Re: Nursing Homes Bill for More Therapy Than Patients Need, US Says
The provision of physical therapy services should be driven by patient need and the clinical judgment of the licensed physical therapist. Productivity goals that drive services towards economic incentives continue to be an issue that policymakers and professional associations have a joint responsibility to meet.
APTA believes volume-based payment systems and incentives should be replaced with value-based models where patient outcomes relative to the cost or resources needed to provide that care is the primary indicator of performance.
APTA is working with industry to address volume-based versus value-based care to improve compliance, help clinicians navigate complex regulation and payment systems, and emphasize their responsibility to report unethical care provision.
Our Integrity in Practice Campaign encourages high standards of practice and we support recent policy changes directed toward standardizing data in postacute care settings to ensure that value-based care is delivered.
We are committed to making sure that the correct incentives are invoked in care delivery, in a manner that maintains our patients' trust.
Sharon L. Dunn, PT, PhD, OCS
American Physical Therapy Association