The Future of Musculoskeletal Care

Outcomes-informed care. Cost-of-care analytics. One accountable network. Arete is a clinically integrated musculoskeletal network designed to support conservative-first care, outcomes measurement, coordinated provider participation, and value-based contracting opportunities. Patients do not need to be directed into vertically integrated systems to access scale, accountability, and value — organized independent practices can deliver all three.

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Who We Serve

One Network. Purpose-Built for the Whole System.

Select your role to see how Arete delivers value for your organization. Ready to connect? Get in touch ↓

Self-Funded Employers
Benefits Brokers
Health Plans & Payers
Capitated Medical Groups

Reduce Your Largest — and Most Solvable — Cost Driver

Musculoskeletal conditions — back pain, joint injuries, neck pain, repetitive strain — are consistently among the top two cost drivers for self-funded health plans. A meaningful share of MSK spend may be avoidable when patients receive earlier access to clinically appropriate conservative care, coordinated navigation, and evidence-informed pathways. Traditional MSK care routes patients into high-cost settings first: imaging, specialists, injections, and surgery — before evidence-based conservative care is tried.

Arete reverses that pattern. By organizing all first and second-line MSK services — chiropractic, physical therapy, virtual PT, acupuncture, massage therapy, virtual orthopedic consultation, and care navigation — into a single credentialed network, Arete supports conservative-first care pathways designed to manage most MSK conditions without unnecessary escalation. The goal is to support lower-cost care pathways, reduce avoidable escalation, and improve the employee care experience through coordinated, conservative-first access.

Unlike navigation vendors that solve only one piece of the MSK puzzle, Arete aligns providers, care pathways, outcomes measurement, technology, and contracting into one system. A single TIN contract. A shared interoperable EHR. Shared EHR infrastructure with health information exchange capabilities. Built by independently owned community practices committed to a positive impact on the patients they serve. Arete is structured as a long-term infrastructure platform for independent practices, with governance designed to support transparency, commercially reasonable service arrangements, and reinvestment in network capabilities. Learn how Arete is governed →

What employers typically get:

Episode-level cost-of-care analytics identifying lower-cost pathway opportunities
Surgical escalation analysis by condition, population, and benchmark methodology
Conservative-first pathways — in analyzed populations, a majority managed without documented escalation
Community-based independent providers organized through a governed MSK network, with transparent service arrangements and reinvestment in network capabilities
High-performance network tier — benefit design directs employees to quality-measured Arete providers across all MSK disciplines
Stepwise decision support — employees guided to the right care pathway before they see any provider, reducing unnecessary utilization
Transparent outcomes data — available by clinic, market, population, and data maturity, so you can report meaningful quality and outcomes information to your board, broker, and employees
Annual claims and cost-of-care reporting — Arete-tier versus non-Arete spend, supported by episode-level documentation where claims data is available

Add a differentiated network option to your toolkit

Arete represents a meaningful departure from how MSK care has historically been organized. Today, chiropractic, physical therapy, acupuncture, massage therapy, and pain management are structured as separate benefits — forcing patients to navigate a fragmented delivery system rather than follow a coordinated, stepwise care pathway.

Arete organizes all first and second-line MSK services — chiropractic, physical therapy, acupuncture, massage therapy, virtual physical therapy, virtual orthopedic consultation, and pain management — into a single Clinically Integrated Network contracted under one TIN. Patients move through a coordinated Stepwise care pathway, starting with the clinically appropriate, conservative-first options when supported by patient needs and clinical judgment.

Every Arete provider participates in shared quality expectations, outcomes measurement, and continuous improvement across their discipline. Validated outcomes reporting is available for client presentations where sufficient data is available by market, population, provider type, and data maturity.

Expand in your markets as your book grows — Arete scales with you
Quality-aligned providers participating in shared outcomes measurement
One TIN — all MSK disciplines under a single contract

What the broker partnership includes:

Co-branded employer presentations with Arete published outcomes data
Benefit Design ROI modeling tool — client-specific cost projections
Dedicated Arete account contact for implementation and ongoing support
Quarterly performance reporting for active employer clients
Access to Stepwise clinical pathway data to support patient engagement narratives
Market expansion support as you grow into new geographies

Contract with a VBC-ready MSK CIN

Arete is purpose-built for value-based arrangements. Our CIN structure, shared quality infrastructure, and outcomes measurement capabilities make us a natural partner for payers pursuing shared savings, episode-of-care bundling, or value-based arrangements where appropriate.

Unlike a standard network, Arete providers have already committed to outcomes measurement and quality reporting — reducing the administrative lift of implementing VBC arrangements.

