August 20, 2026 - Economic Insider

OrthoTexas and Resilient Healthcare Expand At-Home Physical Therapy Across North Texas

Economic Insider Staff on August 20, 2026

By: Anna Giambelluca

UMP Partners’ OrthoTexas expands at-home physical therapy through Resilient Healthcare’s technology-enabled care platform

Resilient Healthcare, a healthcare technology and services company enabling healthcare organizations to extend clinical services beyond traditional facilities, today announced the continued expansion of its partnership with OrthoTexas, part of United Musculoskeletal Partners (UMP), to provide outpatient physical therapy in patients’ homes across North Texas.

The expansion comes as Resilient’s work to move hospital-based healthcare services traditionally into the home was recently highlighted by Modern Healthcare, reflecting growing industry interest in care models that expand patient access while using technology to better support clinicians.

As of November 2026, OrthoTexas will comprise five unified practices, all partnered with UMP and operating under the unified OrthoTexas name. Those practices are All-Star Orthopedics, AOA Orthopedic Specialists, North Texas Orthopedics & Spine Center, Orthopedic Associates and OrthoTexas Orthopedics & Sports Medicine. Together, they represent more than 70 physicians across 22 locations throughout Dallas-Fort Worth and recorded more than 450,000 patient encounters in 2025.

OrthoTexas began using the Resilient platform in December 2025 to incorporate outpatient physical therapy at home into the orthopedic care continuum. Since launch, at-home physical therapy volume has grown significantly, with continued expansion expected throughout 2026.

“We designed this program around something very simple: patients should be able to receive the care prescribed by their physician in the setting that works best for them,” said Parind Patel, President of UMP Texas. “By incorporating at-home physical therapy into pre-operative planning and connecting it directly to physician-developed rehabilitation protocols, we can create a more seamless transition from surgery, to recovery at home, and ultimately to clinic-based therapy as the patient progresses. The adoption we have seen demonstrates the value patients place on having that flexibility.”

Transportation and access can become significant barriers to physical therapy in the days and weeks following orthopedic surgery. Patients may travel considerable distances to undergo surgery with the physician of their choice, but returning that same distance several times each week for rehabilitation can be difficult. Work schedules, family responsibilities, and temporary mobility limitations can further affect a patient’s ability to consistently participate in therapy.

Through Resilient, eligible OrthoTexas patients can begin outpatient rehabilitation in their homes with one-on-one care, with the flexibility to transition into an outpatient clinic or another appropriate therapy setting as their recovery progresses.

The program is incorporated into pre-operative care planning, so patients understand their rehabilitation pathway before surgery. Clinical protocols are developed by OrthoTexas physicians and therapists, helping ensure patients receive the appropriate rehabilitation program based on their procedure, physician protocol and clinical progression.

Supporting the program is RAIN, Resilient’s AI-enabled care platform, which connects referral intake, scheduling, clinical workflows, documentation and patient information across the care journey. RAIN gives clinicians relevant patient information and physician protocols in one place, helps organize their daily workflow and reduces time spent searching through records, preparing documentation and managing repetitive administrative tasks.

For Resilient, reducing that administrative burden is also a clinician quality-of-life initiative.

“Healthcare innovation cannot only be about making care more convenient for the patient. We also have to build a better experience for the clinicians delivering it,” said Dr. Jackleen Samuel, Founder and CEO of Resilient Healthcare. “Clinician burnout is real, and too much of a provider’s day is still spent organizing schedules, searching through patient records, and completing repetitive documentation. RAIN is designed to give that time back while allowing clinicians to focus on their patients and practice at the top of their license. OrthoTexas is showing what happens when you combine that technology with a physician-led care model that follows the patient from surgery into the home and through recovery.”

The technology also supports continuity as patients move between care settings, helping keep the rehabilitation plan and relevant clinical information connected throughout recovery.

OrthoTexas continues to maintain a healthy mix of home-based and clinic-based rehabilitation. Clinic-based therapy remains an important part of the continuum, with patients able to receive care in the setting most appropriate for their clinical needs, geography and personal preference.

During its first six months, the partnership has expanded patient access and supported adherence to physician-prescribed rehabilitation protocols.

“The greater value is giving our patients another way to successfully complete the recovery plan prescribed by their physician,” Patel said. “Removing barriers to therapy while maintaining continuity across the episode of care makes this a valuable part of our broader care model.”

Resilient and OrthoTexas expect the at-home rehabilitation program to continue scaling throughout North Texas.

