Sep 19, 2019
I haven't spoken to a lot of ancillary medical professionals
in the show and explored ways that they are changing the way we
deliver medical care. Today I spoke to a physical therapist who
chose to run his practice unlike traditional practices. He doesn't
structure therapy based on what maximizes revenue from insurers but
instead on treating the patient and their injury.
Instead of designing a treatment regimen and session revolving
around different modalities that pay the best, he focuses on the
injury or chronic condition. Joe Kik runs his own private practice
with no back office staff to save on overhead. Techs don't
just run people on exercise machines to take up time in a therapy
session. He also doesn't treat people for a set amount of time just
to make sure he racks up the correct charges.
That is because Joe doesn't take insurance so he can do
whatever he thinks will maximize the results for his patient that
day. However, he will provide patients with the codes if they
want to submit to insurance it turns out that many times his
service is cheaper because there are no hidden fees. Most patients
don't even realize how expensive their physical therapy is until
they get the bill. And because they pay towards a deductible and
add in copays for ten sessions their overall bill might be
The direct care model in medicine is not limited to just
cosmetic surgery and for the ultra wealthy. It is starting to
emerge as the way for paying for health care in the future. Direct
care is still the minority way of getting care but it is growing
quickly as clinicians find it more satisfying professionally and
patients appreciate the personal nature of the care they
Joe Kik is a physical therapist
who solely owns and operates Midline Movement in Grand Rapids,
Midline Movement Physical
Therapy: Joe's physical therapy practice.
Movement on Facebook: Joe's practice on facebook.
Certificate of Need where I briefly discuss the accident with
Episode 020: Meg Edison
where I talk about the accident in more detail.
Episode 025: My
interview with Marcy about our grief and dealing with the death of
Always Andy's Mom: Home of my
wife, Marcy's, podcast for parents grieving or those looking to
YouTube for Paradocs:
Here you can watch the video of my late son singing his solo on the
Paradocs YouTube page.
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