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Paving the Way to Practice (Part 1)

NextGen members offer their best advice to chiropractic students.

As chiropractic students get ready to graduate and enter the workforce, eager to make their mark in an ever-evolving healthcare world and help patients get well, it's normal for them to be excited and nervous at the same time. There is nothing wrong with needing a little guidance, and luckily, ACA’s NextGen members are here to help. Having graduated within the past five years, NextGen members are fairly new to the workforce, and the struggles and successes of chiropractic college are fresh in their memories. In this first of a two-part series, NextGen members share the best advice they received as students...and what they want YOU to know before venturing into practice.

Author: Sienna Shoup
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Support H.R. 3654 and Medicare Parity for Chiropractors and Their Patients

The Chiropractic Medicare Coverage Modernization Act of 2019 (H.R. 3654) is bipartisan legislation championed by ACA and introduced in Congress on July 9 by Reps. Brian Higgins (D-N.Y.) and Tom Reed (R-N.Y.). The bill would correct a longstanding oversight and give seniors access to the full array of Medicare services that their doctors of chiropractic are qualified and licensed to provide in their respective states.

Author: Robert Jones
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Article rating: 5.0

Top 4 Most Commonly Missed Hip Diagnoses

Problems involving the hip are some of the most frequently undiagnosed or misdiagnosed conditions. When a patient presents with hip pain, chiropractors immediately consider the most probable culprits—like greater throchanteric pain syndrome and osteoarthritis. But what if the diagnosis is not so straightforward? A new paper by Lee1 identified the four top undiagnosed causes of hip pain.

 

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Social Factors: A Sometimes-overlooked Opportunity

The biopsychosocial model is a widely recommended method of clinical evaluation and management. The model identifies three important areas. “Bio” refers to evaluating/treating biological problems (e.g., pathology), “psych” refers to psychological health, and “social” refers to a person’s relationships with others and the environment. However, some evidence suggests that practitioners, as a group, may not be addressing “social” components of health as much as they could.

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Article rating: 4.9

Population Spine Health Management

Enhancing clinical outcomes for spine pain patients while establishing a progressive identity for chiropractic

The healthcare landscape in the United States is rapidly evolving. Population Spine Health Management and other contemporary practice principles are being implemented by hospital systems and physicians nationwide. Author David J. BenEliyahu, DC, who is an administrator of back pain and chiropractic programs at Mather Hospital/Northwell Health in Port Jefferson, N.Y., believes chiropractors should become versed in these contemporary practice principles and consider implementing them into their practices, which will not only improve outcomes but also enhance the progressive identity of the chiropractic profession.

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Article rating: 4.5

Q&A with NCLC 2019 Presenters: Drs. N. Ray Tuck, Jr., Lee Matthis and A.J. LaBarbera

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 presenter N. Ray Tuck, Jr., DC (pictured), who runs a multi-clinic system in Virginia, along with his co-presenters Lee Matthis, DC and A.J. LaBarbera, DC. Their presentation is, “Measuring Success in a Patient-Centered Chiropractic Office.”

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Affordable Care Act Struck Down in Federal Court: What’s Next

Late in the evening on Friday, Dec. 14, a Texas federal judge struck down the entire Affordable Care Act. It wasn’t long after that the California attorney general's office said California and other defendant states would challenge the ruling with an appeal in the U.S. Court of Appeals for the Fifth Circuit.  California and the others probably will focus on the various patient protections such as coverage for pre-existing conditions. Such an approach would by necessity also include the other patient protections such as Section 2706 of the Act. What we know now is that the law will remain in place through the appeal process up to its probable hearing before the Supreme Court.

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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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Article rating: 5.0

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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