U.S. Treasury Expands Long-Term Bond Buybacks

Economic Insider Staff 2 on August 20, 2026

The U.S. Treasury is at least doubling the maximum size of selected long-term bond buyback operations beginning Sept. 9, raising limits from $2 billion to at least $4 billion. The change targets 10- to 30-year nominal coupon securities as long-term yields remain elevated. Here is what the move means for liquidity, borrowing conditions, and the bond market.

Key Takeaways

The Treasury is increasing the maximum size of selected long-term buyback operations from $2 billion to at least $4 billion.
The larger operations will cover nominal coupon securities in the 10-to-20-year and 20-to-30-year maturity sectors.
The increased limits will take effect Sept. 9, 2026, and remain in place through Nov. 4.
The 30-year Treasury yield reached 5.337% on Aug. 18 before falling to 5.187% on Aug. 19.
The change is a Treasury liquidity and debt-management action, not a Federal Reserve monetary policy decision.

The U.S. Treasury announced Aug. 19 that it will at least double the maximum size of selected liquidity-support buyback operations for longer-dated Treasury securities. The change raises the maximum purchase amount from $2 billion to at least $4 billion per operation.

The announcement focuses on securities with maturities between 10 and 30 years and comes as long-term Treasury yields remain elevated. The 30-year Treasury yield reached 5.337% on Aug. 18 before falling to 5.187% the following day.

For investors and financial institutions, the expanded U.S. Treasury buybacks add purchasing capacity to parts of the secondary market where liquidity can vary between older securities and newly issued benchmark bonds. For the federal government, the move comes amid continued attention to borrowing conditions, debt-management costs, and demand for longer-dated securities.

Treasury At Least Doubles Selected Long-Term Buyback Limits

The Treasury said the larger operations will apply to nominal coupon securities in two maturity sectors: 10 to 20 years and 20 to 30 years.

Under the new limits, Treasury will be able to purchase at least $4 billion during each selected operation, compared with the previous maximum of $2 billion.

The department said the increase is intended to provide greater liquidity support in longer-dated nominal securities. Treasury cited the significant volume of high-quality offers it routinely receives during these operations as a reason for increasing the maximum purchase amount.

The change does not establish a fixed amount that Treasury must purchase during every operation. A maximum of at least $4 billion gives the department greater capacity to accept eligible securities, but the amount actually purchased can depend on the securities offered and the terms of each operation.

Treasury also said an updated tentative buyback schedule will be released separately.

The broader fiscal environment has placed additional attention on Treasury financing. Recent data on the federal budget deficit provide additional context for government borrowing as fiscal 2026 moves into its final months.

Larger Operations Target 10- to 30-Year Securities

U.S. Treasury buybacks allow the department to purchase previously issued government securities from market participants.

The expanded limits apply specifically to longer-dated nominal coupon securities rather than the full Treasury market. Treasury identified the 10-to-20-year and 20-to-30-year sectors for the higher maximum purchase amounts.

Liquidity-support buybacks provide market participants with another opportunity to sell eligible outstanding securities to Treasury. This can be particularly relevant for older securities that may trade less actively than newly issued benchmark Treasury bonds.

The program does not replace Treasury’s regular issuance of new debt. Buybacks involve securities already trading in the market, while Treasury auctions continue to provide the government’s primary mechanism for issuing new securities and financing federal obligations.

Treasury’s Aug. 19 announcement tied the larger limits to the volume of offers received in the longer-dated sectors. The department said those operations routinely attract significant volumes of high-quality offers.

That distinction helps explain the scope of the decision. Treasury is increasing the amount it can purchase during selected operations rather than announcing a fixed total buyback commitment across all maturity categories.

September-to-November Schedule Sets the Near-Term Window

The expanded buyback limits are scheduled to begin Sept. 9, 2026, and remain in effect through Nov. 4, covering the remainder of Treasury’s current refunding quarter.

Treasury said information about buyback sizes beyond that period will be provided at the next Quarterly Refunding on Nov. 4.

The defined window gives market participants a timetable for when the higher purchase limits will apply. Treasury has not yet released the updated tentative schedule showing the individual operations associated with the larger limits.

The timing also means the higher limits did not take effect immediately after the Aug. 19 announcement. The first operations under the expanded framework are scheduled for September.

Market yields, however, moved on the day of the announcement. The 30-year Treasury yield declined to 5.187% on Aug. 19 after reaching 5.337% a day earlier. The 10-year yield also moved lower during the session.

Those movements provide market context rather than proof that the buyback expansion alone determined the direction of yields. Treasury rates respond to a range of factors, including demand for government debt, inflation expectations, economic data, and expectations for Federal Reserve policy.

