resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Ringing in a Fiscal New Year With a Recommitment to Cost-Effectiveness
Back when the Foundation for Chiropractic Education and Research was in its heyday, I used to send out New Year's greetings and virtual noisemakers to some close friends on July 1 – the beginning of our new fiscal year – wishing for prosperity in the year ahead.
The Truth About Herbs
I appreciate the effort and research put into the article written in the June issue of Acupuncture Today regarding pesticides and Chinese herbs.
The Science Behind Happiness
Are you happy right now? Whether yes or no, there are a myriad of reasons why you feel that way. A whole academic discipline has developed to find out what causes or obstructs happiness, and how to amplify it.
How to Find Your Ideal Patient – and Help Your Ideal Patient Find You
Just imagine: You're at the front desk looking at the scheduler and a smile creeps across your face. Row after row, name after name, hour after hour; you're blessed with an entire day of ideal patients. Every day should be like this, you whisper. Exactly!
Thoughts to Live By
When speaking to your patients about their health make sure to ponder the following points and have them assess if they are making themselves even more sick by the thoughts they have about life. Are these some of the traits and thoughts that your patients might have?
The Spirit of the Point
After receiving a large amount of positive feedback on my San Zhen Protocols series, I have decided to focus this article on some relevant clinical aspects of acupuncture therapy prior to moving on to San Zhen Protocols III.
Decompression-Traction: A Core Treatment Method in Chiropractic's Future
We're all competing for new patients. We're competing for new patients with physical therapists, massage therapists, medical specialists and hospital fitness centers. We're even competing with side-effect-ridden medications that quit working every four hours.
History of Animal Acupuncture: Part II
In Part I of this article, I had gone back to 1969 and tried to describe the atmosphere and events of that year that engulfed many of the younger generation, some who were all the core members of the National Acupuncture Association.
Healing Community Trauma in Israel and Palestine
It's the beginning of August and Israel and Hamas have just agreed to a 72-hour ceasefire after a month of brutal fighting. In the last four weeks, 1,830 Palestinians and 67 Israelis have been killed.
News in Brief
Oregon Gov. John Kitzhaber (a medical doctor, no less) proclaimed October 2014 "Oregon Chiropractic Health and Wellness Month" in an official proclamation signed Aug. 25, 2014.
When Big Pharma Meets Chinese Medicine
Earlier this year, Bayer made a media splash with their decision to buy the Dihon Pharmaceutical Group Co., a Chinese TCM manufacturer.
Detoxification for Athletes: The Key to Winning Performance
One of the most dangerous culprits that affects an athlete's ability to perform at an optimum level also happens to be one of the most elusive.
Don't Forget About the Performers
Donald Petersen Jr.'s recent article, "Your Chance to Go Back to High School" [May 1, 2014 DC], focused on the injuries incurred by high-school athletes and the subsequent opportunities for the chiropractic profession.
A Healthy Dose of Failure is Vital to Your Success
As an acupuncturist I tend to see people after they have already suffered for years and "tried everything." They are so desperate for some relief that they want to know everything about how to get better, right now.
Get Ready For AOM Day
This year, AOM Day 2014 falls on Friday, (October 24th). This is a great opportunity to make your AOM Day celebration or event even bigger by extending it throughout the weekend!
Take Care of Your Skin: Tips to Pass on to Your Patients
Many of our patients are not aware that the largest organ in the human body is actually the skin. Accounting for 16 percent of total body weight and covering up to 22 square feet of surface area, the skin is more than just a "covering," as originally thought.
Watch Out for Red Herrings
In clinical practice, when one condition mimics another, it makes it difficult to obtain an accurate and timely diagnosis.
Building the DC-MD Bridge
From MDs practicing integrative holistic medicine to the family internist, many DCs are enjoying unprecedented attention from their allopathic colleagues.
