In this episode, we delve into the critical transition from demonstrating the efficacy of exercise to proving its cost-effectiveness, a pivotal shift necessary for securing insurance reimbursement for supervised exercise therapy. We explore how the effectiveness of exercise, well-supported by numerous studies showcasing its benefits for various health conditions, forms the foundation. However, the challenge lies in aligning this efficacy with the economic metrics that insurance companies prioritize. Discussions will cover methodologies for quantifying health outcomes in monetary terms, the impact of long-term health cost savings, and the importance of structured exercise programs in preventive health care.
Moreover, the episode highlights the strategic approaches required to present a compelling case to insurance providers. This involves gathering robust data that not only underscores the direct health benefits and improved quality of life for patients but also demonstrates significant cost reductions in managing chronic diseases and potentially expensive medical treatments. By showcasing examples from programs that have successfully navigated this path, we aim to provide a roadmap for exercise professionals and healthcare providers. The goal is to expand access to supervised exercise therapy, ultimately making it a standard part of medical care covered by insurance policies.
Our Host: Michael Stack
Michael Stack is the founder & CEO of Applied Fitness Solutions, the Michigan Moves Coalition and the More than Movement Foundation. He is a faculty lecturer for the University of Michigan’s School of Kinesiology and the President of the Physical Activity Alliance. He is also the creator and the host of the Wellness Paradox Podcast, produced in conjunction with University of Michigan.
Michael is an exercise physiologist by training and a health entrepreneur, health educator, and fitness industry advocate by trade. He is dedicated to the policy and system changes to ensure exercise professionals become an essential part of healthcare delivery.
Links from this Episode:
Solving the Wellness Paradox in 2025 & Beyond
Client Outcomes: The Ultimate Professional Development and Accountability Tool