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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As a exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy.

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About the Podcast

The Amplify OT Podcast
Learn about insurance and billing… but in a fun way that makes sense.
Welcome to the Amplify OT Podcast. I’m Clarice Grote and I’m the host of the Amplify OT Podcast. I’m an occupational therapist by trade and a policy wonk by choice. The Amplify OT Podcast is where we break down healthcare policy and legislation to help you not only survive but thrive in this crazy US healthcare system. So, let's dive in!

Learn more about Amplify OT at www.amplifyot.com

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