New Maryland MSK Value Based Care Model

  • First opportunity for PTs in MD to participate in Value based Care models for Medicare
  • Only In Maryland
  • Episode triggered by a PT eval- 97161-97163
  • 30 day look back period through 6 months after trigger. 
  • They evaluate the entire MSK spend during that 6 month period and 50-80% of savings compared to benchmark period passed to practice
    Benchmark period for 2024-  PTs enrolled in Medicare in 2019

Additional Information and Resources