A terrific collaborative opportunity exists today for providers and pa
yers of neurorehabilitation services to benefit from one another's ini
tiatives and creativity. That opportunity will be realized when provid
ers and papers candidly address each others' business and clinical mis
sions and also issues of societal and moral obligations (ie, ethical c
oncerns). To date, these discussions have been limited or nonexistent.
Substantial existing data document the clinical effectiveness of neur
orehabilitation services, which, in an era of managed health care, pro
vide a financial opportunity for the payer community. This article pre
sents a framework by which providers and payers of neurorehabilitation
services can initiate discussions and reap mutual benefits.