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Episode 50

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Published on:

9th Apr 2024

Ep 50: Volume-Based vs. Value-Based Reimbursement Models in OT

Volume-Based vs. Value-Based Reimbursement Models in OT

Reimbursement models, in healthcare and business in general, incentivize specific behaviors. The reimbursement model you work under will directly influence what is expected of you. Once you have a better understanding of the incentive structures, you can work better within that structure. That’s why this week on The Amplify OT Podcast, I am talking about volume-based vs. value-based reimbursement models.


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In this episode, I cover:

  • Historically, the United States has leaned closer to a volume-based care system, only adopting value-based care alongside the Affordable Care Act of 2010.
  • Pros and cons of volume-based and value-based care models.
  • Fee-for-service (volume-based) can be compared to shopping at a grocery store and paying a specific price for each item you buy. 
  • Less common for OT practitioners, Capitated payments (value-based) can be compared to a gym membership where you pay a set dollar amount per month regardless of how many times you go to the gym. 
  • Bundled payments (value-based) are like getting a paycheck where a certain amount goes towards paying necessities like bills and groceries and the rest is up to you to spend as you choose. 


Amplify OT Resources

Want to keep learning about how insurance and reimbursement impact you? Then head to AmplifyOT.com/Services to see what resources we have available!



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About the Podcast

The Amplify OT Podcast
Empowering Occupational Therapy Practitioners to Lead Change in Healthcare
The Amplify OT Podcast is your go-to show for making sense of healthcare policy, advocacy, and reimbursement in occupational therapy. Hosted by Clarice Grote—occupational therapist, founder of Amplify OT, and self-proclaimed policy nerd who actually enjoys reading the long documents most people avoid—this podcast breaks down complex systems so you can navigate them with confidence.

No matter where you are in your occupational therapy journey—student, new grad, educator, or experienced clinician—you belong here as an important part of our OT Amplifier community. Each episode is designed to empower you with the knowledge and tools you need to understand how policy impacts your practice, your patients, and the future of the profession.

The work you do matters. Your voice matters. And advocacy isn’t just possible—it’s powerful. So let’s get started—because change starts here.

About your host

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Clarice Grote

Clarice Grorte is an occupational therapist and lived the transformation from guessing to confident by learning to understand policy.

She's the creator of The Amplify OT Podcast, Mastering OT Policy & Medicare™, and the Amplify OT Membership™.

She is passionate about spreading the word on the value of occupational therapy and proving to OTs and OTAs that they already have the skills the need to be amazing OT advocates