Network Synergy Group, a national physical therapy management company, announced findings from an analysis of data that shows only 18% of workers’ compensation claims incorporate comprehensively managed solutions for injuries requiring physical therapy (PT) and occupational therapy (OT). As indicated on a Business Wire news release, the company estimates that by utilizing networks that simply employ discounts, instead of a coordinated PT management program, employers in the United States lost approximately $500 million in 2013.
The results of this analysis were obtained from an analysis of more than 47,000 PT and OT claims nationally, which represents a wide cross section of industries. The analysis showed that 25% of PT cases were completely unmanaged, specifically using non-network providers and undergoing little quality or cost containment review. The results also reveal that the vast majority of PT and OT claims today, approximately 57%, are in networks that apply discounts after treatment has occurred.
Pat Chavanu, president of Network Synergy Group, says, “In order to maximize impact, there needs to be an emphasis on channeling to quality providers, employing treatment plans that are evidence based, as well as fostering collaboration with all stakeholders throughout the entire course of therapy.” Chavanu adds that the key cost driver in physical therapy spend is not necessarily the cost of services, but the utilization of those services.
Chavanu states, “We believe this analysis highlights to employers the importance of ensuring PT and OT claims are fully managed and of working with partners such as Network Synergy Group that have the experience, the people, and the tools to help deliver the best result.”
Source: Network Synergy Group