Patient success stories that demonstrate the human impact of avoiding unnecessary and unsafe surgeries
After enduring severe and persistent back pain, a patient sought consultation with a spinal surgeon. However, upon review by TurningPoint, it was determined that a six-level spinal fusion, which had been requested through Prior Authorization, was not warranted.
Our expert clinical assessment revealed that the root cause of the patient’s pain.
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In 2025, TurningPoint’s Data and Analytics team conducted a retrospective review of outcomes and claims data across a blended national membership. The goal: to evaluate the real-world impact of our subspecialist-led, collaborative prior authorization model on high-cost, high-complexity musculoskeletal procedures. The analysis covered a large cohort of orthopedic and spine interventions, with a focus on evidence-based quality indicators including surgical revision rates, post-operative emergency room utilization, and inpatient readmissions.
