Chiropractic
Medicare, the Chiropractic Perspective
Written by Editor   
Tuesday, July 19, 2016 07:53 AM

In a 10-page letter to the Centers for Medicare and Medicaid Services (CMS) regarding Medicare programs, the American Chiropractic Association (ACA) made the following points regarding CMS Proposals.  The letter in its entirety is found here.  Portions have been highlighted for ease of reference.  You will find the information in this letter a helpful resource.

ACA appreciates the opportunity to provide comments … regarding the Merit‐Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive … published in the Federal Register on May 9, 2016.  ACA would like to begin by commending Congressional efforts to repeal the fatally flawed Sustainable Growth Rate (SGR) formula. We also applaud the Centers for Medicare and Medicaid Services (CMS) for the extensive work that has been done to transform the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) legislation into rules and regulations that would implement the Merit‐Based Incentive Payment System (MIPS) and the Alternative Payment Model (APM) program. We strongly support changes to the Medicare physician payment system that recognizes providers for value and quality of the care they provide versus the volume of patients seen … however, there is still concern by … doctors of chiropractic, regarding the number and complexity of the proposed rule provisions.

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Why Can’t We Just Forget About Medicine and Just Do Our Own Thing? Inverse Relationship
Written by Editor   
Tuesday, July 19, 2016 12:00 AM

For those who promote “Let’s forget organized medicine and just do our own thing,” what will you do about those who espouse the following policies?

Comment:  You should tell the MD everything you are doing to a patient, but the inverse is not true.  What if organized medicine were to try to make this a law?  How would you respond?

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Why Can’t We Just Forget About Medicine and Just Do Our Own Thing? You're Not Smart Enough
Written by Editor   
Tuesday, July 12, 2016 12:00 AM

For those who promote “Let’s forget organized medicine and just do our own thing,” what will you do about those who espouse the following policies?

Comment:  Continuing medical education should be focused on physicians (MDs/DOs). Courses teaching complex diagnostic, therapeutic or surgical procedures should be open only to those practitioners who have the appropriate medical education background and preparation.

You're not good enough because you're not smart enough.  You're not smart enough because we're not going to teach you or allow you to learn.  Who is in control of education and learning?  Organized medicine sure wants to be.  

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Why Can’t We Just Forget About Medicine and Just Do Our Own Thing? Medication
Written by Editor   
Friday, July 08, 2016 12:00 AM

For those who promote “Let’s forget organized medicine and just do our own thing,” what will you do about those who espouse the following policies?

Comment:  AMA supports the development of methodologically valid research on the relative impact of non-physician prescribing on the quality of health care.

Care to guess what their findings will be?

Excerpt:  AMA advocates that prescriptive authority include the responsibility to monitor the effects of the medication and to attend to problems associated with the use of the medication. This responsibility includes the liability for such actions. AMA supports the development of methodologically valid research on the relative impact of non-physician prescribing on the quality of health care.

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Value of Chiropractic Services Highlighted in National Report on Health Care Spending
Written by Editor   
Wednesday, July 06, 2016 12:00 AM

Americans are spending billions out-of-pocket for chiropractic services and other complementary health approaches according to authors of a new report by NIH’s National Center for Complementary and Integrative Health (NCCIH) and the Centers for Disease Control and Prevention (CDC).

“Substantial numbers of Americans spent billions of dollars out-of-pocket on these approaches, an indication that users believe enough in the value of these approaches to pay for them,” noted Richard L. Nahin, PhD, NCCIH’s lead epidemiologist and lead author of the expenditures analysis, which was conducted with data collected from a special supplement to the 2012 National Health Interview Survey.

According to the 2012 survey, Americans spent 14.7 billion out-of-pocket on visits to complementary practitioners such as doctors of chiropractic, acupuncturists or massage therapists. They also spent about $12.8 billion on natural products supplements (a quarter of what they spent out-of-pocket on prescription drugs).

With respect to chiropractic, NCCIH/CDC findings show that 8.4 percent of U.S. adults (about 19.4 million) used chiropractic or osteopathic services (spinal manipulation) in 2012, which was consistent with 2007 data. There was an increase in chiropractic/osteopathic services for children, however, with about 3.3 percent of American children (or 1.9 million) receiving treatment in 2012 – compared with 2.8 percent of children in 2007. Chiropractic was the most frequently used of the complementary services for children.

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