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  • Washington Post: End of Therapy Cap a 'Long-Awaited Gift'

    The end of the hard cap on payment for therapy services under Medicare was big news for patients and the profession—a fact that hasn't escaped the notice of The Washington Post.

    The March 1 edition of the Post featured a story from Kaiser Health News on the elimination of the cap, which is described as a change "buried" in the federal spending plan approved by Congress in February, albeit one that "reveals much about how health care financing often gets done—or undone—in Washington."

    The article recounts the birth of the cap in 1997, efforts to repeal it, and the regular scrambles to apply temporary exceptions to the policy. And to help illustrate the long slog that finally led to repeal, Kaiser reporter Shefali Luthra retells the story of an ambitious physical therapist who left his practice in Michigan and headed to Washington, DC, nearly 20 years ago to help advocate for an end to the cap. His name: Justin Moore, PT, DPT—as it happens, the same Justin Moore who's now CEO of APTA.

    The unceasing advocacy efforts of "a small but impassioned therapy contingent" of APTA members, association staff, and patients is what "laid the groundwork" for the cap fix, according to the Post article. As for Moore, he's quoted as saying "I've got to figure out what to do next." Insider tip: he's joking.

    Comments

    • How about fight to amend the ruling to decrease reimbursement for PTA services. Should have thought before you spoke Mr. Moore.

      Posted by Taylor Collins on 3/3/2018 1:07 PM

    • The end of Med B caps are great but where is the support for the PTA’s. I thought the APTA represented PT& PTA’s - very disappointed!

      Posted by Curt on 3/5/2018 8:21 PM

    • This is not a victory. The Therapy cap lives on.

      Posted by Carol Barker on 3/7/2018 9:59 PM

    • As a clinic owner having a PTA employee I can understand the frustration over the PTA reimbursement change. I am willing to swallow that bitter pill so my patients can get the care they need. I'm curious to see how the legislation for billing rolls out. If a PT does part of the treatment should it all be billed to them?

      Posted by Charles Hollier on 3/8/2018 5:39 AM

    • The APTA failed PTA’s! And all this as thousands more PTA’s are graduating from programs all over the country. You sold out every PTA. Obviously, I will not be renewing my membership.

      Posted by Michael Milford on 3/12/2018 7:59 PM

    • Did someone from APTA respond to the article to explain that this was no gift at all? We had 100 rationales for exceeding the CAP. CMS just slashed $700 from patients' rehabilitation Threshold. That is an 18.9% reduction in prospective care. Is that because patients are recovering 18.9% faster? Or, will it cost 18.9% less to treat Medicare patients this year?

      Posted by Charles Smith on 3/16/2018 12:27 PM

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