A Glimpse Into China's Top Brain Hospital
The sounds of the city pass through the open window are overwhelming the microphone - car horns, construction machinery - and then there's the family at the adjacent bed talking loudly on cell phones, yet you can still hear the faint beep of our patients monitoring equipment.
From the Other Side of the Table
People come to us to gain freedom from pain, to feel better, to live better. As D.D. Palmer stated, "We Chiropractors work with the subtle substance of the soul." Therein also lies the rub.
Your Patients' Best Health Resource
There is nothing as powerful as information. The right information has won wars, saved lives and changed hearts; lack of information has led to hesitation, poor decisions and unintended consequences.
MPA Media Wins Seven Publishing Awards
MPA Media, publisher of Acupuncture Today, among other titles, has been recognized for editorial and design excellence with an unprecendented seven publishing awards by the ASBPE, the nation's largest organization for business-to-business publications.
June, 2001, Vol. 01, Issue 06
We Get Letters & E-Mail
By Editorial Staff
Editor's note: The first two letters reference "When Massage Meets Managed Care," from the February 2001 issue of MT. The article can also be viewed on line at http://www.massagetoday.com/archives/2001/02/04.html).
"I don't agree with pushing these managed care plans"
I really enjoyed your article in the February issue of Massage Today regarding massage therapy and insurance/managed care.I am a licensed massage therapist and have been practicing for 10 years. I have always been in a clinical environment, and I think it is a huge mistake for massage therapists to join these insurance plans.
Insurance is very destructive in a lot of cases. The insurance companies control the provider and the insured. They dictate the type of care people can receive and also dictate how much the provider receives for providing these services.
I think managed care will devalue the massage profession. If people truly understand the benefits of massage therapy, they will pay for it. Those who will only come if their insurance will pay are usually not interested in getting better or overcoming any type of problem, and they will drain you in numerous ways.
Why are we pushing this so strongly? I truly do not understand the mentality of the therapist who would want to join managed care. I have a very strong practice - completely booked with standing appointments (seeing 30 people per week); a waiting list; and all cash-paying clients.
I know there may be differences in the type of practice and type of clients other massage therapists have, but I still think we shouldn't be pushing these managed care plans. We should be able to have thriving practices simply by educating people and putting the appropriate value on the work we provide.
Lisa E. Kirk, LMT
"It's the game we should be preparing to play"
I received your February issue, and I have to say that your article on health insurance plans is right on track. What you have failed to mention is how the insurance game is typically played today by those already accepted into the "system." Inflated prices are commonplace in medicine, directly because of (in my opinion) these "modest discounts." And at one point I'm sure that they were just that: modest discounts. Doctors charged a fair price for their services, and people paid the doctor directly. Then came the third-party payor system and the progression of policy to what we see today. According to their tables (which are based on inflated prices), a 25% discount is modest. It is their world with their own benchmarks and standards. Doctors are forced to increase their rates disproportionately to get the insurance company to eventually pay a little more. We can see the evidence of this in the inflation rate of health care costs which are growing at 200% that of inflation (according to my memory from past news spots). It is commonplace for doctors to bill $300 and get paid $50 by insurance, while those paying cash get stuck with the whole bill.
It is clear that medical costs in general have become grossly distorted. However, we as massage therapists have not yet played the game of insurance long enough to become equally inflated. However, we have played the game of what the competitive market will bear, in which there is no room for grossly inflated prices. In order to survive financially and play their game, we too will have to become inflated in price to absorb the cost of discounting services. If we do play, we will become dependent upon the system, because no one outside of our contracts with the insurance company will be able to afford us. Moreover, the discretion of the therapist to appropriately treat the client will automatically be limited to what the prescribing physician orders and the insurance approves. For example, a physician writes a script for "massage" therapy for a patient's low back pain, and insurance approves the treatment for x # of sessions. Those who know little or nothing about holistic therapies will limit your ability to treat beyond the region specified (L1-L5). If you do treat beyond what was prescribed, your services will not be reimbursable if they "catch you committing fraud," and you will also have to contend with the potential legal consequences. It's precisely the same string that doctors complain of regarding HMO's -- the practitioner with the knowledge and skill isn't allowed to decide what is best for the patient.
