News & Information
CMS Seeks to Allow Doctors to Bill Patients Directly
Written by Editor   
Tuesday, April 24, 2018 11:55 AM

The CMS is planning to launch a new pay model that would allow Medicare beneficiaries to contract directly with physicians.

Under current law, physicians are paid under a fee schedule in Medicare that includes limits on the amount they can bill beneficiaries per service unless they choose to opt out of Medicare and privately contract with all of their Medicare patients.  Private contracting would allow physicians to bill seniors for charges that are more than the rates approved by Medicare. These sorts of arrangements are known as balance-billing, a controversial concept that was backed by former HHS Secretary Dr. Tom Price.

Officials for the nation’s largest not-for-profit health system supported private contracting in its comments to the CMS saying this approach would make funds available to beneficiaries upfront and allow them to directly contract for primary care and related services through a subscription payment.  The upfront funding could also be used to pay for services that are not presently covered under Medicare.  “This aspect of such a model would allow both a beneficiary and provider, in partnership to define what has value and create competition for such services.”

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Chiropractic Orthopedic Diplomate Returns to Texas
Written by Editor   
Friday, April 20, 2018 01:05 PM
As third-party reimbursements continue to shrink, health care reform calls for a new payment system based upon value rather than the number of procedures. A chiropractic physician’s value improves with enhanced diagnostic skills, which lead to appropriate, high-quality care of patients suffering with acute and chronic pain due to neuromusculoskeletal conditions.
 
For the reason, the Texas Chiropractic Association (TCA) and the Texas Council of Chiropractic Orthopedists (TCCO) are excited to bring the Diplomate of the Academy of Chiropractic Orthopedists (DACO) program back to Texas. The Diplomate is offered through the University of Bridgeport, which is rolling out its innovative postdoctoral program with state associations across the country.
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Evidence Based Chiropractic Care
Written by Editor   
Wednesday, April 18, 2018 03:43 PM

CLICK HERE FOR PDFOn March 21st, 2018, The Lancet published a series of studies on lower back pain and once again chiropractic is shown to be very effective with the number one reason that patients seek chiropractic care. What we do in our office ranks very high as far as value while many of the common medical procedures rank very low. 

The TCA has put together a short synopsis of the recent Lancet lower back pain studies that we hope you will share with your local primary care physicians, nurse practioners and physicians assistants.  

The studies found that:

  • Lower Back pain is the most disabling disease in the world.  It has risen 54% since 1990.
  • The first choice of therapy should be non-pharmacological care such as spinal manipulation, exercise, acupuncture, and massage.
  • Some therapies to avoid: bedrest, opioids, epidural spinal injections, spinal fusion surgery.
  • Imaging should occur only if the clinician suspects a specific condition that would require different management for lower back pain.

 Please share the information from these medical findings in The Lancet.

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Routine Assessment and Promotion of Physical Activity in Healthcare Settings: A Scientific Statement From the American Heart Association
Written by Editor   
Monday, April 16, 2018 12:06 PM

The importance of promoting physical activity for patients to prevent or ameliorate the risk for stroke, Alzheimer's disease, cardiovascular disease, and many other conditions has been promulgated by medical societies and researchers for years. However, no group has specifically addressed the feasibility, validity, and effectiveness of assessing and promoting physical activity in a healthcare setting.  A new scientific statement from the American Heart Association (AHA) highlighting recent research, offering solutions, and recommending a “systems change” approach is offered to call attention to this.

Physical activity plays a significant role, the authors state, for prevention and management of more than 40 diseases beyond cardiovascular disease. Obesity, diabetes mellitus, cancer, depression, Alzheimer’s disease, arthritis, and osteoporosis are prime examples.  Authors suggest healthcare providers no longer go it alone. Other clinicians, community leaders, and fitness experts can help get people moving and reduce their risk for morbidity and mortality from conditions associated with physical inactivity.

The AHA Scientific Statement includes:

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Integration of Doctors of Chiropractic Into Private Sector Health Care Facilities in the United States
Written by Editor   
Monday, April 16, 2018 11:41 AM

Chiropractic care has been reported to have effectiveness for managing musculoskeletal disorders, particularly spine-related pain and disability. Over the past 2 decades, large public sector health care delivery systems in the United States, including the Department of Defense and Department of Veterans Affairs (VA), have integrated chiropractic care into their offered services. 

Private sector medical settings, ranging from small primary care clinics to large health care systems in the United States, have introduced chiropractic care. A survey by the National Board of Chiropractic Examiners Practice Analysis of Chiropractic reported that 9% of doctors of chiropractic (DCs) practice in settings other than chiropractic offices, including 7.8% who work in an “integrated health care facility,” with 3.6% of those surveyed identifying that they hold hospital staff privileges. 

A recent study was conducted to describe the demographic, facility, and practice characteristics of doctors of chiropractic (DCs) working in private sector health care settings in the United States.

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