News & Information
Written by Andrea Howard   
Friday, February 16, 2018 11:08 AM

Chiropractors across the country are rightfully upset about the recent policy change at Blue Cross Blue Shield in which BCBS is denying payments for E/M Services, particularly those when billed with the modifier 25. Please know that TCA is well-aware of what’s happening and is determining the next steps to take.

Here is TCA’s official response to our members and all Texas chiropractors:

Influenza Hospitalizations Highest on Record, Flu Reminders For Staff
Written by Editor   
Thursday, February 15, 2018 09:29 AM

Overall hospitalizations for influenza-like illness (ILI) are at their highest since the US Centers for Disease Control and Prevention (CDC) began collecting such data. 

"In the past week, we have seen increased [ILI] activity, more hospitalizations, and tragically, more flu-associated deaths in children and adults," the acting director, CDC, said. "As of this week, overall hospitalizations are now the highest we've seen, even higher than in 2014-2015, our previous high season. Unfortunately, our latest tracking data indicate that flu activity is still high and widespread across most of the nation. This is an unusual pattern for flu in the [United States]."

Congressional House Introduces Bill to Expand Chiropractic Access to Military Families
Written by Editor   
Thursday, February 15, 2018 09:26 AM

A bill introduced recently in the Congressional House of Representatives and supported by the American Chiropractic Association (ACA) would expand access to chiropractic services to military retirees, dependents and survivors through the Department of Defense TRICARE health program.

The legislation (H.R. 4973), introduced by Rep. Mike Rogers (R-Ala.) and Rep. Dave Loebsack (D-Iowa), would not only enable those who currently receive chiropractic care to continue their treatment but would also establish, in the wake of the nationwide opioid crisis, an important non-drug option for pain management in the program.

National Health Spending at $3.5 Trillion, $5+ Trillion in Less Than a Decade
Written by Editor   
Thursday, February 15, 2018 09:07 AM

National health spending grew by an estimated 4.6% in 2017, to $3.5 trillion, up slightly from a 4.3% increase in the growth rate in 2016, officials from the Centers for Medicare & Medicaid Services (CMS) said Wednesday.

The projected increase was due in part to increased growth in Medicare spending and higher premiums for health insurance bought through the Affordable Care Act's marketplaces, officials said. Over the longer term, national health spending is expected to increase 5.5% annually over the next decade -- 1% faster than the increase in the gross domestic product during that period -- reaching a total of $5.7 trillion by 2026.

Spending on physician and clinical services grew by an estimated 5% in 2017, to $698.3 billion, a decline from 5.4% in 2016, said an economist at CMS's National Health Statistics Group. The proliferation of high-deductible health plans, which encourage less spending on healthcare, will have contributed to that deceleration.

Neurotransmitters, Adrenals, Blood Sugar & Nutrition
Written by Andrea Howard   
Thursday, February 15, 2018 12:00 AM

Guest Contributor Jesse Davis, DC
Sponsored by Innate Response

The adrenal glands are a primary stress response organ and play a key secondary role in raising blood sugar. Primarily performed by pancreas-originating glucagon, adrenal hormones, like cortisol, and neurotransmitters like epinephrine, contribute to raising blood sugar as well. Since glucose in the blood is critical for brain function, the body employs a tight web of control using several mechanisms to regulate blood sugar levels. 

When blood sugar is physiologically detected as low, glucagon is secreted by the pancreas to promote the release of glycogen from the liver. This same mechanism is how epinephrine (aka adrenaline) raises blood sugar in the body. Epinephrine is also released during times of acute stress such as a threat or noxious stimuli.  Epinephrine is directly mediated by the central nervous system (CNS) through the sympathetic nerve system, which stimulates the adrenal medulla.

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