Another Secret to Success in Physical Therapy – Contract with high quality providers at a fair rate and then get out of the way.
"Treating the patient - not just the injury - works!"
by Steve Cattolica - June 4, 2019
Ms. Michelle Despres, P.T. recently discussed one of the most widely known secrets of healthcare since the biopsychosocial model of practicing medicine was first discovered by a mother, father, grandparent or other loving adult when their child fell and skinned their knee. Studies by universities have confirmed what they knew! Treating the patient - not just the injury - works!
With zeal to put this age old “secret” into practice, workers’ compensation systems nationwide have developed complete infrastructures capturing and packaging and controlling their contracted providers on behalf of their client, the claims administrator. That infrastructure, including the costs of the claims duties it is purported to replace as more efficient, is now the costliest component in the work comp system - not injured worker indemnity benefits and not the actual hands-on care.
Let’s quickly examine the components of the model:
The network is a means to an end. If the network contracts with highly qualified providers, those providers should know how to work with the PTP and how to communicate with other team members.
The patient must be able to choose the best provider possible, not be forced to go to a provider chosen instead by the network which has a built-in conflict of interest based on its contracted rate with that provider. To assume it is the network’s responsibility to guide the treatment plan, places no faith in the quality of claims professional and other medical professionals who are available.
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