"Physical therapy is not a subspecialty of the medical profession and physical therapists are not medical doctors; we are a separate profession that provides a unique service that physicians are unable and untrained to provide."

Letter to the AMA from the APTA, Dec 2009

Tuesday, April 24, 2012

Medicare Advantage Plan Wastes 8 Billion Dollars

A new Office of the Inspector General (OIG) report recommends ending the Medicare Advantage bonus program, saying it will waste the $8.3 billion earmarked over the next ten years.

According to the Associated Press
"Medicare Advantage is a popular private insurance alternative to the traditional health care program for seniors. More than 3,000 private plans serve nearly 12 million beneficiaries, about one-fourth of Medicare recipients. They offer lower out-of-pocket costs, usually in exchange for some limitations on choice."
Patients may find that they are excluded from seeing their physical therapist in private practice, as one common limitation on their choice.

According to the New York Times...
"In the 2010 health care law, Congress cut Medicare payments to managed care plans, known as Medicare Advantage, and authorized $8.3 billion in bonus payments to those that provide high-quality care. OIG investigators found that most of the money paid under the demonstration program went to “average-performing plans” rated lower than the benchmarks set by Congress."
Rather than paying bonuses to profitable insurance companies why not put that money into providers, like physicians and physical therapists, with modern tools for imroving quality of care like improved access to hospitals' Electronic Medical Records?

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Tim Richardson, PT owns a private practice at Medical Arts Rehabilitation, Inc in Palmetto, Florida. The clinic website is at MedicalArtsRehab.com.

Bulletproof Expert Systems: Clinical Decision Support for Physical Therapists in the Outpatient Setting is a manager's workbook with stories, checklists, charts, graphs, tables, and templates describing how you can use paper-based or computerized tools to improve your clinic's Medicare compliance, process adherence and patient outcomes.

Tim has implemented a computerized Clinical Decision Support (CDS) system in his clinic since 2006 that serves as a Reminder, Alerting, Prompting and Predicting CDS using evidence-based tests and measures.

Tim can be reached at
TimRichPT@BulletproofPT.com .

"Make Decisions like Doctors"

Copyright 2007-2010 by Tim Richardson, PT.
No reproduction without authorization.

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American Physical Therapy Association

American Physical Therapy Association
Consistent with the American Physical Therapy Association Vision Statement for Physical Therapy 2020, the American Physical Therapy Association supports exclusive physical therapist ownership and operation of physical therapy services.