We are all familiar with fee for service. Anytime you pay an accountant, attorney, plumber, or mechanic you are paying a fee for their service. You have decided that their time, expertise, and services are worth forking over your hard earned dollars for.
Due to the high costs of medical procedures, healthcare has traditionally been paid for through the insurance model with people paying insurance premiums and then the insurance company paying for some, or all, of the medical bill. This has put the insurance companies in the position to decide and dictate what care will be paid for and how much they will pay for the service. The effect of this control is obvious to anyone who has been to the doctor or hospital recently. Service and care are not what they used to be. Providers are squeezed as reimbursement rates drop, so to make ends meet they have to see more people in less time and leverage their services with less skilled helpers. This can work for a lot of the medical care we receive, but not all of it. Some unique services require more time then the provider can get reimbursed to perform.
Enter the fee for service medical provider. They have decided the only way they can provide their service and not lose money is to operate outside the traditional insurance model and deal directly with the consumer. They do provide billing slips that can be submitted to an insurance company for possible partial or full reimbursement, but they ask for payment up front and the client is responsible for dealing with their insurance company. The only way this works is if they have a valuable skill that has value in the consumers’ eyes and they have to get results that cannot be achieved by others operating under the control of insurance companies.
As a highly specialized practitioner, I became increasingly frustrated with the limitations that insurance companies were imposing upon the practice of physical therapy. Cramming as many patients into my day as possible to maximize ever-‐ dwindling reimbursement rates did not appeal to me, personally or professionally.
So, I made a decision to change the way I practiced. I now focus 100% of my time, energy, effort and expertise with each individual client during treatment sessions. I can spend the time required to make lasting change, instead of doing as much as I can fit into a 15-‐30 minute session.
In short, by operating as a fee for service practice, I am able to provide highly specialized treatments that focus upon results. The results speak for themselves.