Change the Model: Why PT’s Business Model Is Breaking

Physical therapy doesn’t have a value problem. It has a positioning problem.In this episode, Jimmy talks with Matthew Pratte about why private outpatient practices are getting squeezed — and what to do about it.Key Topics Covered:Why fee-for-service puts control in someone else’s handsHow inflation + stagnant reimbursement compress marginsWhy scale favors hospital systems and large chainsThe rise of direct-to-employer contractingWhat self-insured employers are — and why they matterWhy PT clinics can often command higher per-visit rates through employer contractsMisconceptions about size and sellingA simple first step clinic owners can take this quarterBig TakeawayWaiting for reimbursement to improve isn’t a strategy.Independent clinics must rethink who they sell to — and how they position PT as first-line musculoskeletal care.