OT and Value-Based Care

We’ve all known for a while that the current fee-for-service models that most occupational therapists operate under are bad for patients and bad for healthcare.

Why?

Because it incentives volume of services over quality of services.

If you’re like me, you may feel like you’ve been waiting for years for value based care to really take hold in the United States. But, this new future has felt like a distant reality.

Our guest today, Dana Strauss, PT, DPT, sees things from a different vantage point. As she’ll share in this episode, the future is actually here, it is just not evenly distributed.

Value-based programs have been piloted and they are on the cusp of rapid expansion in the United States. In our episode today, Dana will walk us through the value-based models that are currently out there, what ones are coming, and what you as an OT professional can do to prepare for this much-needed new reality.

1. You will recognize emerging payment models for OT services.

2. You will be able to identify concrete ways you can adjust your practice to prepare for value-based care payment models.

• Intro

• Discussion on practical implications for OTs

  1. Can you tell me the story of how you arrived at your current role at CVS?

  2. What is wrong with the fee-for-service model?

  3. Can you tell me the story of your first venture into value-based care and how that opened your eyes?

  4. What value based care models are out there right now in the United States that OTs can be scanning for?

  5. How do we integrate ourselves into these models?

  6. What outcomes will it become important for us to measure in these models?

  7. What value-based care models do you see coming in the future?

  8. I read that it is the federal government’s goal to have all Medicare beneficiaries in a value-based arrangement by 2030—how sweeping is this change to value-based care going to be?

  9. How do we keep up? And, what information do we need to arm ourselves with?

  10.  What are your hopes and fears for value-based care?

• Value-based outcome evaluation methods used by occupational therapists in primary care: A scoping review

• The use of PROMs and shared decision-making in medical encounters with patients: An opportunity to deliver value-based health care to patients

• Translating Knowledge to Optimize Value-Based Occupational Therapy: Strategies for Educators, Practitioners, and Researchers

It is the policy of OT Potential to disclose any financial and non-financial interest the provider or instructor may have in a product or service mentioned during an activity. This is to ensure that the audience is made aware of any bias of the speaker.

OT Potential pays guest speakers an honorarium for their participation, either directly or to an institution of the speaker's choosing at their request. We invite guests whose expertise often comes from practices, programs, or building products in their field. Where a speaker has a financial interest in the subject of a course, we disclose it below so you can weigh it for yourself.

OT Potential's interest in this topic: We have no financial stake in the payment models discussed in this course, and no business relationship with CVS Health or Aetna.

Speaker interests: Dana Strauss is Senior Director of Public Policy and Government Affairs at CVS Health, where she leads public policy for value-based care and Medicare provider policy. CVS Health has commercial interests in the payment models discussed in this course. Her views are her own and do not represent those of her employer.