Insurance Coverage, Costs, and Barriers to Care for Outpatient Musculoskeletal Therapy and Rehabilitation Services

doi:10.18043/ncm.78.5.312

. 2017 Sep-Oct;78(5):312-314.

doi: 10.18043/ncm.78.5.312.

Insurance Coverage, Costs, and Barriers to Care for Outpatient Musculoskeletal Therapy and Rehabilitation Services

Erik Carvalho¹, Janet Prvu Bettger², Adam P Goode³

Affiliations

¹ clinical services coordinator, Division of Ambulatory Services, Department of Physical Therapy & Occupational Therapy, Duke University Health System, Durham, North Carolina.
² associate professor, director, Health Policy and Implementation Science, Duke Department of Orthopaedic Surgery, Duke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina.
³ associate professor, Duke Clinical Research Institute, Department of Orthopedic Surgery, Duke University School of Medicine, Durham, North Carolina adam.goode@duke.edu.

PMID: 28963265
PMCID: PMC6021174
DOI: 10.18043/ncm.78.5.312

Insurance Coverage, Costs, and Barriers to Care for Outpatient Musculoskeletal Therapy and Rehabilitation Services

Erik Carvalho et al. N C Med J. 2017 Sep-Oct.

. 2017 Sep-Oct;78(5):312-314.

doi: 10.18043/ncm.78.5.312.

Authors

Erik Carvalho¹, Janet Prvu Bettger², Adam P Goode³

Affiliations

¹ clinical services coordinator, Division of Ambulatory Services, Department of Physical Therapy & Occupational Therapy, Duke University Health System, Durham, North Carolina.
² associate professor, director, Health Policy and Implementation Science, Duke Department of Orthopaedic Surgery, Duke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina.
³ associate professor, Duke Clinical Research Institute, Department of Orthopedic Surgery, Duke University School of Medicine, Durham, North Carolina adam.goode@duke.edu.

PMID: 28963265
PMCID: PMC6021174
DOI: 10.18043/ncm.78.5.312

Abstract

Therapy and rehabilitation services improve patients' lives. Changes in health care insurance policies and coverage substantially influence out-of-pocket costs for patients and their families. This may lead to variability in services and barriers to appropriate health care. This commentary highlights the current variability and barriers for therapy and rehabilitation services.

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Conflict of interest statement

Potential conflicts of interest. All authors have no relevant conflicts of interest.

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References

1. Storheim K, Zwart JA. Musculoskeletal and the global burden of disease study. Ann Rheum Dis. 2014;73(6):949–950. - PubMed
1. Centers for Disease Control and Prevention. NIOSH Data and Statistics. [Accessed July 10, 2017];CDC website. https://www.cdc.gov/niosh/data/default.html. Updated December 22, 2015.
1. Medicare.gov. Your Medicare Coverage. [Accessed July 10, 2017];Medicare.gov website. https://www.medicare.gov/coverage/pt-and-ot-and-speech-language-patholog....
1. Medicaid.gov. Benefits. [Accessed July 10, 2017];Medicaid.gov website. https://www.medicaid.gov/medicaid/benefits/index.html.
1. North Carolina Division of Medical Assistance. Medicaid Services. [Accessed July 10, 2017];NC DMA website. https://dma.ncdhhs.gov/medicaid/get-started/apply-for-medicaid-or-health....

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[1] Storheim K, Zwart JA. Musculoskeletal and the global burden of disease study. Ann Rheum Dis. 2014;73(6):949–950. - PubMed

[2] Storheim K, Zwart JA. Musculoskeletal and the global burden of disease study. Ann Rheum Dis. 2014;73(6):949–950. - PubMed

[3] Centers for Disease Control and Prevention. NIOSH Data and Statistics. [Accessed July 10, 2017];CDC website. https://www.cdc.gov/niosh/data/default.html. Updated December 22, 2015.

[4] Centers for Disease Control and Prevention. NIOSH Data and Statistics. [Accessed July 10, 2017];CDC website. https://www.cdc.gov/niosh/data/default.html. Updated December 22, 2015.

[5] Medicare.gov. Your Medicare Coverage. [Accessed July 10, 2017];Medicare.gov website. https://www.medicare.gov/coverage/pt-and-ot-and-speech-language-patholog....

[6] Medicare.gov. Your Medicare Coverage. [Accessed July 10, 2017];Medicare.gov website. https://www.medicare.gov/coverage/pt-and-ot-and-speech-language-patholog....

[7] Medicaid.gov. Benefits. [Accessed July 10, 2017];Medicaid.gov website. https://www.medicaid.gov/medicaid/benefits/index.html.

[8] Medicaid.gov. Benefits. [Accessed July 10, 2017];Medicaid.gov website. https://www.medicaid.gov/medicaid/benefits/index.html.

[9] North Carolina Division of Medical Assistance. Medicaid Services. [Accessed July 10, 2017];NC DMA website. https://dma.ncdhhs.gov/medicaid/get-started/apply-for-medicaid-or-health....

[10] North Carolina Division of Medical Assistance. Medicaid Services. [Accessed July 10, 2017];NC DMA website. https://dma.ncdhhs.gov/medicaid/get-started/apply-for-medicaid-or-health....

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Insurance Coverage, Costs, and Barriers to Care for Outpatient Musculoskeletal Therapy and Rehabilitation Services

Affiliations

Insurance Coverage, Costs, and Barriers to Care for Outpatient Musculoskeletal Therapy and Rehabilitation Services

Authors

Affiliations

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