Fully a quarter of PT cases "were completely unmanaged, using non-network providers and undergoing little quality or cost-containment review."

This sort of passive approach to PT/OT coverage characterizes 57 percent of networks that were included in the analysis. Typically, these networks offer discounts to employees after treatment is concluded, but they have essentially no involvement in or management of the treatment regimen itself.

"In order to maximize impact, there needs to be an emphasis on channeling to quality providers, employing treatment plans that are evidence-based, as well as fostering collaboration with all stakeholders throughout the entire course of therapy," said Pat Chavanu, president of Network Synergy Group. 

Chavanu said focusing on the cost per service involved in therapy is the wrong way to view the subject. Rather, the utilization of those services can be a greater predictor of outcomes.

Network Synergy said the key features of a comprehensive and fully managed PT program include:

• The ability to direct injured workers to a defined network of credentialed providers with proven track records of providing superior results.

• Utilization of best practices and proven standards of care, with robust clinical controls to ensure consistent results for every injured worker.

• Processes to screen, credential and educate providers to ensure they possess the knowledge, tools, and, importantly, the commitment to meet the injured worker's treatment goals.

"The problem is not that employers are unaware of the importance of optimal PT programs and networks in the management of injuries," said Chavanu. "It is simply that many of the PT cases that employers thought were managed, were not."