resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
May, 2001, Vol. 01, Issue 05
Debunking Insurance Myths
By Ralph Stephens, BS, LMT, NCBTMB
As the debate surrounding third-party (insurance) payment for massage heats up, there are some myths that need debunking. The first is that if massage is accepted by insurance companies, the credibility of the profession will be enhanced.The parallel myth to this is that individual therapists will somehow be accepted as more professional and more creditable, because they will have the "stamp of approval" of some insurance provider(s). Those who think this way are looking backward. Before insurance will accept massage as a service worth paying for, credibility must already be established. The fact that millions of people are seeking massage therapy proves the credibility of our profession. The fact that the vast majority of these people are willing to pay for massage out of their own pockets shows not only the credibility of the profession and the practitioners, but also the effectiveness of the techniques. People will do about anything if someone else will pay for it, whether it works or not. However, they will not pay for it themselves unless they receive a noticeable benefit. Credibility and professionalism have already been established. Insurance will not enhance either of the two. If insurance does to massage what it has done to other professions, it will decrease massage's credibility and professionalism, and lead to the billing schemes other professions have been forced to develop to survive.
No organization or institution outside of our profession can give us credibility or professionalism. Both must be earned. If the goal is to foster these traits, we must look within and increase the quality our education and our entry-level standards. This will improve the level of service being provided, which will in turn raise demand even further.
Another myth is that we must knuckle under to insurance companies and reduce our rates; that we must give them discounts off our regular fees. This is complete foolishness. Again, insurance companies are not coming to us because they believe in what we do or because they want to be "hip." They are coming to us because their policyholders are demanding it. We control a seller's market. Yes, they dictate terms to all other providers. That is because all other providers have sold out to them and have become dependent on insurance money. The insurance company can do anything to these providers. That is why insurance payments to chiropractors are constantly being reduced. Insurance companies know that there is a 74% demand for alternative care by the public. They need us. We do not need them. To reduce our rates is admitting that we are currently overcharging and that our services are not actually worth our posted fees. One therapist, who is physically limited to about 4 1/2 hours of massage per day, figured that by reducing her rates as demanded by a provider network, her income would drop to the point that she could no longer sustain herself as a therapist.
Why can't the membership and certification organizations of our profession realize that we hold all the cards? They should be protecting their members from the predatory practices of insurance companies by defending our fees. They should be demanding that insurance companies accept us on our terms, without allopathic gatekeepers. Instead, they seem to be bowing down to insurance companies, begging them to take advantage of and enslave our members. Are the associations getting kickbacks from the insurance companies to sell their members down the river? Every wellness-based form of health care has been sold out from the inside by misleadership. Will we be the next victims?
It should be the choice of the individual therapist whether or not to work with insurance companies. There should be nothing preventing therapists from running their business the way they want. However, there should be nothing that requires a therapist to accept insurance and be controlled by the insurance company the way other health professions are. The problem is, there may be enough therapists desperate enough to get insurance dollars that the rest of the us will have to submit to being ruled by allopathic insurance mandates. This is not a scare tactic or false speculation. It is the truth. Want proof? Look at chiropractors: They were originally outside the system - all their patients paid for services. Now, allopathic gatekeeper physicians control what DCs can see and do, and for how long they can do it. DCs are relatively helpless now, as it has become difficult to have a successful practice without accepting insurance. We are at the beginning of this cycle. Will we learn from the past, or will shortsightedness and greed enslave us as it has all other providers?
It is not hard to find a massage therapist anymore. However, it is difficult to find a really good massage therapist. Most of the good ones are really busy, and few are interested in adding another layer of hassle and paperwork to their practice. Therefore, few of them accept insurance assignment. They might give the patient a form and let the patient file (the best procedure if you want to get paid for your services while you can still remember providing them), but few do the filing and receive payment directly from the insurance company. The lesson here, for those of you hoping that insurance will increase your income or your patient load, is to study, train, practice and do what it takes to become really good. Become the best that you can be. Do not settle for mediocrity or for the bare minimum. Become a wellness-oriented holistic health provider and work for your patients, not for insurance companies. Provide wellness care, not sickness care. Practice what you preach: be an example to your patients, a resource for them. Then you will join those who do not need (and seldom want) to deal with insurance.
Click here for more information about Ralph Stephens, BS, LMT, NCBTMB.
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