Episode Four: The Government as Policymaker and Payer

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AI Show Notes by Riverside FM:


Summary


In this episode, Dana and Alex discuss the complexities of budget resolutions, government spending, and their implications for healthcare, particularly telehealth and physical therapy. They explore the challenges posed by the physician fee schedule, the underutilization of physical therapy, and the importance of alternative payment models in transitioning to value-based care. The conversation emphasizes the need for quality metrics and the potential for a paradigm shift in healthcare funding.


Takeaways


  • Budget resolutions involve complex negotiations and cuts.
  • Telehealth expansion is dependent on congressional action.
  • The physician fee schedule and impacts on therapist reimbursement
  • Physical therapy is underutilized in treating musculoskeletal issues.
  • Correct dosing in therapy is crucial
  • Alternative payment models can provide financial stability for providers.
  • Value-based care links reimbursement to patient outcomes.
  • Quality and outcomes are essential in value-based care models.
  • Government actions can directly affect healthcare delivery.
  • The future of healthcare may require significant restructuring.


Chapters


00:00 Navigating Congressional Changes

01:56 Understanding Alternative Payment Models

04:00 The Impact of Budget Resolutions on Healthcare

06:19 Telehealth and Its Future

08:24 The Physician Fee Schedule and Its Implications

10:02 The Role of Physical Therapy in Primary Care

12:03 Challenges in Establishing Optimal Therapy Practices

14:40 The Future of Physical Therapy in Healthcare

17:56 Understanding CMS and Conversion Factor Cuts

20:18 The Budget Dilemma in Healthcare

22:49 Reimagining the Healthcare System

25:28 Alternative Payment Models Explained

33:44 The Future of Value-Based Care