Why Insurance PT Models Are Breaking Down

This episode dives into one of the biggest shifts happening in physical therapy right now: the gap between what patients need and what insurance allows. Jimmy, Tony, and Dave break down: • Why most AI solutions in healthcare never make it past pilot phase • How insurance limitations are shaping care delivery • The rise of hybrid and post-rehab fitness models • Why clinical skill is no longer the main differentiator • How communication, sales, and patient buy-in drive outcomes Key Insights: • 95% of AI pilots in healthcare never scale—adoption is the real problem • Insurance caps are forcing clinics to find new care models • Neuro and long-term patients are underserved by traditional PT • Cash-based PT is growing because patients value time and outcomes • Pre/post testing isn’t just clinical—it’s a sales and trust tool • PTs are trained to “not lose,” but progress requires risk Why This Matters: If you’re a clinic owner, this is about adapting your model before it’s forced on you. If you’re a staff PT, this is about understanding what actually creates value in today’s market.

You can listen to Why Insurance PT Models Are Breaking Down online on Radio and Podcast. Open the player on this page to stream the available audio.

Why Insurance PT Models Are Breaking Down is an episode from PT Pintcast by Jimmy McKay, PT, DPT | Physical Therapy Podcast.

This episode is 0:50:27 long.

This episode was published on Apr 8, 2026.

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