The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) officially ushered in the value-based model of reimbursement, beginning a change to the payment landscape of American health care. But what does this mean to providers? What does it mean overall for you as a chiropractic physician? First of all, we shouldn’t be afraid of the deck being “reshuffled.” Anytime there is a change in a system – especially a system that has delayed or avoided change – it becomes ripe for an innovative, landmark transformation.
Long before many of us can remember, there were only two people sitting in the chiropractic treatment room – the patient and the doctor. Gradually, the state licensing boards starting showing up. They were joined by the insurance industry. Then health policy makers like Medicare and Medicaid. Followed by more members of the insurance industry. Then scientists made an appearance, talking about evidence-based clinical practice. Now this already very crowded room may become even more crowded if we open the door to the ever-loudly-knocking performance measurers. We have had time to get at least somewhat used to the state and national boards, insurers, policy makers and even the scientists, to some extent. But what is performance measurement and how might it be beneficial to the practice of chiropractic?
Doctors of chiropractic treating veterans through the U.S. Department of Veterans Affairs' Veterans Choice Program (VCP) received good news on Aug. 1, with Senate approval of the “VA Choice and Quality Employment Act of 2017.” The bill passed without objection on the heels of House action last week, which approved the measure overwhelmingly, 414-0. The legislation directs $2.1 billion to the VCP to keep it operating through January 2018, preventing a disruption of care for veterans in the program as Congress continues to work on a broader overhaul.
*Member-Exclusive Content* ACA’s first Facebook Live discussion, “Women in Chiropractic,” has been viewed by more than 5,000 people to date. The discussion explored the opportunities and challenges that women encounter in the chiropractic profession and celebrated the unique approach and perspectives that they bring to patient care. Viewers were invited to submit questions during the broadcast, and following are answers from moderator Christine Goertz, DC, and featured guests Sarah Potthoff, DC, and Keita Vanterpool, DC.
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Part of the Evidence in Action series by the Palmer Center for Chiropractic Research
The concept of caring for the whole patient is not new. As early as the 5th century BC, Hippocrates described the importance of attending to the person behind the disease rather than the disease itself. He described psychological, social and physical elements that variously combine and contribute to a person’s health. Assessing and addressing all three components (biological, psychological and social conditions) contributing to health is called a biopsychosocial approach.