#28: Payment Models in Post-Acute OT with Clarice Grote
Play • 1 hr 1 min

Spending time in research can deliver the humbling, but needed, reminder that not all therapy leads to clear value for our clients. 

For example, in the United States, we can now see that in the 2010s therapy was being delivered in skilled nursing facilities (SNFs)—beyond what was helpful for clients. 

Part of the problem was the fee-for-service payment model that incentivized skilled nursing facilities to deliver high quantities of therapy minutes to as many patients as possible. (More therapy equaled more money.) 

The research article that we will explore in this one hour course, shows us the humbling data behind this problem. And, it reminds us of why the transition to value-based care continues to happen. The authors specifically look at data around post-acute hip fracture rehab, and compare fee-for-service Medicare versus Medicare Advantage (which is a value-based care program.)

To help us make sense of the changing therapy landscape, we are thrilled to welcome Clarice Grote, MS, OTR/L, is an innovative advocate for occupational therapy and an expert on Medicare post-acute care policy. Clarice will help us understand how this research applies to your individual practice.

In order to earn credit for this course, you must take the test within the OT Potential Club.

You can find more details on this course here:

Here's the primary research we are discussing:
Kumar, A., Rahman, M., Trivedi, A. N., Resnik, L., Gozalo, P., &; Mor, V. (2018). Comparing post-acute rehabilitation use, length of stay, and outcomes experienced by Medicare fee-for-service and Medicare advantage beneficiaries with hip fracture in the United States: A secondary analysis of administrative data. PLOS Medicine, 15(6).

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