
Therapists: Exhausted by Reimbursement Struggles? Change it up!!!
February 17, 2025Are Referrals DISAPPEARING? Change Your Game Plan!!! Are Payors ‘STEALING’ your Profits? Change your Game Plan!!!

For years, physical therapy clinics have relied on steady referrals from physicians to maintain patient volume. However, the landscape is shifting, and the referral pipeline is drying up. If you are still dependent on physician referrals, it’s time to rethink your strategy.
Why Are Referrals Declining? Referral Turmoil!
Fewer Orthopedic Surgeons, More Retirements
Average age of orthopedic surgeons is 56.5. Expected shortage of 5,050 orthopedic surgeons in 2025 is expected to result in longer patient wait times for care, fewer elective procedures, and fewer referrals to physical therapy clinics.
Private Equity Influence
50% of orthopedic practices are now backed by private equity groups, often focusing on profitability over patient-centered care and these organizations maintain internal rehab services.
Increasing Costs and Declining Reimbursements
The financial pressure is hitting both physical therapists and physicians:
- Expenditure per patient increased by 4%, making healthcare more expensive.
- The conversion factor medical providers’ reimbursements decreased by 2.83%.
Get Ahead of the Game And Change Your Game Plan NOW!
Your secret weapon? Direct-to-Employer Partnerships. Take the expertise you already have and structure it into revenue-generating programs that Employers are eager to support. The best part? You don’t need to go it alone – you are already part way there — you just need the right guidance for the right game change plan for you.
KEY Helps You Leverage What You Already Know
🔹 You have a balance program? Employers need to prevent workplace injuries and reduce Workers’ Compensation claims. Key will show you how to package and deliver your balance program to Employers and their Employees, creating a steady revenue stream for your practice.
🔹 You specialize in Shoulder Rehab? Many industries—from manufacturing to office jobs—deal with high rates of shoulder injuries. Turn your expertise into a structured workplace Early Intervention program. KEY will help you position and sell this service effectively.
🔹 You have expertise in Carpal Tunnel Syndrome? CTS costs businesses millions of dollars in lost productivity, Workers’ Comp claims, and Health Care. Employers need solutions. KEY will teach you how to structure these services and open the doors to Industrial Therapy.
Transitioning to Direct-to-Employer Partnerships: A great starting point? KEY Functional Prior-to-Hire Assessments. These assessments provide immediate value to Employers while opening doors for your additional services
Whether it’s return-to-work strategies, early intervention, or functional assessments, KEY can guide you in creating and selling high-value services that keep Employees healthy and productive. We work alongside therapists and clinic owners to help you explore, plan, and implement this shift. You don’t have to overhaul your practice — take gradual steps toward direct-pay partnerships with Employers through a structured, low-risk approach.
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Ready to Change up the Game?
Let’s move you into a solid, profitable future. With minimal expenditure and the right strategy, you can transition to include a business model that puts you in control.
Let’s talk about your next steps! Contact us today to explore your opportunities with KEY.