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Physical Exam 101: The Hands
I am sure you are familiar with the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
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.
Knee Pain From the Kinetic Chain
As practitioners of manual medicine, chiropractors often treat patients suffering from knee pain.
Coding for the Subluxation: ICD-9 vs. ICD-10
When I attended chiropractic school, I was taught that chiropractors approach health care differently than the traditional medical establishment.
Why You Should Include the Single-Leg Stance Test in Every Patient Assessment
The single-leg stance (SLS) test, also known as the single-limb stance test, unipedal stance test or one-legged stance / balance test, is often used in the geriatric population to assess static postural and balance control.
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.
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.
By the Numbers: 3 Common Financial Mistakes With Major Consequences
Warren Buffett is on record for sharing the hidden art of becoming wealthy and making it simple enough for anyone to grasp.
Curbing Label Overwhelm
For the average consumer, reading a food package can be overwhelming: natural, organic, non-GMO, gluten free, free range ... you get the picture.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Remembering Clarence Gonstead and 50 Years of the Gonstead Clinic
Dr. Clarence Selmer Gonstead (1898-1978) took chiropractic practice from back-alley bone setting to an understandable biomechanical science. His life was dedicated to clinical competency.
Are You a Bad Chiropractic Patient?
My father was a great DC. In fact, as you might expect, he was the doctor of chiropractic I measured all other doctors against. Sadly, he died at age 61 when I was in my early 30s.
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.
Vaccines and Chiropractic: Evidence-Based Medicine or Medical Dogma?
Right or wrong, the chiropractic profession has historically been against vaccinations. However, a growing trend within the profession is seeking to reverse this position.
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!
Immunizations by Colorado DCs: Really?
You probably didn't hear about it, but back on Nov. 21, 2013, the Board of Directors of the Colorado Chiropractic Association (CCA) adopted "immunization authority" for Colorado DCs as its No. 2 legislative goal.
The Science of Stretching
In 1986, Rob DeCastella set a course record by running the Boston Marathon in 2:07:51, just 39 seconds off the world record.
Fibromyalgia: Put the Pain in Its Place
While some fibromyalgia patients respond favorably to regular chiropractic care, others experience minimal relief. Unfortunately, many of these patients must rely on pharmacological management to relieve their constant pain.
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.
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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