The Staffing Model CMS Wants to Ban Is Already Running Your Local Nursing Home
A friend of mine used to work in my clinics; these days he’s a traveling PT, picking up contract assignments around the country.
Half Hour Ahead
A place to think out loud about where physical therapy is going and how we lead through what’s next.
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Latest posts
You Can't Hire Your Way Out
Derek Falkenstein on the student-debt math, building clinic leaders, and why creating capacity starts with getting patients better faster.
RTM Didn't Cause This Problem. It Might Still Pay For It.
CMS is trying to solve a real problem in remote monitoring. The question is whether fixing what went wrong in one model has to make another kind of care harder to deliver.
Still Coded for 1994
We're practicing in 2026 and still getting paid like it's 1994. Justin Moore on the limits of fee-for-service, and why the future of PT depends on stewarding our own people.
The Codes Go Together
You can bill every code in the book and still miss the point of RTM. Rick Gawenda on coding, audit risk, and why the real skill is a therapist logging in between visits.
Tell Them It's Billing and They'll Treat It Like Billing.
Some thoughts on how good ideas die, and on the part of care we never learned to see
The Market Is Too Big for Either of Us Alone
We have been arguing about who deserves the bigger share of the ten percent while the ninety percent is still waiting.
Ballet, PT, and the Art of Being in the Right Place at the Right Time
A few thoughts on the quiet ways institutions lose people before they can even engage.
The First Call Is the Plan of Care
Jerry Durham on why visit focus is killing owners, why the front desk is three different jobs, and how one phone call sets the trajectory for a completed course of care.
The 2026 Practice Playbook
Five shifts any practice can make this year to capture the best market in a generation.