resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Defending With Vitamin D: Helps Prevent Progression to Diabetes
A 2014 clinical trial published in the American Journal of Clinical Nutrition provides additional evidence that optimal vitamin D nutritional status may be important in preventing the progression of prediabetes to diabetes in prediabetic adults.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Is the EHR Ship Setting Sail Without Us?
The numbers are in: As of July 2014, 10,253 doctors of chiropractic have received $123,059,868 in EHR stimulus funds – and yet that represents less than 15 percent of our profession.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
We Get Letters & E-Mail
Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
Are Your Work Orders in Order?
There are times when a patient's occupational duties will delay or prevent them from recovering. These circumstances create the need for the doctor to recommend modified duty or remove the patient from work.
Women's Health: Herbal Formulas to Help Patients With Dysmenorrhea
Chiropractors have long treated women for menstrual pain (dysmenorrhea). Since roughly 60 percent of all chiropractic patients are women and 30-50 percent of women have a history of menstrual cramps, the vast majority of doctors of chiropractic will inevitably see patients with dysmenorrhea.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
Image Is Everything: The Power of Branding
Successful businesses use color and design to attract people to their service. They understand how important image is and hire experts to create an attractive package. Starbucks works hard to create an atmosphere that is warm and inviting.
A Dream Come True for Chiropractic: Funding Prevention and Public Health
Back in 2005, Sen. Tom Harkin (D-Iowa) said: "Let's face it, in America today we don't have a health care system, we have a sick care system.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Love a Nurse – and They'll Love You Back
According to various sources, there are about 3 million registered nurses in the U.S., and according to the American Nurses Association, they are under serious pressure in today's health care reality.
News in Brief
Major Organizations Announce Joint Conference; Fighting for Section 2706; New Vice President of Chiro. Program at Parker; Two Families, One Chiropractic Dynasty.
State by State: Comparing Chiropractic Scope of Practice
"The issue of 'scope of practice' has been a bugaboo ever since our early quests for legal recognition for chiropractic," according to Dr. Claire Johnson, editor in chief of JMPT and National's other two chiropractic journals.
Billing for Same-Visit Extraspinal and Spinal Manipulation
Q: I have always been under the premise that when billing 98943, extraspinal chiropractic manipulation, on the same visit as spinal manipulation, 98940-98942, that the extraspinal manipulation requires modifier 51.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
The Art of Day-to-Day Assessment and Treatment: Clinical Pearls
Let's focus on the day-to-day process of assessing and treating the patient. I am proposing a particular attitude; a way of looking at the patient. This often evolves over a few treatments and then changes as you figure out what is significant.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Overcoming Barriers to Exercise Compliance
One of the most common questions other practitioners ask me is, "How do I get patients to do their exercises?" I am not frustrated by my patient compliance, as many doctors are; in fact, I am actually happy with my patients' involvement and commitment.
January, 2001, Vol. 01, Issue 01
Work More for Less
By Ralph Stephens, BS, LMT, NCTMB
Recently, a small group in the massage profession (less than 20% according to one questionnaire) has tried to promote the concept that we should rapidly do everything necessary to become accepted as providers by third-party payers.
Third-party payers are also known as either some form of insurance company or the government.Understand that neither of these organizations have any interest in providing benefits to consumers. Their interest is to take as much from consumers as possible and give as little as possible back. Think about this and remember it always.
There are many types of insurance. The most sinister is health or medical insurance, which will be more accurately referred to in this article as "sickness insurance." It is a part of the sickness industry that manages sickness and makes no significant income from healthy individuals. Sickness insurance is the banker (arguably the extortionist) for the allopathic medical system that treats symptoms, primarily with drugs and surgery: in other words, MDs, HMOs and hospitals. The sickness industry and its banker have no inherent desire for there to be healthy people, because it makes little money from them. They control people's sickness (managed care). They hate competition. They have sworn to eliminate all competing forms of health care. (That's us!) If they cannot eliminate the competition, they will attempt to suppress or control them. (That's us!) Do not fall for the reasonable sounding argument that sickness insurance wants to pay less claims and healthy people file less claims, therefore insurance wants healthy people.
The sickness insurance system was created by the medical industry to collect as much money as it can from as many people as possible, and funnel that money to the sickness industry. The insurance company gets to invest the premiums paid, to make as much money as possible for its owners or shareholders on the money while it holds it. When it doesn't have enough money to meet the appetite of the sickness industry and reward its owners, it raises premiums. Then the sickness industry raises its rates, which causes premiums to go up even more. Does this pattern sound familiar?
Other types of insurance in the health care arena, like workman's compensation and other personal injury or liability insurance, are somewhat different and are not part of the focus of this discussion.
It is quite amusing that many other health care professionals are trying to get out of the sickness insurance system and get back to working for the patient for fair and reasonable rates. Providers with other licenses (nurses, physical therapists, etc.) are changing professions and becoming massage therapists to get away from the control of insurance and Medicare/Medicaid restrictions. They are getting out of the sickness system so they can help more people. Why are massage therapists clamoring to get in? They want more money. They say it is to help more people, but it really is for the money. They will be very disappointed if they get their wish.
Chiropractors fought their way into the system through the legislatures and the courts. Has it brought them any better acceptance by the allopathic, medical-sickness industry? Very little, if any. DCs are ensnared in the sickness insurance system. It looked like they would make a lot of money from insurance, and initially, many did. However, now that the vast majority of DCs are dependent on third party payment and their patients addicted to it, the third parties are paying less and less. Recently, DCs are being charged fees to belong to provider networks. The numbers of visits per year or per occurrence are being limited. In California, American Specialty Health Plans (ASHP) has just "renegotiated" the fee for a chiropractic office visit. The fee has been lowered from $38 last year to $26 this year, a 30% decrease.1 This will probably trigger similar reductions by other plans and possibly Medicare and workers' compensation Want to work more and more for less and less? Want to make 30% less per year?
Do not be so idealistic as to believe that once a significant number of massage therapists are providers, networks won't treat them like they do the DCs. In fact, it has already started. Several networks are recruiting massage therapists. The contract requires the therapist to offer significant discounts to their published fees and not to charge over a specified amount. A clause in the small print says that the network can reduce the amount the therapist may charge whenever the network desires. The light at the end of the insurance tunnel appears to be a train.
The public has discovered massage. They are flocking to massage therapists and paying for services with their own money. Why interrupt this trend? Why get in the way of patients taking responsibility for their own health. The only thing that can stop the wave this profession is riding now is if its ego demands acceptance from the sickness system. That will never be accomplished. Why? Because massage is a health care system. We are an alternative. We are not complementary. Massage has the potential to become the premier wellness modality.
Health is not a right, it is an individual responsibility. We should support people in taking this responsibility, not help keep them in the sickness system. It is best to run away from sickness insurance and fight against government-controlled health care. Massage therapists should focus on better education and higher standards, not on appeasing or conforming to the sickness industry. We must strive to provide better health and wellness information and services to the public. We are a totally different paradigm. We are "health care"; they are "sickness care." The massage profession has emerged. It will continue to grow and blossom as long as it supports individuals taking responsibility for their own health. It will wilt and possibly die if it succumbs to the temptation of money from the sickness industry.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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