Thanks to the efforts of the American Occupational Therapy Association, beginning in 2022 occupational and physical therapy assistant Medicare reimbursement will be cut by 15%. Oh, and they solved the cap problem for PT and speech therapy by doing so.
Per a CBO report from
February 6th, 1.2 billion of the 6.45 billion cost to repeal the
therapy cap would be offset by the reimbursement changes.
Let's get the background here. Therapy caps have been in place for many years, and for nearly every year there has been an exceptions process that worked around the cap. This was a bigger problem for PT and speech, who because of a misplaced comma (so the mythology goes), had to share one cap while OT had its own cap.
The exceptions process worked to solve this problem for many years. Several members of the OT community tore this issue apart and discussed it ad nauseum on the OT Connections site to help educate students and members about Medicare reimbursements. None of that convers…
According to the 'ACOTE Entry-Level Task Force Report to ACOTE in December, 2014 (p. 381-393), some stakeholders appear to be 'more equal' than others.
The notion of being 'more equal' is a reference to Animal Farm and the pigs who ran the farm. They famously stated that "All animals are equal, but some animals are more equal than others." In simple terms, the ruling elites of Animal Farm made claims that everyone is equal, but then we discovered that they provided benefits and power and privileges only to their elite comrades.
What privileges are handed out by AOTA/ACOTE? The answer can be found starting on page 381.
AOTA/ACOTE overtly places stakeholders onto different 'lists.' These are not categories or labels of my design - these are the actual lists of AOTA/ACOTE:
The 'A' List:
Educational Program Directors
Academic Fieldwork Coordinators
OT/OTA Clinicians a…
The headline of the piece was unfortunate - but headlines are frequently written by editors and not by people who write articles. What is interesting is that the article was written by people who work for R Street, which is a conservative and libertarian-oriented think tank that promotes free markets. That the issue of AOTA, ACOTE, and credential inflation caught the attention of this group is noteworthy. This is not an OT group. These are external stakeholders interested in trade and market issues.
Concerns about the decision to raise degree requirements without any functional justification or evidence, and the concerns that the decision will damage the profession and its consumers, are not going away.
The occupational therapy profession should continue to question and pressure its professional association. OTA schoo…