March 26, 2026
Faster ROI
The new standard for MSK ROI
Musculoskeletal (MSK) conditions are the single largest driver of employer healthcare spending, responsible for nearly $980 billion in annual costs in the United States. Despite this, the ROI claims of too many vendors still rely on modeling assumptions, engagement proxies, and vendor-reported estimates.
This whitepaper answers the question that smart benefits leaders and CFOs are starting to ask: how do you find credible, validated ROI for MSK care? You’ll see how an outcomes-based MSK care model built on claims-based evidence, independent actuarial validation, and peer-reviewed clinical results sets a new standard. This model can remove bias and deliver measurable results across employer and health plan populations, including:
- 3.2x independently validated ROI
- 58% reduction in surgeries
- 62% reduction in pain levels
- 81% program completion
For any leaders responsible for controlling healthcare spend, this whitepaper provides the framework you need to evaluate MSK vendors and ensure financial accountability.
3.2x
Independently validated ROI from claims-based MSK care
$980B
Annual U.S. employer spend driven by MSK conditions
Key learnings inside the guide
- Why most MSK ROI claims fail independent validation
- The claims-based actuarial framework used to measure real healthcare savings
- How propensity matching and difference-in-differences analysis isolate true program impact
- The clinical and financial outcomes behind Sword’s validated 3.2x ROI
- What benefits leaders should demand from MSK vendors in contracts, guarantees, and evidence
Contributors to White Paper

Vice President, Health Economics