Gabe M. Freyaldenhoven, PT
This model has been accepted as part of the initial review for Innovation Summit 2.0.
A two-phased, value-based, shared savings payment model has been developed with the aim of improving the value of physical therapy delivery in Arkansas. The model, which will be implemented with multiple health plans, measures overall functional change and number of visits using the Focus on Therapeutic Outcomes (FOTO) Nine-Cell Value Matrix. The FOTO outcomes tool is risk adjusted, and its Nine-Cell Value Matrix will be used to classify functional outcomes into high, expected, and low value outcomes for each patient. Phase I of the model involves demonstrating the impact of high value physical therapy on patient outcomes, and aligning incentives based upon value. The second phase of the model builds on Phase I and incorporates comparison of total cost of care for pilot versus nonpilot participants. Phase II will incorporate a collaborative initiative with primary care physicians to control upstream and downstream costs. A shared savings model will incentivize physical therapists to provide high value physical therapy that will facilitate reduced utilization of higher cost services and thus reduce the total cost of care.