Episode 22

Interview with Dr. Marc Gruner from Limber about Remote Therapeutic Monitoring

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About this Episode

  • Introduction of a new product called Aging Here newsletter
  • Request for subscriptions and feedback for Aging Here
  • Introduction of guest Dr. Marc Gruner from Limber Health
  • Marc's background as a physician and entrepreneur
  • Marc's involvement in creating new CPT codes for RTM
  • Introduction to Limber Health and its solution for improving therapy adherence
  • Explanation of how Limber's app helps monitor and track exercises at home
  • Importance of home exercise therapy for better outcomes
  • Potential for house calls in physical therapy
  • Challenges with traditional paper printouts for home exercises
  • Importance of creating a sustainable lifestyle of exercising at home
  • Average age of patients receiving remote therapeutic monitoring (RTM)
  • Problems solved by Limber: confusion, compliance, unnecessary surgeries, cost reduction
  • Frustration as a physician prescribing physical therapy
  • Barriers to successful therapy: cost, time, travel
  • Need for codes to support RTM model
  • Involvement in the development of new RTM codes
  • Importance of a good business model for providers
  • Collaboration with AMA and other stakeholders to develop new codes
  • Importance of filling out forms and persevering through the process
  • Overview of the process for physical therapists using Limber Health
  • Risk stratification and evaluation of patients' pain and function
  • Selection of exercises for patients to do at home through a portal
  • Care navigators reaching out to patients and monitoring their progress
  • Remote monitoring of exercises and tracking pain and function
  • Providers are the buyers and pay for the services
  • Difference between RTM and RPM billing: RTM can be billed by various providers including physical therapists
  • Potential impact on revenue for physical therapists and improved patient outcomes
  • Providers, including physicians, PAs, NPs, and physical therapists, can bill RTM codes
  • Reimbursement for RTM codes varies based on billable milestones achieved
  • Limber and similar companies support providers with technology and clinical services
  • RTM codes can be used in fee-for-service and value-based care models
  • Limber aims to lower total cost of care and improve patient outcomes
  • Maryland offers innovative value-based care models through programs like Equip
  • Providers can sign up for Limber's services through a contract and training process
  • Participating providers may receive shared savings in value-based care models
  • Patients are informed and consent is obtained for remote therapeutic monitoring
  • Patient awareness of risk-taking in value-based care models may vary and can be addressed with the state of Maryland
  • Limber does not have a direct-to-consumer model but works with provider groups in various states
  • Providers using Limber's system can be identified through partnerships and collaborations
  • Compliance with therapy can potentially offset or delay the cost of procedures like knee replacements.