• Daniel J Lord, John R Wright, Rebecca Fung, Eric S Lederhaus, Katie Taylor, Sharon A Watts, Heather K Hagg, and Dena M Bravata.
• Crossover Health, San Clemente, CA (Mr Lord, Mr Wright, Ms Fung, Mr Lederhaus, Dr Taylor, Mr Watts, Dr Hagg, and Dr Bravata); Center for Primary Care and Outcomes Research, Stanford University, Stanford, CA (Dr Bravata); Untold Content, Cincinnati, OH (Dr Taylor and Mr Watts).
• J. Occup. Environ. Med. 2019 May 1; 61 (5): 382-390.

ObjectiveThe aim of the study was to evaluate clinical and economic outcomes associated with integrating physical medicine in employer-sponsored clinics.MethodsRetrospective cohort analysis comparing clinical and economic outcomes of physical medicine services delivered in employer-sponsored clinics with the community.ResultsIntegrating physical medicine in employer-sponsored clinics decreased wait times to access these services to 7 days (2 to 4× faster than in the community). Patients receiving care in employer-sponsored clinics experienced marked improvements in fear of pain avoidance behaviors (P < 0.00001) and functional status (P < 0.01) in eight fewer visits than in the community (P < 0.0001), resulting in $472 to $630 savings/patient episode. Noncancer patients received 1/10th the opioid prescriptions in employer-sponsored clinics compared with the community (2.8% vs 20%). Patients were highly likely to recommend integrated employer-sponsored care (Net Promoter Score  = 84.7).ConclusionsFindings suggest robust clinical and economic benefits of integrating physical medicine services into employer-sponsored clinics.

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