There is another option, one that is becoming a major trend among many physicians: cash-based practices. Medical practices are firing billing departments, (on average it takes two full-time staff to handle insurance billing for every physician) cutting prices to fair/competitive levels, and going to cash payment for services rendered. In turn, the doctor provides patients (now customers) with a form detailing their diagnosis code, treatment codes, necessary physician information, and the amount paid by the patient. If patients desire to be reimbursed by insurance, they submit their claims to their insurance carrier and the carrier reimburses them directly. This is the type of game we can play where everyone wins, and it's the game we should be preparing to play as an industry.
Peter C. Kassner, ND, LMT
"I don't ever want to take insurance payments..."
I am a certified massage therapist in Virginia and just read the second issue of Massage Today. I agree with your article about "Massage and Medicine." (See the front page of the February issue, or access the article on line at http://www.massagetoday.com/archives/2001/02/06.html.) I had the option to participate in the networking program (access) and decided not to participate.
I am having trouble understanding why any massage therapist would participate. The only benefit a massage therapist gets is "possible" referrals. I am a business owner and started my business 1 1/2 years ago. The business has grown and continues to grow. I advertise some, but most of my new clients come from referrals, from other clients (word-of-mouth). With some hard work and patience, the referrals come and I don't have to take a cut in pay.
As a business owner, I can decide at any time who to give a discount or coupon to, for whatever reason. I would never agree to giving too many discounts, because I have monthly business expenses (office rent, phone, laundry, supplies, self employment taxes, etc.). I also earn my living solely on the profit of the business, so I cannot afford to give to many discounts. I opened my own business because I wanted to be the decision maker and not dictated to about policy and procedure.
I am also worried about HMO payments with the set price of $45 per hour (because that's the set price that all participating MTs have agreed to). Massage therapists participating in this sort of arrangement will never be able to get raises as they desire.
I only charged $45 per hour during my first year, but have since raised the price to $50 per hour. I will always try to keep my prices affordable for my clients. I pay out-of-pocket for my chiropractic care and at times, massages. I think enough about my health that I don't mind paying out of pocket for alternative health services. I don't expect any more from my clients than I expect from myself.
I don't ever want to take insurance payments because that will come with all kinds of problems (treatment dictation, three-month wait for reimbursement, etc.). I work extremely hard at my business. It's more than just doing massages. It's cleaning the office; washing the sheets; client chart paperwork; self-employment and tax paperwork; designing and printing my own brochures; newsletters; advertising; mailing birthday cards and newsletters to clients; etc.
I realize that $50 per massage sounds like a lot of money, but after my expenses and the time that I actually invest, I'm lucky if I'm making $12 per hour. I work too hard to make any less.
So honestly, what is the reason that MTs would participate in the networking program? Why not go out and get your own referrals, and charge what you think is fair to your clients?
Susan Cumpian, CMT
Reward Wellness, Not Sickness
I read your article in Massage Today concerning "Massage and Medicine. I was very taken with the article. As a massage therapist, I have many clients ask me if I take insurance. My reply is always, "No!" for the simple fact that I do not want to be dictated to. I work for myself on purpose. This way I have control over my business in its entirety. I know that Blue Cross and Blue Shield are involved in the alternatives now. Many organizations have approached me about belonging to their group. The reason I say "No" is because they want to tell me how to run my business concerning their clients, as you so aptly stated in your article.
I am 52 years old and have been practicing for 5 1/2 years. My practice is doing very well and I am grateful to all of my clients. If they choose to submit their time with me to their insurance carrier, I will give them a receipt for that purpose. This is as far as I am willing to go. People need to be responsible for their own health. Insurance carriers should be reimbursing clients for their wellness, not the other way around. It is just a matter of time before insurance companies reward people for maintaining wellness instead of rewarding them for sickness.
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