• wellbeingOver 40,000 corporate PMI members have benefited from Aviva’s musculoskeletal (MSK) rehabilitation services
  • Reduction in MSK costs across a number of corporate PMI clients of more than 20% seen, when claims managed by unique end-to-end service
  • Approach delivers high quality outcomes for customers, while managing healthcare spend and workplace absence


Aviva has launched a new core benefit for its large corporate private medical insurance clients, BacktoBetter, which will help employees with any musculoskeletal conditions get back to work quicker, while reducing claims and absence costs for employers.

Aviva’s BacktoBetter service will combine the health insurer’s award-winning Back-Up and Back-Up Plus programmes in one employee-focused service that helps an employer manage its spend more effectively. Available from 1 June 2013, the new service will provide Aviva’s Optimum private medical insurance clients with cover for all MSK issues for their employees.1


MSK injuries are the leading cost and cause of spend in health claims, as well as one of the leading cause and cost of absence from work. In 2012 they accounted for 32% of Aviva Health’s corporate claims.


The development of BacktoBetter is a result of Aviva’s growing clinical expertise and experience in rehabilitation, through the use of its unique end-to-end MSK condition management approach. The approach delivers good clinical outcomes and has a positive impact on workplace absence, while managing employers’ healthcare spend more efficiently.


Across a number of schemes in Aviva’s large corporate PMI client portfolio, a reduction in MSK costs of more than 20% has been achieved for managed claims when using the end-to-end rehabilitation service.


This is achieved by a more effective management of clinical pathways, which has resulted in a reduction in the number of claims needing to see a specialist (from 61% to 40% of cases), while successfully managing more cases through high-focused physiotherapy (from 39% to 58%), without compromising customer or clinical outcomes.


Through Aviva’s Centre of Rehabilitation Excellence (CoRE),2 BacktoBetter introduces high quality clinical decision-making at the start of the claims journey to make sure that employees get the most appropriate and effective intervention from the outset, to get them better and back to work faster.


Working closely with our strategic rehabilitation partners, BacktoBetter uses an early intervention approach to provide recommendations for very personal, evidence-based treatments.


Mark Sharpe, Rehabilitation Clinical Lead at Aviva, UK Health, says: “BacktoBetter offers our large corporate clients a unique end-to-end management of their employees’ musculoskeletal conditions. Over the past four years, more than 40,000 corporate PMI members have benefited from our rehabilitation expertise and we have firm evidence that our approach offers cost benefits that are far better than those you get using just a traditional clinical triage and managed physiotherapy service.


“It’s about getting the right treatment at the right time, without the need for employees to see a GP and wait for a referral. Our experienced clinical case managers work closely with our partners to ensure there are no unnecessary referrals or treatments, and that when interventions are needed, they are provided quickly with a highly personalised service. This means that employees get better quicker, claims costs are effectively managed and absence from work is reduced.”


BacktoBetter will become a core benefit for large corporate clients with Aviva’s Optimum private medical insurance plan with effect from 1 June 2013.