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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Learn ACA: You Have a New and Better Choice for Online Continuing Education

When ACA decided to make some transitions last year, we were determined that this process would go deeper than just a new logo design and some brighter website colors. Today, we are committed to “living our values” by putting patients at the center of all our decisions, using the best available evidence and by collaborating with other healthcare providers. Adhering to best practices and having a positive attitude are also paramount. To this end, we are launching a new learning system, called Learn ACA, that will make it easier for chiropractors to access top-quality online education and their required continuing education units (CEUs).

Author: N. Ray Tuck
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Research Review: Chiropractic Care and Risk for Acute Lumbar Disc Herniation: a Population-based Self-controlled Case Series Study

The objective of this study was to compare the associations between primary care physician and chiropractic care in relation to acute lumbar disc herniation (LDH) with early surgery. The clinical picture of LDH in the early stages (i.e. the prodromal phase), in which low back pain progresses to radicular leg pain and possible neurologic signs, is often uncertain and can be a confusing time for both patients and clinicians. Thus, making a diagnosis of LDH during the early course of symptoms is often very difficult. The study's hypothesis was that chiropractic care could only be thought to increase the risk for acute LDH if the measured association between chiropractic visits and acute LDH exceeded the association between PCP visits and acute LDH.

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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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Choosing Wisely: It’s About Communication, Not Coverage

It’s been one year since the American Chiropractic Association released its Choosing Wisely list, which features recommendations designed to help patients start conversations with their chiropractors about appropriate care. In an era of evidence-based care and shared decision making, patients need this type of information to have meaningful discussions with their doctors that lead to better care and, ultimately, better outcomes.

Author: N. Ray Tuck
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Article rating: 3.0

Higher Education Planning: 529 Plans, Funding Options and Career Paths

Going to college is a goal for many students graduating high school.  According to the U.S. Bureau of Labor Statistics, “In October 2017, 66.7 percent of 2017 high school graduates age 16 to 24 were enrolled in colleges or universities. Among persons age 20 to 29 who received a bachelor's degree in 2017, 77.6 percent were employed.” The full realization of how much college costs may only be fully grasped after receiving an acceptance letter. Unfortunately, unless financial planning starts years earlier, many students’ dreams may be dashed, or cumbersome borrowing could become a burden that follows them for years to come.

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Research Review: Manipulation and Mobilization for Treating Chronic Low Back Pain: a Systematic Review and Meta-analysis

Spinal manipulation and mobilization for the treatment of back and neck pain have been the topic of several systematic reviews, with some suggesting that the evidence in support of the view that spinal manipulative therapy is superior to other standard treatments for chronic low back pain is sparse. On the other hand, more recent systematic reviews have reported that spinal manipulation and mobilization are “viable” options for treating pain. Despite this degree of variability among studies, manipulation and mobilization are still considered to be effective treatments when compared with other therapies. The purpose of this systematic review was to unravel these differences and inconsistent findings. 

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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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Article rating: 3.7
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