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Q&A with NCLC 2019 Presenters: Dr. Jeffrey Sklar

ACA’s annual meeting, the National Chiropractic Leadership Conference, brings you cutting-edge, evidence-based education sessions featuring some of the chiropractic profession’s most respected thought leaders and content experts. Many sessions also offer continuing education credits. Here we pose questions to one of the presenters: Jeffrey Sklar, DC, director of chiropractic services, Eastern region, Cancer Treatment Centers of America. His presentation is “Chiropractic, Integrative Oncology and Patient Centered Care.”

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Choosing Outcome Assessments for Back Pain

Patient-reported outcome measures quantify patients’ subjective symptoms and are often more in line with accomplishing patient-centered goals. Patient-reported outcomes can give valuable information to evaluate the success of a treatment plan and aid in determining a prognosis based on past response. They are also used by insurance companies for re-imbursement purposes, such as determining medical necessity. Chiarotto et al. developed a core outcome set for use in clinical practice with accompanying suggested measures for patients with low back pain.

Author: Zac Shannon
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HHS Issues Plan Allowing States More Flexibility in Dealing with Affordable Care Act Rules

Chiropractic state associations urged to be watchful as states can now skirt legislatures.

Late last month, the U.S. Department of Health and Human Services (HHS) released a guidance document significantly changing the way the department will handle waiver requests under the 2010 Affordable Care Act (Act).  This enhanced flexibility from the Act could lead to far greater variation across states in the types of plans offered, creating a “patchwork quilt” of benefits and services available to consumers.

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ACA and APTA Collaborate on Dry Needling Code

Update: The Following a successful nine-year collaboration between the American Chiropractic Association (ACA) and the American Physical Therapy Association (APTA), a new CPT® code for dry needling will likely be available to providers sometime in late 2019, paving the way potentially for proper coverage, national standards and a greater understanding of how this relatively new modality helps patients in pain.details on the collaboration between ACA and APTA will be reposted soon. The story contained information that was not final and will be announced later in the process.

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Funding Retirement: Opportunities vs. Challenges

The choices for retirement savings are extensive and can be overwhelming. And when it comes to retirement planning, inaction can be as bad as making a bad investment decision. One of the most common fears, public speaking, may now be eclipsed for many with the fear of outliving their money. According to the Internal Revenue Service, there is a litany of retirement plan options; however, for each option there are rules and regulations that may appear to be onerous, complicated and confusing. Unfortunately, if a plan is selected and then implemented incorrectly, fines or other negative effects may be assessed to the plan or even the individual investor.

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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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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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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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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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