Many patients utilize workplace benefits to pay or partially pay for their massage therapy care. Insurers agree, there are benefits to receiving massage therapy, but are concerned benefits are short-term, lower cost alternatives for the same outcomes are available, and question the exploitive business practices of some practitioners. Insurers are signalling that change is coming, and stakeholders in the massage therapy profession should double-down on efforts to improve relations, ensure accountability and demonstrate efficacy. Join veteran RMT Don Dillon and MTC editor Jannen Belbeck as they point to signs that insurance reimbursement for massage therapy is ripe for change. We also provide updates from RMTAO ED Andrew Lewarne on a follow up meeting with Greenshield Canada, and the RMT ACT campaign to de-list massage therapy as a taxable health service.