The Mechanics of Direct Specialty Care:
Building a Total MSK Solution
Three physician-led companies. One end-to-end MSK solution. Here is how it works inside a self-funded plan.
Date
June 12, 2026
Time
10:00 AM PT / 1:00 PM ET / 12:00 PM CT
Musculoskeletal care is a top-three cost driver for most self-funded plans. The traditional network-centric model is not solving it.
HealthMe, HURT!, and the OrthoForum Value Network have built a single end-to-end MSK solution. In this moderated session, they walk through how it actually works inside a self-funded plan — the components, the connections, and the operational decisions that determine whether it succeeds.
This session is your grounding before RosettaFest 2026 in Nashville, July 29-31, where a full series of MSK sessions will serve as your field guide for implementing direct specialty care in your plans.
Come ready with your questions. Leave ready to build.
Why This Matters Now
The Network Is Not the Answer
Body Employers are paying more for MSK care and getting worse outcomes. The advisors, TPAs, and employers moving to direct specialty care are getting something different: transparent pricing, coordinated care pathways, and results they can actually measure. This session shows you how that works in practice, not in theory.
Cash Pay, Bundled Pricing, and Member Access
How members actually access the solution, what transparent bundled pricing looks like in practice, and how cash pay changes the equation for employers and employees alike.
Fitting MSK Into Your Existing Plan Design
How the solution integrates with existing plan designs and stop-loss coverage so advisors and TPAs are not starting from scratch.
Member Engagement That Gets Used
The engagement and triage strategy that drives utilization from point of injury all the way through recovery — and reduces MSK claims costs and ER utilization, measurably.
What to Ask Before You Contract Directly
The specific questions advisors, TPAs, and employers should ask before entering a direct specialty care arrangement — and what the answers should look like.
What You'll Learn
How a complete end-to-end MSK solution is structured
Understand how three distinct physician-led companies work together as a single coordinated solution inside a self-funded plan.
The operational decisions that make or break direct specialty care
Learn what separates a direct MSK arrangement that delivers results from one that stalls in implementation.
How to fit this into your current plan design
See how the solution works alongside existing stop-loss arrangements and plan structures without requiring a full rebuild.
The questions worth asking before you sign anything
Leave with a practical framework for evaluating direct specialty care partnerships so you can move forward with confidence.
Continue the Conversation at
RosettaFest 2026
NASHVILLE, TN
The MSK conversation goes deeper in Nashville. RosettaFest 2026, July 29-31 at the Gaylord Opryland, features a full series of direct specialty care sessions alongside employer governance, women's health, fiduciary discipline, and patient leadership.
Join us online on June 12th, 2026, then in person in Nashville this July.
Your RosettaFest ticket includes access to all MSK sessions and every other track at the event.
Meet The Speakers
Meet the Speakers The Physicians Building Direct Specialty Care for Employers
Brett Miller, MD
CEO, HURT!
Brett Miller is an orthopedic surgeon and sports medicine specialist with more than 19 years of clinical experience and over 2,000 nights on orthopedic ER trauma call. Recognizing the need for faster access to expert guidance for injuries that do not require emergency care, he founded HURT!, a mobile platform that connects patients with orthopedic specialists in real time — helping them find the right care quickly while avoiding unnecessary ER visits and wasted spend.
Heath Kirschner
CEO, OrthoForum Value Network
Heath Kirschner leads the OrthoForum Value Network, delivering physician-led specialty care with aligned incentives and transparent bundled pricing. OrthoForum connects employers directly with high-performing orthopedic physicians, building accountability and eliminating unnecessary complexity from the MSK care pathway.
David Comiskey
COO, HealthMe
David Comiskey serves as COO of HealthMe, a platform focused on making specialty care more accessible, more transparent, and easier to navigate for both patients and providers. HealthMe applies clinical experience and health technology to develop solutions that expand access and improve care delivery across the self-funded employer market.
Kate Kellner
Health Rosetta | Moderator
Kate Kellner brings deep experience in employer health strategy and benefits design to her role moderating the Health Rosetta speaker series. She guides conversations that translate clinical and operational expertise into actionable strategies for advisors, TPAs, and plan sponsors.
© 2026 Health Rosetta. All Rights Reserved.