News & Information
All In?
Written by Chris Dalrymple D.C., F.I.C.C.   
Sunday, August 26, 2018 05:02 PM

Adapted from a Facebook posting

Medicare. Why are we continually asked to donate money at the national level.  We are focused more on Texas Chiropractic aren’t we?  Well, a recent Facebook posting by a chiropratic leader fully explains what’s going on and why it’s important that we all rally behind the support of congressmen as well as state legislators, especially when it comes to the issue of Medicare, a federal issue.

Medicare currently defines “for the purposes of Open Payments, physician is any of the following types of professionals that are legally authorized by the state to practice, regardless of whether they are Medicare, Medicaid, or Children’s health Insurance Program (CHIP) providers:  Doctors of Medicine or Osteopathic Medicine; Doctors of Dental Medicine or Dental Surgery;  Doctors of Podiatric Medicine; Doctors of Optometry; Chiropractors.  Note: Medical residents are excluded from the definition of physicians for the purpose of this program.”

While it would seem to imply that anyone with an active license in one of these three fields is a physician under Medicare, this intrepretation is not applied to doctors of chiropractic.   Says Medicare.gov: “Medicare Part B (Medical Insurance) covers manual manipulation of the spine if medically necessary to correct a subluxation when provided by a chiropractor or other qualified provider.”  It further notes that “Medicare doesn’t cover other services or tests ordered by a chiropractor, including X-rays, massage therapy, and acupuncture” and that “you pay all costs for other services or tests ordered by your chiropractor (including X-rays, massage therapy, and acupuncture).

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$110 Million Recovered for Texas in Medicaid Fraud Settlements
Written by Editor   
Saturday, August 25, 2018 12:00 AM

Texas Attorney General Ken Paxton today announced that pharmaceutical giant AstraZeneca agreed to pay $110 million to the state of Texas to settle lawsuits alleging that the company falsely and misleadingly marketed two of its drugs in violation of the Texas Medicaid Fraud Prevention Act.

AstraZeneca was accused of engaging in false and misleading marketing schemes at a time when the company was under the strict obligations of a 2010 federal “corporate integrity agreement” resulting from prior allegations of Medicaid fraud. The federal agreement prohibited Astra Zeneca from promoting its antipsychotic medication Seroquel and cholesterol-lowering statin drug Crestor for uses not approved by the FDA, but Texas alleged the company continued to do so anyway. Such illegal pharmaceutical promotion is commonly referred to as “off-label marketing.”

AstraZeneca allegedly promoted its powerful and potentially dangerous antipsychotic drug to Texas Medicaid providers, who primarily treated children and adolescents when those drugs were not approved as safe and effective for use in that vulnerable population. Attorney General Paxton’s office accused AstraZeneca of making hundreds of thousands of dollars in illegal payments to two former state hospital doctors to unduly influence the use of Seroquel in the state hospital system.

The company was also accused of a similar nationwide marketing fraud scheme involving Crestor, including allegations that AstraZeneca executed a plan of deception targeted directly at Texas Medicaid to expand the use of the statin beyond what the science supported, while downplaying a significant risk of diabetes in certain patients.

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Texas Wins Multistate Obamacare Tax Lawsuit, Recoups Over $839 Million
Written by Editor   
Thursday, August 23, 2018 05:25 PM

Attorney General Ken Paxton commended a U.S. District Court decision ordering the Internal Revenue Service to repay Texas and five other states more than $839 million because of an unlawful Obamacare tax on state Medicaid programs. Of that total amount, Texas stands to be repaid $304,730,608.

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ICA Calls for the Immediate Withdrawal of Blue Cross Blue Shield of Illinois’ “Choose Wisely” X-Ray Limitations
Written by Editor   
Thursday, August 23, 2018 04:48 PM

The International Chiropractors Association (ICA) has called for Blue Cross Blue Shield (BCBS) of Illinois to withdraw a portion of its coverage standards derived from the "choose wisely" guidelines.

The coverage standards listed under Diagnostic Imaging Services state that "The purpose of diagnostic imaging is to gain diagnostic information regarding the patient in terms of diagnosis, prognosis, and therapy planning. Required standards for each imaging study must meet the following four standards:

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Move 4 Life Highlighted for National Chiropractic Health Month
Written by Editor   
Thursday, August 23, 2018 04:43 PM

The American Chiropractic Association (ACA) and its members will encourage the public to move more – to “Move 4 Life” – during National Chiropractic Health Month 2018 (NCHM) this October. Movement is essential to overall health as well as preventing back pain, so as part of this year’s campaign chiropractors will share tips on staying active and maintaining muscle strength and joint flexibility.

Research shows that movement is vitally important, especially as we get older. Physical activity not only helps reduce the risk of cardiovascular disease, Type 2 diabetes and even some cancers, it also strengthens our bones and muscles. As we age, the health of our bones and muscles -- known as our musculoskeletal system -- is key to reducing the frequency and severity of common conditions such as back pain as well as preventing falls and other injuries that can lead to disability. For these reasons, it’s essential to move now, to move later…to move for life…to stay healthy and strong, active and engaged.

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