resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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 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 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.
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.
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.
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.
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.
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.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
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.
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.
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.
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.
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.
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.
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.
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.
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.
May, 2014, Vol. 14, Issue 05
To Be an Employee, a Contractor or Self Employed? That is the Question
By Angie Patrick
Our industry has a wide array of opportunity for the newly graduated therapist. It also presents a wealth of opportunity for seasoned therapists who may have been hit hard in the past years of economic uncertainty.Recently, I read a survey from the Day Spa Association sharing that 2013 and 2014 have shown some significant increases. It claims the Spa Industry is indeed in growth mode.
This news is indeed encouraging. Moreover, I have had a number of conversations with employers within the spa and wellness industry who claim they are on constant lookout for therapists, as the need of the wellness seeking public outnumbers the quantity of therapist applicants. In one case, I learned that the lack of available therapists caused locations to close rooms and turn away clients as a result of not having enough personnel to cover the demand.
I have spoken to therapists in private practice who also share they could expand their practice, if only there were two of them. They have more need for their services than they have time in the day to assist. This news also sounds encouraging. Could it be that the need for therapists has grown and people understand the importance of massage therapy in their lives, health and wellbeing? It sure sounds like it!
So what does this mean to you? Well, that vastly depends on what your needs are and whether you want the responsibility of running a business, contracting for a company or being hired. These are three very different roles and each has their own perks. I want to share a bit of high level insight as to the potential benefits of each and provide a bit of information to help you decide if one of these options is for you.
If your personality seems to show a penchant for understanding the ebb and flow of business, social and print marketing, and the importance of the principles of strong money management, then this venue may be for you. As a self-employed therapist, you need to have a solid understanding of what the reality of profitability looks like and a plan on how to make it happen. You will be your own marketer, buyer, scheduler, workforce, accountant and boss. Being your own boss sounds pretty good, but in order to be successful as a solo practitioner, you should really understand it involves far more than being a competent therapist. The responsibilities of the success or failure of your practice rest solely on your shoulders and the rewards are great if you are willing to do all of the jobs above with as much effort and energy as you put into the role of therapist.
If taking on the full responsibility of running a business isn't something that speaks to you, then perhaps you should consider becoming a contractor. In this role, you are still working for yourself, but have contracted your services for a price to another business owner. This provides a bit of autonomy however, you will likely be asked to work a specific schedule which is conducive to the needs of the business owner and not necessarily your need. This may be a good tradeoff for you, as you can leave at any time and are often free to pursue other interests and opportunities at the same time. Additionally, you should be prepared to do the work in the manner the company requires and not necessarily how you would in your own business.
These parameters should be clearly explained and discussed before you enter into a contract agreement so there are no misunderstandings of the expectations. There are perks to being a contractor, such as tax deductions and other economic benefits. These are better explained to you by your accountant and the opportunities may vary by state. Some of the upside may include the ability to deduct business expenses on your own income tax return. These can include office space, mileage, per diem and more. To learn more about the benefits of being a contract employee, please see your local employment bureau.
If neither of these options seem suited to you or you really do not want the added responsibility of running a business or keeping records of every expense so as to itemize, then perhaps being an employee may be of greater interest to you. The benefits of being employed by a company as a practicing therapist are numerable. Not the least of which, you will be free to concentrate more of your efforts on client care. The marketing, money management and ordering may well have nothing to do with you. You should be prepared for the reality that you will be doing your job in the manner required by the company you work for and it may include retailing and rebooking of the client. This is generally accepted as being the case and many prefer this to the other methods of ownership or contracting.
Occasionally, these positions can offer benefits such as healthcare and 401K. Another perk may be a regular income you can rely upon week after week to better manage your personal expenses. There is a wealth of places looking to hire dependable and talented therapists and the growth of need shows no sign of slowing. The industry as a whole seems to be growing. It has seen its share of difficulty in recent years, as all industries have. The economy has had a great impact on discretionary spending. However, while massage was once considered a luxury or splurge by many, it is now becoming more mainstream and accessible to the public. Certainly now more than ever, preventative healthcare and stress management are more forefront and people are seeking alternatives to the high cost of healthcare.
They are doing this by working to take better care of their body, their mind and spirit in ways they have not done before. They are more inclined to work to stem the causes of long-term illness such as chronic stress, pain and inflammation in ways they would not have considered as little as ten years ago. In doing so, this has created an increased need for properly trained and licensed therapists across the nation. Many larger companies are adopting the philosophy of preventative care, and this too has opened some doors for massage therapists to walk through and build a lucrative career.
You already know you love caring for others. You have a service heart that wants only to provide a means toward greater wellness. You have learned your craft and continue to hone it to become the best therapist you can be. Now, the decision which lies before you is how to go about the business of using these talents to sustain your livelihood and prepare a home for you and your family. I hope the information here may have sparked your interest to investigate further into the various roles you can fill and helps you in finding the space that is right for you.
Click here for previous articles by Angie Patrick.
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