IN-HOUSE VS. CONTRACT THERAPY: WHEN TO MAKE THE SWITCH

Updated: Feb 19, 2020


The therapy program is a critical component of a provider’s operation so it’s vital that leaders have a good understanding of the benefits and pitfalls between the contract and in-house therapy models. Don’t be fooled, therapy will always be a vital component of a skilled nursing facility and will continue to drive successful patient outcomes. Savvy providers understand this and examine a multitude of factors across their organization when considering which model is ideal for their operation to ensure short and long term success.


Here we help break down important decision criteria under today’s post-acute care landscape when considering in-house vs. contract therapy.


At First Glance

During a period of change under PDPM, providers may be considering in-house therapy in order to achieve perceived short term cost savings and greater operational control over this critical department.  But if we dig deeper and consider the fact that many providers have not fully optimized process, coding practices and training under PDPM, the question that rises to the top is ‘what opportunities are being missed and how do these gaps get filled?’   The answer can be found with expert coding practices, proven collaboration processes, and ultimately a leadership team that is empowered with financial and clinical knowledge to be effective leaders.


A Deeper Look

With this early performance analysis of gaps in process and patient coding practices, the focus for post-acute care leaders needs to b