Elevated Long-Term Yields Frame the Market Context

The Treasury announcement followed a period of elevated long-term yields, with the 30-year yield reaching 5.337% on Aug. 18. According to the supplied market reporting, that was its highest level since 2007.

Long-term Treasury yields matter beyond the government bond market because they serve as reference rates for other forms of financing. Changes in benchmark government yields can influence borrowing conditions for companies, financial institutions, and households.

Higher yields also affect federal financing costs over time as Treasury issues or refinances debt at prevailing market rates. That makes longer-term yields relevant to both market participants and federal debt management.

Treasury’s decision adds buying capacity to selected long-term securities during a period of elevated yields, but the department described the change in terms of liquidity support rather than an attempt to set a particular interest-rate level.

Economic data and expectations for monetary policy can also influence the market. Previous analysis of Treasury yields and rates examined how changing expectations for Federal Reserve policy can affect government bond yields.

The expanded buybacks therefore represent one factor within a much broader Treasury market. They may affect liquidity in eligible securities, while the direction of benchmark yields continues to depend on multiple financial and economic conditions.

Treasury Liquidity Operations Are Separate From Fed Policy

U.S. Treasury Expands Long-Term Bond Buybacks

Photo Credit: Unsplash.com

The Aug. 19 announcement is a Treasury debt-management action rather than a Federal Reserve interest-rate decision.

The distinction matters because the two institutions have different responsibilities. The Treasury manages federal borrowing and the government’s outstanding debt, while the Federal Reserve conducts monetary policy.

Treasury described the expanded operations as liquidity-support buybacks. The announcement did not change the federal funds rate or alter the Federal Reserve’s monetary-policy framework.

The higher limits also apply only to the specified longer-dated nominal coupon sectors. They do not establish a blanket $4 billion minimum or maximum for every category of Treasury buyback.

By purchasing eligible securities already trading in the secondary market, Treasury provides an additional source of demand and a regular avenue through which market participants can offer qualifying securities.

The next Quarterly Refunding on Nov. 4 will be the next scheduled point for Treasury to provide information about buyback sizes beyond the current period.

The Buyback Expansion Adds Capacity Without Setting Yield Direction

The immediate significance of the announcement is narrower than a change in interest rates but still relevant to the functioning of the Treasury market.

Selected U.S. Treasury buybacks will now have at least twice the previous purchasing capacity for 10-to-30-year nominal coupon securities. That gives Treasury more room to accept eligible offers during liquidity-support operations between Sept. 9 and Nov. 4.

The move also arrives at a time when longer-term borrowing costs are receiving increased attention. Elevated Treasury yields affect government financing conditions and serve as benchmarks for other parts of the credit market.

Still, the larger buybacks do not establish a target for Treasury yields. Market rates continue to respond to economic data, inflation expectations, investor demand, fiscal conditions, and Federal Reserve policy expectations.

For now, the key change is operational: Treasury is increasing the maximum size of selected long-term purchases while maintaining its stated focus on liquidity in the 10-to-30-year sectors. Further guidance on U.S. Treasury buybacks beyond the current refunding quarter is expected at the Nov. 4 Quarterly Refunding.

Frequently Asked Questions

What are U.S. Treasury buybacks?

U.S. Treasury buybacks are transactions in which the Treasury purchases previously issued government securities from market participants. Liquidity-support buybacks give holders of eligible outstanding securities another opportunity to sell those bonds to Treasury.

How large will the expanded Treasury buybacks be?

The maximum size of the selected operations will increase from $2 billion to at least $4 billion per operation. The higher limits apply specifically to the designated longer-dated nominal coupon sectors.

Which Treasury securities qualify for the larger operations?

The expanded operations apply to nominal coupon securities in the 10-to-20-year and 20-to-30-year maturity sectors. Treasury did not announce the same increase for every maturity category.

When will the expanded buyback limits take effect?

The larger operation sizes are scheduled to begin Sept. 9, 2026, and remain in effect through Nov. 4. Treasury said an updated tentative buyback schedule will be released separately.

Will the larger buybacks determine long-term Treasury yields?

The announcement does not establish a target for long-term Treasury yields. Yields respond to several factors, including economic data, investor demand, inflation expectations, fiscal conditions, and expectations for Federal Reserve policy.

Disclaimer:

This article is for informational purposes only and does not constitute financial, investment, legal, or tax advice. Treasury yields, bond prices, and market conditions can change rapidly. Readers should conduct their own research and consult a qualified financial professional before making investment decisions.