Rehab Remix – Managing Provider and Payer Perspectives with Stephen Kinsley

In this episode of #RehabRemix: Reimagining Boundaries, my discussion is with someone who has deep experience on both the provider and payer side of healthcare, and definitely the first in our series to address the Payer perspective. Stephen Kinsley, now with Ivy Rehab as their Head of Payer Strategy, spent many years in various leadership roles at SCA Health, a major arm of Optum Health in recent years.

Stephen’s energy and passion around everything he does is contagious. His unique experience with knowledge of both provider and payer, make him a valuable asset to our industry as we try to balance our approaches towards accountable patient-centered care. Stephen explains how payer-provider relationships have evolved from transactional contracting to deeper dialogue focused on value, and outlines nuances across the segments.

As Stephen so simply puts it – it’s all about the patient. In his words, “it comes down to the patient’s journey and his or her care, and I think sometimes we let other things get in the way of that.” By prioritizing the patient’s journey, we can better control healthcare spending while ensuring patients remain engaged on their healing journeys. “We all want the same thing!”

Stephen has a great way of categorizing us as patients; “you got your seniors, you got your everyday workforce, and the individuals that are unfortunate to get injured on the job”. Which then led us to discussing the role of PT in Workers’ Compensation, a great segment to realize near-term value by leveraging data-driven care.

00:00 Welcome to Rehab Remix

00:33 Meet Stephen Kinsley

01:55 Stephen’s Career Journey

03:10 How Payers View PT

04:35 Payer Types Explained

06:38 Hybrid Rehab Goes Mainstream

09:24 Value Based Care in PT

14:04 RTM Beyond Reimbursement

16:39 Burnout and Productivity Pressures

18:47 Point Solutions and Employers

21:32 Where Tech Makes Impact

26:24 Rapid Fire and Wrap Up

Where to find Stephen:

LinkedIn: https://www.linkedin.com/in/stephen-kinsley-bb377a14/

Where to find Rohit:

LinkedIn: https://www.linkedin.com/in/nayakr

Band Connect LinkedIn: https://lnkd.in/gGSFsPCg

Website: http://www.bandconnect.net

Tune in here for practical insights, real-world examples and a glimpse into where rehab is headed: https://bandconnect.net/rehabremix/

#HybridTherapy #PhysicalTherapy #OrthopedicRehab #EvidenceBased #HealthTech #MedTech #DigitalHealth #Musculoskeletal