Market Intelligence · Bone Health Sector

The first benchmark
for bone health
performance.

The BHM Index tracks activity, investment, clinical infrastructure, and outcomes across the bone health ecosystem — giving the field a common language for progress.

What Is the BHM Index

A living scorecard
for the entire field.

The BHM Index is Bone Health Media's proprietary measurement framework — a structured, recurring assessment of how well the bone health ecosystem is performing against the standard of what is clinically achievable.

It aggregates data across treatment rates, diagnostic utilization, post-fracture care, payer coverage patterns, and workforce capacity — then distills it into a composite score that can be tracked over time, compared across markets, and used to drive accountability.

01
Treatment Rate Index

What share of clinically eligible patients are receiving pharmacologic bone protection — by payer type, geography, and risk category.

02
Diagnostic Access Score

DXA availability and utilization rates relative to screening-eligible populations. Where the infrastructure gaps are largest.

03
Post-Fracture Care Rate

The proportion of fragility fracture patients who receive secondary prevention evaluation and treatment initiation within 12 weeks.

04
Payer Environment Score

Prior authorization burden, step therapy requirements, and formulary access for bone health therapeutics across major payer classes.

05
Workforce Capacity Index

Availability of bone health specialists, coordinator-trained practices, and FLS-equipped systems relative to at-risk population size.

06
Composite BHM Score

A single, trackable headline number synthesizing all five pillars — the field's overall score against clinical best practice.

~20%
Current treatment rate
post-fragility fracture
$57B
Annual U.S. fracture
cost — direct + indirect
80%
Fragility fracture patients
who receive no follow-up care
40–60%
Secondary fracture reduction
in coordinated FLS models

How It Works

Built on
the clinical record.

The BHM Index does not rely on self-reported data or survey responses. It is constructed from published literature, claims data analysis, publicly available registry data, and primary research conducted by the BHM editorial team.

Each edition of the Index will be published alongside a full methodology document, enabling practitioners, payers, and investors to validate the inputs and weight their own conclusions.

1
Data Collection

Claims data, published clinical outcomes, registry reports, and payer formulary audits aggregated quarterly.

2
Domain Scoring

Each of the five Index pillars scored independently against an evidence-based benchmark of optimal care delivery.

3
Composite Calculation

Weighted composite score derived from pillar scores, with published weighting rationale and sensitivity analysis.

4
Publication & Tracking

Index published as a standalone BHM report alongside the Annual Report — then tracked as a longitudinal time series.

5
Expert Review

Methodology and findings reviewed by a standing advisory panel of clinicians, economists, and health system leaders.

Who Uses the BHM Index

Intelligence that moves
multiple stakeholders.

🏥
Health Systems & Clinicians

Benchmark your practice's bone health performance against regional and national standards. Identify where to invest in infrastructure for the greatest population impact.

💊
Payers & Pharmacy Benefit Managers

Understand where coverage gaps are creating avoidable fracture costs. The BHM Index provides the actuarial case for benefit design reform.

📈
Investors & Industry

Track market development, treatment penetration trends, and the commercial opportunity in underserved segments of the bone health market.

The BHM Index
launches this fall.

Be first to access the inaugural edition when it publishes alongside the 2026 Annual Report.

Use the button below to register for early access notifications.