resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
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.
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.
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."
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!
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.
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.
Knee Pain From the Kinetic Chain
As practitioners of manual medicine, chiropractors often treat patients suffering from knee pain.
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.
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.
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.
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.
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.
March, 2013, Vol. 13, Issue 03
Can CAM Help Slow the Growth in National Health Care Spending?
By Kathryn Feather, Senior Associate Editor
A recent report from Health Affairs entitled, "U.S. Spending on Complementary and Alternative Medicine During 2002-2008 Plateaued, Suggesting Role in Reformed Health System," sheds light on some interesting spending trends for CAM.
According to study authors Matthew Davis, Brook Martin, Ian Coulter and William Weeks, CAM is an approximately $9 billion market in the U.S. each year, which they say is equal to three percent of national ambulatory health care expenditures. The authors examined trends in the demand for CAM as reported in the Medical Expenditure Panel Survey during 2002 through 2008. According to the report, the authors believe that, "should some forms of complementary and alternative medicine be proven more efficient than allopathic and specialty medicine, the inclusion of complementary and alternative medicine providers in the new delivery systems such as accountable care organizations could help slow growth in national health care spending."
In terms of national spending on CAM, "inflation-adjusted expenditures on chiropractic care increased 11 percent from $6.2 billion in 2002 to $6.9 billion in 2008. Inflation-adjusted expenditures on acupuncture, massage therapy and other complementary and alternative medicine services were stable." Another interesting finding was the amount spent per patient on specific services. The authors found that "the mean annual inflation-adjusted expenditure per user decreased for acupuncture (from $260 to $325) and other complementary and alternative medicine services (from $301 to $214), while it increased for chiropractic care (from $447 to $582) and massage therapy (from $259 to $305)."
According to the study, the number of CAM users held steady except for one specific service: acupuncture grew by 16 percent from 950,000 in 2002 to 1.1 million in 2008. Overall, the number of adults who visited a CAM provider at least once during the year increased by six percent, from 15.2 million in 2002 to 16.1 million in 2008. "Chiropractic care accounted for 77 percent to 82 percent of total ambulatory visits to complementary and alternative medicine providers from 2002 to 2008, while massage therapy accounted for 10 percent to 14 percent; acupuncture 4 percent to 6 percent and other services, 3 percent to 4 percent."
The authors acknowledge the historically poor communication between CAM providers and providers of other medical services. However, the authors note that new opportunities to stabilize spending could come from including CAM services in accountable care organizations. "Considering that complementary and alternative medicine appears to be relatively inexpensive when compared to allopathic medicine, if medical care providers are willing to collaborate with local complementary and alternative medicine service providers, offering at least some complementary and alternative medicine services could help accountable care organizations achieve their objectives."
In conclusion, the authors believe that, "as health care policy makers, payers and other stakeholders attempt to reduce waste in health care systems, they should recognize that excluding currently covered complementary and alternative medicine services would, at best, produce only meager cost savings. Operating under more free-market conditions, the pricing of complementary and alternative services appears to be more self-regulating than that of the conventional health care sector. This difference suggests that payment systems that encourage consumers to make educated decisions under the constraint of a budget may help constrain health care spending growth.
"Examination of the U.S. complementary and alternative medicine market is useful in understanding consumer response to a more cash-based health care economy, which can inform future benefit design. If certain types of complementary and alternative medicine services are proven to be efficient in managing health conditions, those who provide these services may find opportunities to participate in new delivery system models such as accountable care organizations, resulting in a more collaborative approach to health care delivery."
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