Can I Keep Seeing Mr. Smith? A Guide to Medicare Plans of Care
One thing I love about outpatient therapists is that, for the most part, they build real relationships with their patients. When I was treating full time, I had patients on my schedule who I had seen for their shoulder, then their wrist, then their elbow. Anytime they...
The Insurance Middle Man Was Never Your Friend
I’ve spent years running a rehab clinic. In that time, I’ve watched prior authorizations delay care for weeks. I’ve watched patients discharge early because they hit their insurance cap — not because they were done getting better. I’ve watched clinicians spend more...
The Physicians Sending You Referrals Just Got a Price Tag Put on Conservative Care
A closer look at the Ambulatory Specialty Model's low back pain cohort — and why the next eighteen months are the best opening PT/OT has had in years to become the partner spine and pain practices can't afford to skip. Key takeaways CMS's Ambulatory Specialty Model...
Your Product Isn’t the Problem. Your Rollout Is.
*This is the short version of a full article that's published on our substack here. Health tech companies love to talk about their product roadmap. They rarely talk about their adoption roadmap. That's backwards, and the largest real-world study of AI scribes ever...
The Healthcare Technology Rollout Is the Strategy
*This is the short version of a full article that's published on our substack here. Every healthcare leader has lived some version of this story. You evaluate a new tool for months, build the business case, get budget approval, announce it at a staff meeting, and six...
Surgeons Are Getting a Seat at the Value-Based Table. What About Rehab?
*This article was published on our substack here. A post crossed my feed this week from an orthopedic surgeon breaking down the CY 2027 Medicare Physician Fee Schedule (PFS) proposed rule. The numbers were brutal: total hip arthroplasty work RVUs down 19.6%, total...
AI Scribes Aren’t Overhyped. They’re Underused. Here’s the Proof.
*This is the short version of a full article that's published on our substack here. Every write-up of the largest real-world study on AI scribes is telling the same underwhelming story: the technology barely moved the needle. I think that read is wrong — and the same...
The Real Reason Clinicians Burn Out (It’s Not What You Think)
We talk about burnout like it's a single thing. It isn't. And treating it like one is probably why so many of our attempts to address it don't actually work. Burnout has been a talking point in healthcare for years — maybe decades. And yet by almost every measure,...
What OT School Didn’t Teach You (And What to Do About It)
What do you wish you had known coming out of OT school? We graduate knowing how to treat patients. Most of us graduate knowing almost nothing about the business that makes treating patients possible. I was recently invited to speak with OT students and faculty at...
What it Takes to Be a Clinician Entrepreneur: Lessons from the Field
Have you ever thought about clinician entrepreneurship? I left the Department of Veterans Affairs several years ago with a laptop, a consulting contract, and more questions than answers. What followed was a crash course in everything clinician training never taught...
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