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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.
By Jimmy McKay, PT, DPT | Physical Therapy Podcast4.8
193193 ratings
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.

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