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PT is Highly Valued
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Early physical therapy treatment leads to shorter disability.

Physical Therapy treatment has bee proven to be effective in patients suffering from acute back injuries. Early physical therapy treatment in patients suffering from back injuries help them to have faster recovery, shorter disability time and allows them to return to work faster.

TRICARE, one of the nation’s largest insurers wants its members to get physical therapy for back pain. They think that treating back pain with PT is so important that they’re willing to waive the cost to their members. That’s a huge deal. When’s the last time you remember an insurance company covering the entire cost of anything?

Let’s dive into back pain treatments and see why TRICARE likes PT so much.

You probably already know that back pain is a common problem. What you might not know is that the medical system isn’t very good at treating it.

“Non-drug treatments like physical therapy” are the first treatment recommended for back pain.

Unfortunately, many providers don’t follow this, and treatments are often recommended based on opinion rather than research.

This means insurance companies and patients often end up spending a lot of money on outcomes that are less than stellar.

Lowering Cost of PT
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Here’s how it usually goes:
You go see your doctor with back pain.

They might give you medication, recommend rest, some stretches, send you for x-rays or an MRI.

Next will likely be a referral to a specialist like an orthopedic surgeon.

Chances are you won’t be having surgery right away, so the specialist will either refer you to PT or back to your PCP where you’ll end up with a PT referral.

The path will look different for each person, but the end result is usually the same – multiple failed treatments, imaging you probably didn’t need, and a delay of weeks or months to get to a physical therapist.

Multiple large studies have looked at the effects of early physical therapy on low back pain with impressive results.
Low cost to PT
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One of them was done in 2006 in Seattle by Virginia Mason Health Center. They teamed up with Aetna and Starbucks to send workers with back pain to see both a physical therapist and physician for their first treatment. The use of MRI dropped by 1/3, people got better faster, missed less work, and were more satisfied with their care. The cost savings were so great, that Virginia Mason was losing money on treating back pain and Aetna ended up paying them more for PT treatments because Aetna was saving so much money.

Intel ran a similar program with their employees, getting people with back pain to a PT within 48 hours. Previously it took about 19 days for people to get to a PT. With the earlier access, patients completed their care in 21 days, compared with 52 days previously, and costs dropped between 10 and 30%. Intel also found more satisfaction with care and a faster return to work.

The data is out there proves physical therapy is the cheapest and most effective treatment for most people’s low back pain.
It’s clear that people with back pain should start treatment with their physical therapist, but most don’t. TRICARE’s pilot program that waives copays for up to three PT visits aims to change that. If successful it will lead to lower costs for both TRICARE and their members while delivering better outcomes in less time. Currently, Molina makes sure their members start PT for their musculoskeletal injuries before they get any other type of treatment such as pain injections. By following such protocols, insurance companies are ensuring earlier access to PT to avoid prolonged disability.
Lowering Cost of PT
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With the success of TRICARE’s initiative to encourage PT for their members, there is a good chance other insurance companies will come up with their own program so more people choose PT over other modes of treatment.
If you are suffering from pain and thinking to start PT, call us now to find out how your insurance might cover your PT treatment.

Do not delay your recovery by worrying about the cost. Take the first step to reduce your pain.

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