Direct Access allows patients to go directly to a physical therapist without a doctor's referral, and
have the visit paid for by an insurance provider.  This is a right granted to better serve the public by
allowing physical therapists to serve as an alternate route of entry into health care.  
Conshohocken
Physical Therapy is a Direct Access facility.

A recent study, in the journal Health Services Research (HSR), reviewed 62,707 episodes of physical
therapy using non-Medicare claims data from a Midwest insurer over a 5-year period. Patients who
visited a physical therapist directly for outpatient care (27%) had fewer visits and lower overall costs
on average than those who were referred by a physician, while maintaining continuity of care within
the overall medical system and showing no difference in health care use in the 60 days after the
physical therapy episode.

The study is noteworthy because services delivered by physical therapists account for "a significant
portion" of outpatient care costs in the United States, according to the study, and some health
insurance plans require a physician referral for reimbursement of these services.  

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