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Chiropractic Education and Radiography Best Practices

ACA’s Choosing Wisely recommendations are consistent with X-ray guidance in today’s classroom and trusted texts.

In the past year, many chiropractors have discussed indications for radiographic examination with renewed interest. In particular, they have questioned the X-ray recommendations of the Choosing Wisely initiative, a project of the American Board of Internal Medicine that seeks to promote more effective use of healthcare resources. The recommendations are hardly revolutionary, and well in line with current radiology education. In my own final radiology classes, professors emphasized that what we learned was only the foundation of what we would need in practice, and a mere fraction of what our peers would learn should they choose to become chiropractic radiologists. The recommendations in Choosing Wisely are shorthand for what we already know. 

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Article rating: 5.0

Choosing Wisely: Separating Facts from Fears

It has been just over a year since many in the chiropractic profession first learned that the American Chiropractic Association (ACA) joined more than 80 medical specialty society partners to participate in an initiative that is sponsored by the American Board of Internal Medicine Foundation. This initiative’s mission is to “promote conversations between clinicians and patients by helping patients choose care that is supported by evidence, not duplicative of other tests or procedures already received, free from harm, and truly necessary.” It is called the Choosing Wisely campaign1 and it has generated more spirited discussion among doctors of chiropractic than I can recall since release of the Mercy Conference Proceedings in 1993.

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Article rating: 4.0

Summer Shaping Up to Be Time of Change in Health Policy

Proposal, Final Rule and Other Initiatives Aim to Reshape Medicare and Affordable Care Act

http://www.twitter.com/acaonthehillSummer is often a time in Washington where the business of government seems to slow down as everyone starts to look forward to the August recess and dreads the oncoming heat and humidity.  However, this year is a change from years past, as not only has Washington pretty much been spared oppressive temperatures, but the Senate has decided to stick around most of August and the Trump Administration has issued a proposal, and a final regulation, that could very well shape healthcare policy for years to come.

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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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Article rating: 4.5

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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Senate Clears Bill Extending Funding for Veterans Choice Program

*Member-Exclusive Content* A bill combining the Department of Veterans Affairs’ (VA) seven community care programs easily cleared the Senate May 23 with a vote of 92-5. Included among the programs is the Veterans Choice Program, which allows veterans to seek care from private providers, including chiropractors. The bill also eliminates previous requirements for accessing outside services. While this is a promising development, the American Chiropractic Association will closely monitor resulting regulations and implementation in consideration of past issues chiropractors have experienced with the Veterans Choice Program.

To read, log into My ACA.

Author: Jack Dusik
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Lulled Into a False Sense of Security

Finding and Communicating Effectively with Financial Advisors

Less than 50 percent of the U.S. population consult and hire a financial consultant. There is a myriad of answers for why this may be. Those who do work with a financial professional have an expectation of certain results. If the goals are realistic and not achieved within a given time period, a client should obtain a clear explanation as to why discussed benchmarks were not reached. Additionally, a planner should convey concise and easily understood explanations of any suggested changes going forward. There are times where nothing should be done. Open communication is an essential part of the financial planning process.

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Cooking Techniques and Financial Management

Whether baking a cake or preparing unique dishes, both require the necessary and assorted ingredients: time, expertise, finesse and the ability to tweak the recipe to obtain the desired results. Guess what? Portfolio construction and financial management may not be all that different. In effect, a financial professional is expected to build an investor’s portfolio after carefully ascertaining precisely what is the individual’s risk tolerance, challenges, goals, timeline for investing and end-point needs. Yet how does an investor go about locating a financial professional in the universe of available services and the multitude of different titles?

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Taxes, Football and Conflicting Rules

When you play in a sport and follow the rules there is an expectation of a fair game with a winner and loser. If you watched the recent Super Bowl you may have seen two touchdowns by the Philadelphia Eagles that were scored and upheld. The National Football League (NFL) "catch rule" has garnered much consternation as being interpreted differently by officials. Confusing may be an understatement. This rule seems to vex coaches, players, fans and media announcers, causing much head scratching. Whether your team won or lost, this rule is maddening. Those who love the game agree that this rule needs to be carefully reviewed and changed. So, what does this have to do with taxes?

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Blues Plans Issuing Denials for Certain Modifiers

ACA has recently heard from members in a few states that some Blue Cross Blue Shield plans are automatically denying claims that contain the -25 and -59 modifiers. The states we have heard from to date include Illinois, Oklahoma and Texas. The Blues plans in these states are owned by Health Care Service Corporation (HCSC), an umbrella company that also owns the Blues plans in Montana and New Mexico. ACA has since learned that a new code-auditing enhancement is the source of the denials. 

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Article rating: 3.0
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