When your honey-do list involves analysis of Medicare expenditures

The title explains my role in all this fully.A rather complex report was commissioned by AOTA that involved data related to the distribution of fee for service therapy spending in the Medicare program, as well as how different cap thresholds would impact the system.  The report also breaks out information about where spending is happening based on place of service.Now the reason why I was given this task is because if you read the report, and my first paragraph, your eyes might already be glazed over.  My purpose will be to put all of this in very plain language.Here are the three primary takeaways from this report, and I will provide the detail below each statement:1. The ' cap problem ' impacted PT significantly more than it impacted OT.The reason why the ' cap problem ' impacts PT significantly more than it impacts OT is based on volume.  Of all the Medicare patients out there who use Part B services, 90% of them get PT.  By contrast, of all the Medicare patients out there who use Part B services, 22% of them get OT.  On the basis of numbers alone, which of course directly translates to associated costs, this is a MUCH LARGER problem for PT than it is for OT.Related to spending, PT is responsible for 73% of all Medicare Part B spending, and OT is responsible for 19% of all Part B spending.  Speech is responsible for 8%.Based on this very clear and incontrovertible data, the cap problem impacted PT more on the basis of volume and money.2. The v...
Source: ABC Therapeutics Occupational Therapy Weblog - Category: Occupational Health Tags: health insurance OT practice Source Type: blogs