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Allan Besselink

The Disconnect Between Patients, Insurance, Incentives, And Cash

Tuesday, 21 May 2013 23:04 Written by Allan Besselink

disconnectThe phrase "cash-based practice" has become a hot topic and trendy phrase lately. Many physical therapists have headed in this direction. My clinical practice has been cash-based since 2004.

There is a strange perception in health care that third party payment (via insurance) and cash-based practices are inherently different. Perhaps it is because of the perceived "skin in the game" that the patient has when they hand you cash (or a credit card) directly upon receipt of services rendered.

What is forgotten is that no matter how you cut it, both are cash-based. Worse yet, both are built upon a foundation of misguided incentives.

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Rhubarb Report: Episode 37

Thursday, 29 March 2012 22:30 Written by Allan Besselink

Rheum rhabarbarum - RhubarbLook around you any day of the week and you will probably find someone in an uproar over their rights. “I have the right to do such and such in this country”, they will say. And yes, Virginia, rights do come with the Constitution and citizenship.

But with those rights come responsibilities. You really can’t have one without the other – at least if you want the system to work effectively.

Episode 37 of the Rhubarb Report delves into the right to stand your ground – depending on the state, of course - along with a discussion of unalienable rights. Should you peruse Episode 37 a little further, you’ll even find a rather intriguing Top 10 list that might just get you thinking, just in time for November’s election.

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Sunday, 19 May 2013 23:07 Written by Allan Besselink

bridging knowledge to healthStop for a moment and reflect on this thought: who is the most important person in health care?

Or another thought, if you are a provider: why are any of us in health care?

It is a simple answer - the patient.

When we speak to the patient about their problem, who is the only one to have the history at their fingertips? The patient.

And when we look at the quality of care, who ultimately has to live with the outcome? The patient.

Once and for all, people, this is all about the patient.

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Longhorns Update: One And Done, Or National Powerhouse?

Tuesday, 27 March 2012 22:24 Written by Allan Besselink

IMG_0334The University of Texas men’s basketball program seems to be stuck in a bit of a rut these days. There seems to be a bit of an identity crisis. Is this a program that promotes the “one and done”, NBA farm club mentality? Or does it truly desire to be one of the elite programs in the NCAA?

The problem has existed in earnest over the past decade, but the impact has been felt dramatically over the past 4 years. Sure, there are 14 consecutive NCAA tournament appearances. Numbers like that are reflective of a developing national program. But look a little deeper. Since the Final Four appearance in 2003, what has happened? Worse yet, over the past 4 years they have advanced to just the First Round twice (2010 and 2012) and the Second Round twice (2009 and 2011).

Maybe this is the question that needs to be asked of coach Rick Barnes before the 2012 – 2013 season. Is the goal to be a fertile ground for wannabe NBA players? Or is the goal to truly develop players and build a program?

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Robin McKenzie 1931 - 2013

Monday, 13 May 2013 23:56 Written by Allan Besselink

It is with great sadness today that I note the passing of world-renowned physiotherapist Robin McKenzie at the age of 82.

I, like many of my colleagues, have struggled throughout the day. I have found myself challenged to find words to adequately describe what I am feeling right now. There have been tears. And there have been wonderful memories.

I could recount McKenzie's tremendous impact on physiotherapy, musculoskeletal care, and health care as a whole, or his development of the McKenzie Method of Mechanical Diagnosis And Therapy. I am sure that my efforts would be an understatement to his legacy.

But the profound sadness that I feel today is due to the loss of a great man that had a huge impact on who I am as a person.

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More Articles...

  • Growing Up With The World Of Formula One
  • Scientific Plausibility And Reimbursement
  • Longhorns Update: March Microcosm
  • The Inconvenient Truth About Normal

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Allan Besselink

Allan Besselink, PT, DPT, Dip.MDTAllan Besselink, PT, DPT, Ph.D., Dip.MDT has a unique voice in the world of sports, education, and health care. Read more about Allan here.

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