The initiative embeds physical therapists as primary screeners within the Hartford HealthCare network, utilizing standardized functional assessments to catch risks before they escalate into hospitalizations or falls. By moving care upstream, the program aims to preserve patient independence while documenting clinical outcomes that could justify broader adoption of alternative payment models. The pilot was announced during the APTA Payment Advocacy Summit in Portland, Oregon, highlighting a strategic push to integrate physical therapy more deeply into value-based healthcare systems.

Scaling Value-Based Outcomes

APTA developed the Growing Older and Living Stronger (GOALS) model through extensive collaboration with federal agencies, including the Centers for Medicare & Medicaid Services. The current pilot serves as a proving ground for the model’s scalability across diverse environments, from independent practices to large accountable care organizations. Data collection will continue throughout 2026, with a comprehensive analysis expected in 2027. APTA President Kyle Covington noted that the partnership demonstrates the proactive role therapists can play in mitigating health risks, while Hartford HealthCare’s Chris Carlin emphasized the model's adaptability for preserving patient mobility across the care continuum.