resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
February, 2001, Vol. 01, Issue 02
When Massage Meets Managed Care
Rising Inclusion in Health Care Plans Should Spark Debate
By Peter W. Crownfield
The issue of unity vs. separatism is not new to our nation's history, just well-traveled. The most notable example is the Civil War, fueled by the South's desire for economic and political separatism from the Union.
A century-and-a-half later, the issue of unity vs.separatism is still sparking national controversy, and once again, economic and political factors are involved. This time, it is not North vs. South, but massage therapy vs. managed care.
What follows are a few examples of recent agreements between managed care organizations and provider networks. These contracts already impact the practice activities of thousands of massage therapists - and the trend is almost certain to continue, involving even greater numbers of the massage community. (Editor's note: For a more specific discussion on the pros and cons of the debate, read this month's article from the editor's desk: www.massagetoday.com/archives/2001/02/06.html).
Complementary Healthcare Plans recently contracted with HealthNet Oregon, to provide its members with access to credentialed provider networks of alternative care providers, including massage therapists. Coverage under prepaid plans allows for self-referral and direct access to practitioners.
A preferred provider organization (PPO) in Portland, Oregon, Complementary Healthcare Plans provides health care services to 333,000 prepaid members and nearly 600,000 others under contract with managed care organization (MCO) and PPO plans.
Effective January 1, 2001, Blue Cross/Blue Shield Service Benefit Plan members have access to a national network of massage therapists, chiropractors, acupuncturists, and health and wellness products at discounted prices.
The program was instituted as part of an agreement with American Specialty Health Networks (ASHN), a San Diego, California-based organization. Members will receive discounts of up to 25 percent on visits to ASHN's credentialed network of providers and can make appointments directly without physician referral.
Members will also have access to various internet resources, including national online provider directories, educational information on complementary and alternative medicine, and discounted health and wellness products. The Blue Cross/Blue Shield Service Benefit Plan currently covers approximately four million federal employees, retirees and their family members.
ASHN has also contracted with HomeTown Health Network to provide alternative and complementary medicine services to HomeTown's 65,000 members throughout the state of Ohio. HomeTown members can access a credentialed network of massage therapists, chiropractors and acupuncturists.
These services are provided without gatekeepers and with discounts of up to 25 percent.
Additionally, an ASHN affiliate, Healthyroads.com, is providing internet-based services for HomeTown members, including a directory of the network's providers, educational resources, and discounted health and wellness products.
BlueCare Network, the HMO affiliate of Blue Cross/Blue Shield of Michigan, has launched a program called "Naturally Blue" that provides 20 percent discounts for massage therapy, acupuncture and nutritional counseling services. The agreement is with Landmark Healthcare, Inc., a Sacramento, California-based company.
Under terms of the agreement, Blue Care Network members can receive discounted services from any practitioner in Landmark's statewide practitioner network, simply by presenting their identification card.
The extent to which the inclusion of massage therapy in the managed care world will affect the profession remains to be seen. One thing is certain: the issue will generate substantial debate among the massage therapy community. Look for further information in future issues of Massage Today.
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