Business Episodes

Physical therapy is at a crossroads. Clinicians are leaving the profession faster than schools can replace them, reimbursement has not kept pace with a seven-year training pathway, and the job title of “doctor” sometimes lands on a workday that looks very different from what students expected. David DeGumbia has spent nearly three decades inside outpatient PT — from athletic training with the Miami Dolphins to leading multi-site operations at HealthSouth and Select Medical, and now as Chief O...

Nick Patel leads APTQI, the alliance of competing community-based rehab practices that used to regroup only when a crisis hit — a Medicare cut, a bad regulation — then quietly fall apart once the fire was out. He helped turn that pattern into something permanent: a standing coalition of 9,000 practice locations that pools research, clinical expertise, and lobbying power year-round. His path into advocacy started with a torn ACL and an offhand comment from his own physical therapist that changed...

An experienced biller stuck on hold with an insurance company all afternoon is a cost many clinics quietly learn to accept. Nick Hedges, CEO of Raintree, calls revenue cycle management the most expensive, most human-hours-lost problem in the entire industry, and his clients spend 7% or more of everything they collect just to get paid. That number is why Raintree acquired Spike Technologies, the agentic AI company Povilas Gudzius co-founded after earning his PhD in machine learning. Hear why th...