Neck Pain Commentaries: Part 1
As a response to the actions of Kaiser, we will be publishing a series of editorials to review the alternatives, if chiropractic is eliminated from coverage. Informed Consent includes the process of reviewing the safety and efficacy of alternative forms of treatment. So let’s compare medicine’s success with resolving neck pain with chiropractic’s. I hope you will find these reviews of interest.
A recent balanced article in the Feb 13, 2008 issue of JAMA (Journal of the American Medical Association) revealed that between 1997 and 2005, the costs for “standard medical management” of spinal pain syndromes (both neck and back) increased by an inflation-adjusted 63%, while measurable outcomes for physical functioning, work or school limitations, and social limitations among adults actually declined. During this same period, there was also an overall increase in the number of individuals who experienced neck or back pain (from 20.7% to 24.7%).
During this same time period, the inclusion of a chiropractic benefit within a large managed care program (observed over a 4-year period) resulted in significant savings, as well as a reduction in the rates of surgery, and unnecessary use of advanced imaging, inpatient care, and plain-film radiographs.
These 2 studies, along with many similar findings, make it apparent that chiropractic should be the FIRST choice of management for people experiencing musculoskeletal complaints. If you doubt that, then please review this editorial, titled:
End the Medical Mis-Management of Musculoskeletal Complaints
You may want to refer to the Cost-Effectiveness Page or the Patient Satisfaction Page for many more articles on this topic.
ASH makes it difficult to obtain routine xray, to refer for advanced studies and the reimbursement is significantly less, so it no surprise that there are significant savings especially if that managed care program is Kaiser.
Mike
The sad truth is that it is the providers who signed contracts with ASH that enable it to continue penetrating the market. When providers say NO, and ASH has no DCs to offer on their panels, ASH will no longer be able to offer chiropractic as a service, and their ability to dominate the field will shrivel. That’s the cold hard fact.
Frank, couldn’t agree more.
An ever-larger arsenal of prescription medicines is a huge factor in the skyrocketing cost of treatment.