Not all therapy management delivers the same outcomes.
Most operators have never compared the economics and clinical depth of the different therapy management approaches side by side. We laid them out that way, positioned by approach, not by company name, so you can see why our model drives different outcomes.
| Contract therapy | Outsourced management | Vital Therapy: flat-fee partnership | |
|---|---|---|---|
| Core structure | Fully outsourced vendor | A partner advises / manages the program | You own the program; we provide the regional leadership and run it with you |
| Main focus | Coverage and utilization | Clinical reimbursement and compliance boxes | Driving measurable, person-centered resident outcomes |
| Clinical oversight | Vendor-run | Lighter, often remote | Regional leadership above the building DOR, we recruit, train, and hold the DOR accountable |
| Incentive | Can profit as labor intensity drops | Paid for oversight, not outcomes | Flat, census-based fee, aligned with your outcomes |
| What you keep | Vendor keeps a share | You keep more, carry the bandwidth | You keep the margin; we carry the management |
The Clinical Identification Effect
Better clinical care starts with truly knowing each resident. Models built around box-checking do the minimum, and residents who quietly qualify for more care go unseen. Because our therapists know each resident and each care plan, they identify the people who genuinely meet the standard for medically appropriate therapy, and they build the documentation to support medical necessity on every claim. Healthier residents come first; the stronger financial results that follow are a product of doing that well, never the goal.
See the Vital Therapy difference for yourself.
The best way to understand the difference is a conversation. In 20 minutes on a call, or over a visit to your buildings, we’ll walk you through how the model works, share what we’ve done for operators like you, and answer anything on your mind. No pressure, no obligation.
We do not set facility or therapist revenue targets. Every resident is individually evaluated, and we treat only those who independently meet industry standards for skilled care and medical necessity.
Frequently asked questions
What is a therapy management agreement?
A model in which your facility employs the therapy team and a partner runs the program, staffing, clinical leadership, compliance, and analytics, for a fee. Vital Therapy’s version uses a flat, census-based fee instead of a share of revenue.
Contract therapy vs. in-house, which is better?
It depends on your goals and bandwidth. Contract therapy is simple, but the vendor keeps much of the margin. Running it fully in-house keeps the margin but consumes management capacity. Vital Therapy is a therapy management company with a flat-fee model built differently: you keep the margin and we carry the management, with a focus on outcomes.
How does the flat-fee model work?
You pay one transparent, census-based fee, no revenue split. As your census and clinical needs change, our support scales with you, while the fee structure keeps our incentives aligned with your residents’ outcomes and your performance.
Will working with Vital Therapy change our compliance exposure?
Our model is built to support medical necessity on every claim, with ongoing monitoring of documentation, supervision, and units and a dedicated compliance function. Care is individually evaluated against industry standards. Results and circumstances vary; nothing here is a guarantee of any outcome.