Physical therapy doesn’t have a value problem.

It has a positioning problem.

In this episode, Jimmy talks with Matthew Pratte about why private outpatient practices are getting squeezed — and what to do about it.

Key Topics Covered:* Why fee-for-service puts control in someone else’s hands * How inflation + stagnant reimbursement compress margins * Why scale favors hospital systems and large chains * The rise of direct-to-employer contracting * What self-insured employers are — and why they matter * Why PT clinics can often command higher per-visit rates through employer contracts * Misconceptions about size and selling * A simple first step clinic owners can take this quarter

Big TakeawayWaiting for reimbursement to improve isn’t a strategy.

Independent clinics must rethink who they sell to — and how they position PT as first-line musculoskeletal care.