Substantial evidence demonstrates that early access to physical therapists (PT) for musculoskeletal conditions improves quality and reduces opioid utilization and costs of care. However, few healthcare employers implemented an insurance benefit for their employees that incentivizes this behavior. Our company partnered with a large insurance company in a multi-state pilot that incentivized the use of “PT First” for musculoskeletal conditions by eliminating PT co-pays. This session will provide an update on the outcomes of the “PT First” health plan benefit pilot and focus on many of the lessons learned and how other PT employers might consider adopting a similar strategy.
Learning Objectives:
Upon completion of this course, you will be able to
Describe the results of a large healthcare company’s “PT First” health plan. We will review adoption rates and examine the implications on reducing out-of-pocket costs and total costs of care.
Gain an understanding of our lessons learned and how employers might approach their insurance provider to consider a similar health plan benefit for their employees.
Outline the key variables that one encounters in a “PT First” pathway including data, personnel, marketing, execution risk, and employee training.
