{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T15:20:44Z","timestamp":1783610444924,"version":"3.55.0"},"reference-count":11,"publisher":"Massachusetts Medical Society","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["NEJM Catalyst"],"published-print":{"date-parts":[[2026,6,17]]},"DOI":"10.1056\/cat.25.0448","type":"journal-article","created":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T12:45:11Z","timestamp":1781700311000},"source":"Crossref","is-referenced-by-count":0,"title":["Improving Musculoskeletal Costs of Care Using a Virtual Integrated Practice Unit: A Claims-Based Analysis"],"prefix":"10.1056","volume":"7","author":[{"given":"Charles","family":"Bloom","sequence":"first","affiliation":[{"name":"Senior Vice President and Chief Medical Officer, Health Alliance Plan of Michigan, Troy, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"Borschke","sequence":"additional","affiliation":[{"name":"Senior Medical Director, Health Alliance Plan of Michigan, Troy, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric C.","family":"Makhni","sequence":"additional","affiliation":[{"name":"Orthopedic Surgery, Henry Ford Health, Detroit, MI, USA"},{"name":"Chief Executive Officer and Co-Founder, Protera Health, Troy, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Usmaan","family":"Zunnu Rain","sequence":"additional","affiliation":[{"name":"Medical Student, Central Michigan University College of Medicine, Mount Pleasant, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Raj","sequence":"additional","affiliation":[{"name":"Medical Student, Vanderbilt University School of Medicine, Nashville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Watson","sequence":"additional","affiliation":[{"name":"Chief Clinical Success Officer, Populance, Troy, MI, USA"},{"name":"Division of Hospital Medicine, Henry Ford Health, Detroit, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"150","reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.26790"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/jcsm.70008"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacr.2007.07.016"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.24.00050"},{"key":"e_1_3_3_6_2","unstructured":"Numerof R. Utilization management is broken\u2013fixing it requires a new business model. Forbes. February 24 2025 (https:\/\/www.forbes.com\/sites\/ritanumerof\/2025\/02\/24\/utilization-management-is-brokenfixing-it-requires-a-new-business-model\/)."},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.37765\/ajmc.2024.89626"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1080\/14737167.2022.2067529"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.3389\/fresc.2025.1541508"},{"key":"e_1_3_3_10_2","first-page":"50","article-title":"The strategy that will fix health care","author":"Porter ME","year":"2013","unstructured":"Porter ME, Lee TH. The strategy that will fix health care. Harv Bus Rev 2013:50-67. 23898735","journal-title":"Harv Bus Rev"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/03000605211067902"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-021-02925-y"}],"container-title":["NEJM Catalyst"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T15:11:48Z","timestamp":1783609908000},"score":1,"resource":{"primary":{"URL":"https:\/\/catalyst.nejm.org\/doi\/10.1056\/CAT.25.0448"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,17]]},"references-count":11,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,6,17]]}},"alternative-id":["10.1056\/CAT.25.0448"],"URL":"https:\/\/doi.org\/10.1056\/cat.25.0448","relation":{},"ISSN":["2642-0007"],"issn-type":[{"value":"2642-0007","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6,17]]}}}