VBC-ready — inclusive of all first and second-line MSK disciplines across chiropractic, physical therapy, acupuncture, massage therapy, virtual PT, and pain management
Live outcomes data — quality reporting available in real time

Contracting capabilities:

Shared savings and episode-based value-based arrangements where appropriate
Episode-of-care bundled payment models for MSK conditions
Quality bonus structures tied to verified outcomes metrics
Population health management for attributed MSK lives
All providers participate in a shared quality improvement program and outcomes measurement framework
Single TIN on a shared interoperable EHR — built toward interoperable health information exchange
Arete is structured as a long-term infrastructure platform for independent practices, with governance designed to support transparency, commercially reasonable service arrangements, and reinvestment in network capabilities. Learn how Arete is governed →

A High-Performance MSK Partner for Capitated Groups

Arete works with capitated medical groups under value-based arrangements, providing a fully coordinated MSK delivery network that aligns clinical performance with the financial incentives of capitated care.

All Arete providers participate in shared EHR infrastructure with health information exchange capabilities aligned with your group's existing workflows. Every provider participates in shared quality standards and outcomes measurement, delivering top-of-scope care efficiently and without unnecessary escalation.

Arete includes tracking mechanisms to ensure patients remain attributed to your group of origin — and when care escalation is warranted, patients are directed to your preferred partners or through your established pathways.

What Arete brings to capitated groups:

Value-based MSK arrangements aligned with capitated incentive structures
Powerful data engine — clinical and demographic reporting from EHR and claims data
Shared EHR infrastructure with health information exchange capabilities across all member providers
Quality-aligned providers — top-of-scope care in every discipline
Patient attribution tracking to maintain group-of-origin fidelity
Escalation routing to your preferred partners or existing care access pathways

Outcomes Data

Show Me the Data

Arete hosts and monitors a quality and outcomes measurement framework using patient-reported outcomes, clinical data, and operational performance indicators. Network participation includes quality, reporting, and performance expectations. Where sufficient validated data is available, Arete reports aggregate performance against defined benchmarks. Providers participate in quality, reporting, and performance expectations. These are aggregate results across the network compared to national MSK benchmarks.

Lower-Cost Pathway
Episode analyses identify cost-of-care opportunities
Compared to market usual care cost — the typical cost trajectory for MSK episodes in the general market
Conservative-First
In analyzed populations, most patients managed without escalation
Patients resolve within first- and second-line care — without injections, surgery, or unnecessary imaging
Visit Efficiency
Arete tracks visit patterns and patient-reported improvement across defined care episodes
For patients managed by Arete chiropractors or physical therapists — efficient episode resolution through coordinated conservative care
Patient Experience Reporting
Patient Satisfaction
Patient-reported experience data collected and reported where available — the Arete network — consistently above national benchmarks

Outcomes represent aggregate network performance against national MSK benchmarks. All providers are measured using patient-reported outcome measures. Network participation requires achievement of verified performance thresholds.

Why It Works

The Infrastructure Behind the Outcomes

Many provider networks have limited cross-provider outcomes measurement, care coordination, or unified contracting infrastructure. Arete is built differently — from the ground up as an accountable care delivery system.

Quality-Measured Provider Network

Every Arete provider is participating in shared quality measurement and outcomes improvement. Network participation reflects ongoing commitment to clinical standards — not just credentialing at entry.

Coordinated, Not Fragmented

Shared EHR infrastructure, organized care access pathways, and health information exchange capabilities mean care coordination is built in — not bolted on.

Value-Based Infrastructure

Patient-reported outcome measures are captured through defined care episodes where implemented. A shared quality improvement program holds providers accountable — and gives payers and employers the data they need to stand behind the network.

One Contract. One Accountability Structure.

Access chiropractic, physical therapy, massage therapy, acupuncture, virtual triage, and specialty support through a single TIN contract. No separate credentialing, reporting, or quality programs for each discipline.

All Essential First & Second-Line MSK Services — Coordinated and Contractually Aligned

Most MSK benefit structures treat each discipline as a separate benefit — chiropractic in one bucket, physical therapy in another, acupuncture elsewhere. Patients move between them without coordination, and payers contract with each separately. Arete eliminates this fragmentation entirely.

All of the following services are organized under a single Clinically Integrated Network, contracted under one TIN, sharing a common EHR, outcomes platform, and Stepwise care pathway:

Chiropractic Physical Therapy Acupuncture Massage Therapy Virtual Physical Therapy Virtual Orthopedic Consultation Pain Management

Get in Touch

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Outcomes data available on request

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