Compensating Exercise Professionals: Navigating Insurance Reimbursement and Future Opportunities with Christina Badaracco

This is the eleventh episode of our special podcast series exploring the Sept/Oct themed issue of the American College of Sports Medicine’s Health & Fitness Journal on professionalization and advocacy. In this episode, we’ll explore the important and complex topic of payment, with Christina Badaracco, the lead author for the article in the themed issue entitled "Compensation for Exercise Professional Services."

Christina has an extensive background in clinical research, healthcare policy, and public health program development. She’ll provide insights into various reimbursement models, including cash pay, health savings accounts, and insurance reimbursement, and how better understanding these methods and advocating for improvements can increase both accessibility and professional recognition in the exercise field. Christina shares her recent work with Avalere and the Physical Activity Alliance, shedding light on healthcare integration opportunities for interventions delivered by exercise professionals.

Discover the hurdles that exercise professionals may face in a changing compensation landscape, from increased paperwork and lower reimbursement rates to the necessity for specialized knowledge and additional staff. We delve into the importance of clear quality measures and evidence-based programs to showcase the impact of fitness on health outcomes and healthcare costs. Additionally, Christina's explore the parallels between physical activity and the food is medicine initiative, and the importance of advocating for better integration, reimbursement, and support for advancing lifestyle medicine. This is an episode packed with strategies and insights critical for all exercise professionals to understand as they travel on their professionalization journey. 

Show Notes Page: https://wellnessparadoxpod.com/episodeacsm11

Our Guest: Christina Badaracco, MPH, RDN, LDN

Christina works as a healthcare consultant and nationally recognized thought leader, focusing on advancing the role of nutrition and lifestyle medicine in healthcare. She also regularly writes, teaches, and develops curriculum about nutrition, culinary medicine, and sustainable agriculture—including publishing The Farm Bill: A Citizen’s Guide, publishing cookbooks with the Transamerica Institute, and co-developing a culinary medicine course at the Georgetown University School of Medicine and lifestyle medicine shared medical appointment series for MedStar Health in the DC metro area. She is currently guiding a start-up focused on healthy and sustainable food in hospitals and several other innovative food projects. 

In her most recent full-time role as a healthcare consultant at Avalere, Christina advised various healthcare industry clients (including the Physical Activity Alliance) in care transformation and evidence generation. Christina previously worked for the Environmental Protection Agency, Teaching Kitchen Collaborative, Oakland Unified School District, and other prominent organizations. She serves as president of the DC Metro Academy of Nutrition and Dietetics and a Slow Food DC board member. She earned her MPH from UC Berkeley and her AB in Ecology and Evolutionary Biology, with a minor in Italian, from Princeton University. 

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