The ACA blog provides readers with information to help them advance their knowledge, achieve their professional goals and strive for excellence, while also creating a greater sense of community among chiropractors nationwide through online engagement and information-sharing with their colleagues.

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Communicating Chiropractic: An Algorithm to Answer Difficult Questions

Although the culture of health care is shifting and complementary and alternative options are being implemented in hospital and primary care settings, many allopathic practitioners are not necessarily familiar with chiropractic. My biggest take-away from being exposed to interprofessional collaboration on a day-to-day basis in the VA is the need for chiropractors to prepare answers to questions regarding what chiropractic care is, common conditions seen, neurophysiological effects of treatment, and the incidence of adverse events.

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Latest OIG Report: A Spark to Reignite Our Pursuit of Medicare Parity

The American Chiropractic Association (ACA) received news recently that the HHS Office of the Inspector General (OIG) discovered inappropriate Medicare payments to chiropractors between 2013-2016 caused by a delay on the part of CMS to implement claims processing edits that automatically deny non-covered services. A few media outlets picked up on the report, focusing on the payments, not surprisingly. But there’s more to this story. The OIG report actually found that CMS’s billing edits were largely successful in preventing improper payments, and that most of improper payments were made prior to CMS finally implementing its edits in 2014.

Author: N. Ray Tuck
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What Does Research Reveal About Chiropractic Costs?

According to ACA Senior Scientific Advisor Christine Goertz, DC, PhD, the most common issues raised by those outside the chiropractic profession relate to the quality and consistency of chiropractic care delivery. The second most commonly asked question invariably pertains to the costs associated with chiropractic care. While there is no definitive answer and more research is needed, Dr. Goertz reveals what the evidence we have to date tells us about the costs associated with chiropractic.

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Veterans Affairs Whole Health: A Holistic Approach to Care

Starting this year, the Department of Veterans Affairs (VA) is launching its Whole Health System in each of the 18 Veterans Integrative Service Networks (VISN). This will be done via one flagship site in each VISN to assist veterans through self-empowerment, self-care, and clinical treatment. As part of my residency, I’ve been introduced to the program and have attended an orientation. The process of whole health can begin at any point the veteran chooses, though typically it’s initiated when they seek to establish care within VA. First, they will be connected with a health coach who will sit down and discuss what the patient desires with regard to his specific needs.  Subsequently, the veteran will fill out a patient health inventory, a tool that’s designed to get to the heart of what matters most to him.

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New Rule on AHPs Could Lead To a ‘Race to the Bottom’ Market for Health Plans

On June 19, the U.S. Department of Labor released a long-awaited final rule expanding the availability of alternative insurance plans that do not need to meet the 2010 Affordable Care Act’s benefit requirements.  The rule was handed down despite deep concerns from consumer advocates, state officials and physician groups, including the American Chiropractic Association (ACA). The rule will extend so-called “association health plans,” which allow insurance companies to skirt benefit requirements and other parts of the 2010 law.

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Social Security: Understand Your Options, Plan Properly to Access Benefits

Social Security was enacted in 1935. The program is officially known as the Old Age, Survivors and Disability Insurance program (OASDI). After earning 40 quarters, an individual at retirement age is eligible to begin collecting a benefit. Retirement benefits depend on your age at retirement. If you begin receiving benefits before your normal or full retirement age (FRA), you'll receive a reduced benefit. Four out of five future retirees agree that the Social Security system needs change. Many are fearful that benefits will be reduced and are unaware of the basics regarding their eligibility, participation and the monetary benefits of their Social Security profile. Sadly, 55 percent believe that Social Security will be their primary source of income in retirement.

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Research Review: Low-level Laser for Neck Pain vs. Randomised Placebo

When searching for low-risk, cost-effective modalities possessing the ability to aid practitioners in the treatment of non-complicated musculoskeletal complaints, research must lead the way. Often, we see the newest and the latest technology or apparatus put forth as the cure for everything we have been waiting for. Low-level laser (LLLT) has, on the surface, the appearance of the latest and greatest apparatus. But what research is out there backing up claims commonly seen with low-level laser marketing in the healthcare field?

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WHO Collaboration Presents Public Health Opportunities for Chiropractic

The World Health Organization (WHO) held its 71st Assembly May 21-26, 2018 at the United Nations headquarters in Geneva. WHO is the directing and coordinating authority on international health, and uses the annual Assembly to set norms and standards for ethical and evidence-based healthcare policy. I had the honor of attending the Assembly this year as part of the World Federation of Chiropractic (WFC) delegation. Over four days of plenary sessions, committee meetings, and technical briefings, I observed an impressive breadth and depth of operations at WHO—and a chiropractic profession that is primed for more meaningful engagement with the broader public health community.

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Communicating Chiropractic in an Integrated Healthcare Setting

It was at the National Chiropractic Leadership Conference that VA resident Stephanie Halloran, DC, began to appreciate the necessity of communicating chiropractic clearly and accurately to outside audiences. Today, she presents information on chiropractic, both formally and informally, to addiction/pain fellows, neurosurgeons, and internal medicine residents within the VA’s integrated healthcare setting. Each presentation Dr. Halloran gives, as well as the many she attends in the VA, helps her to become a better communicator. 

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ACA Blogs Asks: The ACA President

A conversation with Dr. N. Ray Tuck

Last month, the American Chiropractic Association (ACA) Board of Governors elected N. Ray Tuck, Jr., DC, of Blacksburg, Va., as the association’s new president. He assumes the helm after a period of major transition at ACA, highlighted by key projects intended to better position the association to respond to challenges and opportunities and to leverage the talents and expertise of its members. ACA Blogs editor Annette Bernat sat down with Dr. Tuck recently to discuss the impact the recent changes have made on ACA’s operations as well as its ability to meet members’ needs.

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