Thursday, July 17, 2014
WASHINGTON, DC - A recently issued GAO study found that orthopaedic surgeons who own PT referred patients for fewer PT services (procedures) and at a lower cost per patient than orthopaedic surgeons who do not have PT.
The U.S. General Accounting Office (GAO) studied whether physicians who have a financial interest in physical therapy (PT) services (self-referrers) refer more PT than physicians who do not have a financial interest in PT (non-self-referrers). This study was conducted in response to concerns that the increase in physician-owned PT has resulted in unnecessary care and costs.
The GAO analyzed Medicare statistics for 2004-2010 and focused on three measures: (1) the total number of patients referred for PT, (2) total PT services in terms of procedures, and (3) PT expenditures. The GAO concluded that:
The GAO showed that PT services and expenditures increased considerably from 2004 to 2010, but noted that the primary driver of these increases was growth in non-self referred PT rather than physician-owned PT. The GAO pointed out that these findings for PT differed from its finding on other self-referred services, such as imaging, in which self-referred services and expenditures grew faster than non-self-referred services and expenditures. The GAO concluded that one potential reason for this difference is that non-self referred PT is provided by therapists who can directly influence the amount, duration and frequency of PT. In other words, the GAO pointed directly to increased PT services by therapists in private practice as the primary driver of the overall increase in PT services and expenditures.
This is one of the most thorough studies of PT referral and utilization patterns ever conducted. The GAO’s findings should help put to rest arguments by the American Physical Therapy Association and others that physician-owned PT results in overutilization and increased expenditures and can be used to counter any legislative efforts at the federal or state level to bar or otherwise restrict physician-owned PT.
Connecticut Orthopaedic Specialists, PC offers all orthopaedic subspecialties including sports medicine, treatment for problems of the upper and lower extremities, joint replacement surgery, pediatric orthopaedics, and surgical and non-surgical podiatry. It is one of the most respected orthopaedic groups in Connecticut and has been providing quality, individualized care to patients for over 50 years. COS has eight locations with in-house physical therapy, three OrthoNOW orthopaedic walk-in centers, two MRI centers providing in-house diagnostic testing and its own surgical center.