What PTs Need to Know About Utilization Management Reform

Discover how APTA Orthopedics is addressing administrative burdens and utilization management challenges affecting orthopedic physical therapists.In this Advocacy Update, host Bob Hall sits down with Anthony DiFilippo, PT, past APTA Board Member and chair of the Utilization Management Subcommittee, to discuss:- How utilization management can shift from denial-driven to outcomes-driven- The impact of prior authorization on patient care and clinician workload- Strategies to reduce administrative burden through evidence-based approaches- Linking clinical practice guidelines (CPGs) to auto-authorization for common MSK conditions- Collaboration with SPARC, APTA Regulatory Affairs, and Private Practice to push national reform- Transparency in digital risk scores and tiered authorization systems- Policy priorities to support adaptive, patient-centered care- How PTs can leverage new APTA resources to improve practice efficiencyThis conversation is essential for PTs navigating payer policies, helping them stay informed and advocate for better patient care.Target Audience:Orthopedic physical therapists, Clinic managers and owners, PTs navigating prior authorization and utilization management, APTA Orthopedics members, PT students interested in advocacy, Clinicians seeking policy updates and best practices