain? Are we actually getting the members to where they want to be? Next is value to your partner. Most musculoskeletal orthopedic conditions are paid for by a health plan.

This is not a sector that the public prefers, that wants to pay cash. So, they will sort of expect their health plan or their employer to cover most of the services. You can argue if that’s right or wrong.

That is the public sentiment for musculoskeletal orthopedics, or we’re driving value to our B2B partners, whether health plan and employer or an at-risk primary care provider.

And then last, are you driving value to the bottom line? So are you driving quality? Are you getting members to where they want to go, and then are you saving your clients money as well?

Validation Institute:

Well, great stuff. So as we wrap up our discussion, I want to extend my gratitude to Ryan for your expertise and insight that have enriched our understanding of MSK solutions in the pad towards enhanced employee well-being.

I can’t wait to hear more for you about the continued success and innovation from Vori health. So thank you once again for being here, Ryan.

Dr. Ryan Grant, CEO and Co-founder of Vori Health:

Thank you so much for having us,

Validation Institute:

And I hope you and everyone out there all have a great day. [Music]foreign

Download:

Vori Health's Validated Program Report

Red and white infographic with the title "Why Validate?" emphasizing the importance of authentication over exaggeration in healthcare.

Get ValidPoints

Sign up for ValidPoints, the complimentary monthly newsletter that offers the latest updates on:

A red line drawing of an archery target with an arrow in the center bullseye, symbolizing precision, goal achievement, and success.

The move toward high-performance and high-value healthcare

Icon depicting customer support and care with a stylized human figure embraced by a hand, set against a segmented circular backdrop.

In-depth analysis of the latest trends and solutions that improve heath outcomes, strengthen accountability, and cut costs

Icon of a seal with a checkmark, representing verified completion or approval, with a radiating effect, in red outline on a light background.

Actionable insights on how to drive better health outcomes at a far lower cost for your organization.

Icon of a badge with ribbons and a check mark, symbolizing achievement, accreditation, or quality assurance in a red outline.

Profiles in innovative solutions and organizations that are “walking the walk” when it comes to delivering better savings, outcomes, and more

Get ValidPoints

Sign up for ValidPoints, the complimentary monthly newsletter that offers the latest updates on:

A red line drawing of an archery target with an arrow in the center bullseye, symbolizing precision, goal achievement, and success.

The move toward high-performance and high-value healthcare

Icon depicting customer support and care with a stylized human figure embraced by a hand, set against a segmented circular backdrop.

In-depth analysis of the latest trends and solutions that improve heath outcomes, strengthen accountability, and cut costs

Icon of a seal with a checkmark, representing verified completion or approval, with a radiating effect, in red outline on a light background.

Actionable insights on how to drive better health outcomes at a far lower cost for your organization.

Icon of a badge with ribbons and a check mark, symbolizing achievement, accreditation, or quality assurance in a red outline.

Profiles in innovative solutions and organizations that are “walking the walk” when it comes to delivering better savings, outcomes, and more