The Centers for Medicare and Medicaid Services, as well as private payers, have adopted aggressive targets to shift payment away from fee for service to a value-based system tied to alternative delivery models. In response to this paradigm shift, physical therapists across the country are participating in a variety of exciting and innovative practice models. These models are as diverse as the environments in which physical therapists practice and offer innovative ways of addressing disparate challenges such as payment, transitions in care, interdisciplinary collaboration, and staff shortages. Others take advantage of opportunities in new areas of practice or emerging technologies.
New alternative payment models include accountable care organizations, bundled payment, patient-centered medical homes, and quality improvement models.
Seeking Innovations in Practice
APTA is involved in myriad activities that explore models of physical therapist care throughout the United States and internationally. To ensure a successful transition to value-based payment, it is critical this information be widely disseminated within the physical therapist community.
APTA is conducting Innovation 2.0, a project that supports innovators who are developing or participating in new payment and service delivery models that promote the role of physical therapy in meeting the triple aim of health care reform. These models also respond to the shifting payment environment as reimbursement is increasingly based on quality of care and outcomes, and fee-for-service payment is phased out.
Innovation Summit: Collaborative Care Models
On March 8, 2013, APTA hosted the Innovation Summit: Collaborative Care Models, a groundbreaking event that brought together physical therapists, physicians, large health systems, and policy makers to discuss the current and future role of physical therapy in integrated models of care. You can still enjoy this groundbreaking event, and earn CEUs, by watching the programming on-demand, via the APTA Learning Center.
Innovative Models of Physical Therapist Practice in the US (.pdf)
In 2010, APTA conducted an exploration of innovative practice models within the United States to enhance our knowledge base and to provide an initial starting point for clinicians to implement or further investigate new models of physical therapist care delivery.
A list of representative models of physical therapist care delivery was developed from multiple sources. The list includes a variety of models that are attempting to address issues such as access to care, cost effectiveness, patient/client safety, efficacy, inter-professional collaboration, and innovative utilization of physical therapist practice in the health care delivery system. The models of care delivery that are described in this resource do not represent a comprehensive list of innovative models throughout the country nor does the list include representative models for all types of practice settings. Descriptions of additional models will be added to this resource over time.
International Summit on Direct Access and Advanced Scope of Practice
In October 2009, APTA led a conference that investigated advanced models of physical therapist practice both in the United States and internationally. The event was co-sponsored by APTA, the Canadian Physiotherapy Association (CPA), and the World Confederation of Physical therapy (WCPT) and included participants from more than 20 countries.