News & Information

The Texas Chiropractic eSource is your connection to Texas Chiropractic news, updates and events and is emailed to members on a bi-weekly basis.

If there is news that you believe needs to be shared with the profession please send the news, or a link to the news to [email protected]

 
WebMD Makes Historic Invite to Chiropractors
Written by Editor   
Tuesday, April 16, 2019 08:15 PM

WebMD enjoys 5 million visits a day and is widely considered the most popular health site on the Web. Less well-known is the fact that WebMD also has a doctor directory, which enjoys somewhere in the neighborhood of 7 million searches on a monthly basis.

Doctors of chiropractic have been eligible for inclusion in the WebMD doctor directory, but few have chosen to participate, and WebMD certainly hasn't promoted anything to that effect. That is, until now.  In collaboration with the Foundation for Chiropractic Progress (F4CP), WebMD is inviting all DCs to add their practice details as a free listing on the WebMD doctor directory. All Foundation for Chiropractic Progress members will automatically be added to the directory and will receive an email linking them to their initial listing, where they can provide additional information to complete the listing.

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TDI to Review "Old Law" Chapters of Code
Written by Editor   
Tuesday, April 16, 2019 08:09 PM

The Texas Department of Insurance, Division of Workers' Compensation (DWC) will review all sections within the “Old Law” chapters, Chapters 41-69, of Title 28, Part 2 of the Texas Administrative Code (TAC), in accordance with Texas Government Code § 2001.039.

Accordingly, DWC is accepting public comments on whether the rules within the “Old Law” chapters, 28 TAC Chapters 41 – 69, still have reason to exist and whether these rules should be repealed, readopted, or readopted with amendments as required for rule review under Texas Government Code § 2001.039. 

DWC is specifically requesting comments as to whether 28 TAC § 42.105 (DWC, Medical Fee Guideline) should be updated to reference the current requirements of 28 TAC § 134.201 (DWC, Medical Fee Guideline for Medical Treatments and Services Provided under the Texas Workers' Compensation Act).

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Health Insurers Have Inconsistent Policy Terms for Non-drug Pain Treatments
Written by Editor   
Tuesday, April 16, 2019 08:05 PM

Public and private health insurance policies in the U.S. are missing important opportunities to encourage the use of non-drug alternatives to opioid medication for treating lower back pain, a study led by researchers at Johns Hopkins Bloomberg School of Public Health has found.

The researchers looked at Medicaid, Medicare and major commercial insurers' 2017 coverage policies for non-drug options for treating chronic lower back pain--a common pain condition that is often treated inappropriately with prescription opioids. They found that insurers have inconsistent policy terms for non-drug treatments, and provide little or no coverage for interventions which have some scientific backing.

“This study reveals an important opportunity for insurers to broaden and standardize their coverage of non-drug pain treatments to encourage their use as safer alternatives to opioids," says study senior author Caleb Alexander, MD, MS, associate professor of epidemiology at the Bloomberg School.

CDC officials estimate that 49,031 Americans died from opioid overdoses in the 12-month period ending in December 2017. In 2016, more than 40 percent of those deaths were due to prescription opioids. This epidemic has been encouraged by a several-fold increase in opioid prescriptions since the turn of the century--most of which are thought to be medically unnecessary. Current CDC guidelines note that "Non-opioid therapy is preferred for chronic pain outside of active cancer, palliative, and end-of-life care." 

Even for physical therapy specific coverage policies were inconsistent. “Some plans covered two visits, some six, some 12; some allowed you to refer yourself for treatment, while others required referral by a doctor," Alexander says.  

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Are Insurers Aware of Their Legal Obligations to DCs?
Written by Editor   
Tuesday, April 16, 2019 08:00 PM

Excepted and expanded from Are Insurers Aware of Their Legal Obligations to DCs? by James Lehmann, DC, MBA, FACO

What are the changing ethical and legal business behavior expected from health insurance companies based upon federal law.  Over the decades that have been many changes regarding reimbursement by third-party payers for chiropractic services. First, there were reasonable and necessary reimbursements from insurance companies. Then came managed care. The managed care companies often claimed to practice medicine, and frequently generated severe reductions in reimbursement and caused increased administrative costs for providers. Now, we struggle with documentation issues, restrictive guidelines and shrinking third-party reimbursements.

What are the legal obligations of insurers?  Of primary consideration should be Section 2706of the Affordable Care Act (ACA), “Nondiscrimination in Health Care.” It requires that insurers include and reimburse licensed health care providers in health insurance plans stating that: 

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