Physical Therapy Can Reduce Workers’ Comp Payer Costs, Improve Outcomes

With the nation spending billions on medical and indemnity expenses for employees injured on the job, as well as patients facing illnesses or surgeries, workers’ compensation carriers, group health insurers and Third Party Administrators (TPAs) are looking for innovative solutions to providing better and less costly health services.

Two Thought Leadership papers – one for workers’ compensation payers and one for group health organizations – from PTPN, a national network for independent rehabilitation specialists, examine the role and benefits of physical therapy in both group health and workers’ compensation cases in the face of major changes in the American healthcare system.

“As they adapt to new value-based care models, health plans and workers’ comp carriers require new solutions to meet their needs and those of injured workers,” says Michael Weinper, PT, DPT, M.P.H., president of PTPN. “These papers show how a different approach to the changes in the nation’s workers’ comp and group healthcare can not only improve the delivery of health services, but also deliver better outcomes for a wide range of patients at a lower cost.”

According to The New Paradigm for Better Quality, Lower Costs papers – Leveraging the Power of PT for Workers’ Comp and Leveraging the Power of Ancillary Services, workers’ comp carriers and health plans and may be missing an important ally in their efforts to meet the goals of healthcare delivery today: providers of physical therapy services. Studies show that bringing physical therapy into an injured patient’s treatment early can have major benefits, including better patient outcomes, reduced use of pain medicine, improved patient satisfaction, reduced re-admissions and lower medical and indemnity costs. Key points to consider from the PTPN papers include:

According to the American Hospital Association, organizations should seek to develop “preferred relationships with post-acute providers that have demonstrated good outcomes and are willing to collaborate on performance improvement.” The PTPN papers offer steps to finding PT providers who meet these criteria as well as what to expect from a quality independent PT network. These benchmarks include innovation in care pathways and readmission risk reduction; the highest credentialing and quality standards; and outcomes measurement.

“By collaborating with independent physical therapists who hold themselves to the highest standards of care,” says Weinper, “health plans and workers’ comp carriers can achieve the vision and promise of today’s value-based healthcare programs.”

Source: PTPN