Tom Kassan, DPT

Doctor of Physical Therapy | Private Practice owner | Chair, APTA of CT Public Policy Committee | Co-Chair, DEI Committee | Would rather be on a mountain

[Tom Kassan, DPT @TomKassan]

@BradkDPT @APTAtweets Sounds good on paper but what if it's 20% of your business and you're staffed accordingly? Do you lay off one PT due this drop? Do you tell families you've treated for years sorry we can't see you anymore bc of your insurance?

[Tom Kassan, DPT @TomKassan]

@ryanhanrahan What are we looking at for timing today?

[Tom Kassan, DPT @TomKassan]

@AndreasRemis While this seems prestigious, I'm not really sure how necessary this is after a DPT and Ortho residency. Also seems to focus a lot on topics beyond our scope. What do you hope to gain from this?

[Tom Kassan, DPT @TomKassan]

@AndreasRemis Interesting fellowship. Do they not have direct access where you practice? I'm genuinely curious because I've had direct access in CT my entire career and 50-75% of my patient pop has been direct access since I opened my practice 4 years ago.

[Tom Kassan, DPT @TomKassan]

@GregLehman @NickHoopes_ How does insurance factor into this? If a patient can walk, climb stairs, etc, most commerical payers don't care what their quad ratio is

[Tom Kassan, DPT @TomKassan]

@rcpointdujour Any time something doesn't make logical sense, the answer is simple: GREED

[Tom Kassan, DPT @TomKassan]

Physical therapists are blue collar workers, despite having a doctoral degree. No WFH, often work 2nd shift/nights and/or weekends. Get paid same or less than other blue collar professions. Minimal upward mobility

[Tom Kassan, DPT @TomKassan]

@drjoshfunk Do you have a strategy on how to "stay small" while also growing?

[Tom Kassan, DPT @TomKassan]

This is what being a PT is all about.

[Nick Hoopes @NickHoopes_]

8 months ago, Ryan suffered a C5 SCI.

3 months ago, he was told he has “reached his maximal potential” by a renowned Neuro hospital.

He was sent home with a power wheel chair and minimal guidance other than “change your insurance to Medicaid”

Today: He did this.
4 x 60 feet

[Tom Kassan, DPT @TomKassan]

@NickHoopes_ Nick. I don't say this lightly. You're truly an inspiration to the profession and need to be nominated for some APTA award. Your dedication to your patients and ability to treat such a diverse demographic of patients is outstanding.

[Tom Kassan, DPT @TomKassan]

@DrSethPT Curious, what do you consider the "basics" to be?

[Amy Faith Ho, MD MPH @amyfaithho]

Let’s not forget, the @cmsgov $/RVU conversion has decreased reimbursement universally every year since 2020. 6% cut in reimbursement through a pandemic…in an economic setting of 4.5% inflation. How does that make sense to have over a 10% pay cut for our “healthcare heroes”? 🤨@AmerMedicalAssn @AMPAConline @ACEPAdvocacy

[Tom Kassan, DPT @TomKassan]

@frank_benedetto It's not the added education. It's the poor reimbursement we continue to accept from insurance companies that never increased with higher education. They are literally making billions in profits every quarter, yet don't share that with providers.

[Tom Kassan, DPT @TomKassan]

@kyleflood @DerekGriffin86 @GregLehman @PhysioNetwork Touche, yes I guess by definition it is. Just typically lifting more weight wouldn't be considered a modification, would it?

[Tom Kassan, DPT @TomKassan]

@DerekGriffin86 @GregLehman @PhysioNetwork Lol ok were playing this game. Sure by all means have them lift with "poor form". Curious tho, in clinical practice how often do you see that vs what I referenced?

[Tom Kassan, DPT @TomKassan]

@DerekGriffin86 @GregLehman @PhysioNetwork Hm interesting take. So if someone has pain deadlifting and is unable to lift a heavy object, and cueing for form/muscle recruitment allows them to lift the heavy object pain free, that's just symptoms modification?

[Tom Kassan, DPT @TomKassan]

@scottcarlinpt @AlanaKinrich was just asking about this.. sparked an interesting discussion

[Tom Kassan, DPT @TomKassan]

@NickHoopes_ 100%, do this on a weekly basis if not daily. I find most people delay seeking care for smaller aches/pains. Once they start PT, see benefits and trust the provider, they ask about their other issues. It's how it should be. The hip bones connected to the knee bone after all.

[Tom Kassan, DPT @TomKassan]

@GregLehman @PhysioNetwork You don't see pts with back pain over extending their lumbar spine when performing hip extensions and reporting pain? Then cueing to engage glutes more and reduce lumbar ext alleviates pain?