• Episode Four: The Government as Policymaker and Payer

  • Mar 4 2025
  • Duración: 41 m
  • Podcast

Episode Four: The Government as Policymaker and Payer

  • Resumen

  • 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

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