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The Paradocs Podcast

The Paradocs is a fun and lively discussion with a couple of docs on the practice of medicine. Occasionally serious, usually lighthearted, and accidentally informative. A show for physicians to learn more about what is going on and a great place for them to direct their friends and family to better understand the challenges they face.

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 higher.
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 receive. Joe Kik is a physical therapist who solely owns and operates Midline Movement in Grand Rapids, MI.
show notes

Midline Movement Physical Therapy: Joe's physical therapy practice.

Midline Movement on Facebook:  Joe's practice on facebook.

Episode 019: Certificate of Need where I briefly discuss the accident with Andy.

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 Andy.

Always Andy's Mom: Home of my wife, Marcy's, podcast for parents grieving or those looking to help them.

YouTube for Paradocs: Here you can watch the video of my late son singing his solo on the Paradocs YouTube page.

Patreon - Become a show supporter today and visit my Patreon page for extra bonus material. Every dollar raised goes towards the production and promotion of the show.

Listen to The Paradocs on RadioPublic