Skip to main content
Customer Case Study

3x Growth in 12 Months.
Value-Based MSK Care Across a Multi-Site Network.

A venture-backed multi-site value-based MSK provider migrated from a legacy EMR to Canvas and tripled note volume within 12 months. With a 90% encounter rate, 0.25 Rx per patient, and 79% coverage on file, their internal engineering team built custom integrations on top of Canvas, turning the EMR into the clinical backbone of an enterprise MSK operation partnered with a major national payer.

3xNote Growth
90%Encounter Rate
0.25Rx per Patient
79%Coverage Rate
The Customer

Embedded MSK Specialists Delivering Value-Based Orthopedic Care

This multi-site value-based MSK provider embeds specialized advanced practice providers - nurse practitioners and PAs - into primary care centers to deliver in-person and virtual musculoskeletal care. Their model partners with employers, health plans, ACOs, and provider organizations to provide MSK navigation, decision support, and network optimization across a growing multi-site network.

The Care Model

Value-based orthopedic and MSK care management, delivered through an MSO structure with an affiliated PA entity. Their patient-facing product guides patients through comprehensive orthopedic care from injury through recovery. Providers cover multiple markets with a hybrid on-site and virtual presence, managing the full MSK patient - from lumbar radiculopathy and knee osteoarthritis to the chronic comorbidities (hypertension, diabetes, hyperlipidemia) that drive total cost of care in value-based contracts.

Growth & Partnerships

Venture-backed by a leading VC firm. The company partnered with a major national payer's senior primary care subsidiaries to provide integrated MSK care for seniors - a landmark enterprise deal. The company also participates in a CMS ACO REACH network, delivering orthopedic services to Medicare beneficiaries.

Platform at Scale

3x Note Growth in 12 Months. From a Legacy EMR to Canvas in 60 Days.

This provider completed a full data migration from a legacy EMR in under 60 days and went live on Canvas. Within 12 months, monthly note volume tripled as new locations came online and the enterprise payer partnership launched. With a growing clinical team and an internal dev team building on the Canvas SDK, the platform powers every encounter, every prescription, and every referral across the organization.

~52%Note Sign RateStrong sign-through rate across all clinicians, with volume growing monthly.
3xNote Growth in 12 MonthsMonthly note volume tripled within the first year on Canvas.
90%Encounter Rate90% of patients have documented clinical encounters - high engagement across the panel.
0.25Rx per PatientTargeted MSK medication management - conservative prescribing model.
6.5Conditions per PatientClinicians, coordinators, billers, and an internal dev team building on Canvas.
79%Coverage Rate79% of patients have coverage on file - critical for value-based contract reporting.
Clinical Profile

MSK-Focused Care That Manages the Whole Patient

This provider's diagnosis profile tells the story of a value-based MSK practice that goes beyond joints and spine. While knee osteoarthritis and lumbar radiculopathy are core to the care model, the top diagnoses by volume are the chronic conditions - hypertension, hyperlipidemia, diabetes - that drive total cost of care and make risk adjustment accuracy essential.

Top Conditions

6.5 conditions per patient on average - reflecting comprehensive documentation for risk adjustment. Essential hypertension leads at 33% of patients, followed by hyperlipidemia (24%), lumbar radiculopathy (16.3%), and type 2 diabetes (15.2%). MSK-specific diagnoses round out the profile: bilateral knee osteoarthritis (10.8%), unilateral knee OA (10.7% right, 8.8% left), and knee pain (10.5% right, 8.3% left). Each chronic comorbidity is a cost driver that this provider actively manages alongside orthopedic care.

Prescribing Depth

0.25 prescriptions per patient on average - reflecting a care model focused on conservative MSK management rather than high-volume medication prescribing. Top prescribers handle a higher proportion of medication management visits, spanning pain management, anti-inflammatories, and chronic disease medications. The prescribing pattern is consistent with an MSK practice that prioritizes physical therapy referrals and non-pharmacological interventions first.

Integration Architecture

An Internal Dev Team Building a Connected MSK Platform on Canvas

This provider's CTO and lead developer treat Canvas as programmable infrastructure. With 2 production plugins and a multi-vendor integration stack spanning patient engagement, fax automation, health data exchange, and claims processing, they have built a connected clinical platform purpose-built for multi-site MSK operations.

API & Integration
Workflow
Clinical
Default PharmacySaves preferred pharmacy from prescribe commands to the patient profile
HIE ConnectorHealth data exchange with custom ADT and demographics sync for payer reporting
Patient Engagement PlatformCommunication and outreach platform connected via Canvas API
Fax OCR PipelineFax API and OCR engine for automated inbound document processing
Claims ClearinghouseClearinghouse integration for ERA posting and claims management
eRx PlatformElectronic prescribing across all clinicians and locations

Canvas as Infrastructure

The internal engineering team builds directly on Canvas's API and SDK. Their health information exchange integration - customized 58.7% beyond the reference plugin - powers health data exchange with payer partners, querying patient records on every upcoming appointment for clinical context. The default pharmacy plugin streamlines prescribing workflows across all locations. Canvas serves as the system of record while the dev team extends it through API-driven integrations.

Multi-Vendor Integration Stack

Beyond Canvas plugins, this provider connects a patient engagement platform for outreach, a fax API with OCR for automated document processing, a claims clearinghouse for billing operations, and an eRx platform for electronic prescribing. Each system connects through Canvas's API layer, creating a unified clinical workflow that spans patient intake, documentation, prescribing, referrals, and billing - all coordinated through a single EMR.

Scale Your Care Model.
Canvas Grows with Every Location You Open.

Canvas Medical's programmable EMR powers multi-site operations from day one - with the API and plugin architecture to connect every system your care model needs.

Learn More About Canvas Medical