1 The Chiropractic Profession s Role in Helping to Meet Vermont's Health Care Reform Goals Better care Better health Lower costs
2 Chiropractic Abstract: Chiropractic is now more than a century old, and it is licensed throughout the United States and Canada and recognized in more than 60 countries worldwide. Doctors of Chiropractic receive training that is focused on the treatment of NMS conditions through manual and physical procedures, such as manipulation, massage, exercise, and nutrition. Most patients present to chiropractors with low back pain, neck pain, whiplash, and headaches. Numerous studies and expert panel reviews have supported the use of chiropractic and manipulation for these complaints. Satisfaction with chiropractic care for low back pain typically is good. Chiropractic, in general, offers safe and cost-effective procedures for selected musculoskeletal problems. Prim Care Jun;29(2):
3 Chiropractic "The practice of chiropractic" means the diagnosis of human ailments and diseases related to subluxations, joint dysfunctions, neuromuscular and skeletal disorders for the purpose of their detection, correction, or referral in order to restore and maintain health, including pain relief, without providing drugs or performing surgery; the use of physical and clinical examinations, conventional radiologic procedures and interpretation, as well as the use of diagnostic imaging read and interpreted by a person so licensed and clinical laboratory procedures to determine the propriety of a regimen of chiropractic care; adjunctive therapies approved by the board, by rule, to be used in conjunction with chiropractic treatment; and treatment by adjustment or manipulation of the spine or other joints and connected neuromusculoskeletal tissues and bodily articulations. Vermont Statute 26 VSA Chapter 10
4 Chiropractic Education By law, licensed chiropractors are entitled to use the titles Doctor of Chiropractic, D.C., or Chiropractic Physician. Government inquiries, as well as independent investigations by medical practitioners, have affirmed that today s chiropractic training is of equivalent standard to medical training in all pre-clinical subjects (Chapman-Smith, 1988). A doctor of chiropractic s training generally requires a minimum of 7 academic years of college study and a clinical rotation before entering private practice.
5 Curriculum Requirements 1- Meeker W, Haldeman H. Chiropractic: A Profession at the Crossroads of Mainstream and Alternative Medicine. Annals of Internal Medicine 2002, Vol 136, No American Physical Therapy Association Fact Sheet, Physical Therapist Education Programs. January 2007.
6 What Happens During a Visit to a Chiropractor? Consultation Review of current health problems, past injuries and illnesses, lifestyle, diet, sleep habits, exercise, mental stresses, use of alcohol, drugs, or tobacco. Physical Examination Examination procedures include standard physical, orthopedic and neurological testing as well as joint and muscular evaluations. Diagnostic and laboratory testing may be utilized. Referral and co-management with other medical professionals as needed. Treatment Chiropractic is most associated with, but not limited to, spinal manipulation. Chiropractic treatments may include a range of adjunctive therapies such as physical modalities, manual treatment of muscular, ligamentous and extremity problems as well as counseling on diet, exercise, home care and lifestyle management.
7 Chiropractic: Evidence Based Spine Care In 2007 the American College of Physicians and the American Pain Society released a joint guideline related to the diagnosis and treatment of low back pain. According to their review of the literature, spinal manipulation was recommended for both acute and chronic low back pain. Chou R, Qaseem A, Snow V, et al. Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Ann Intern Med 2007;147:
8 Chiropractic: Evidence Based Spine Care Acute and chronic chiropractic patients experienced better outcomes in pain, functional disability, and patient satisfaction; clinically important differences in pain and disability improvement were found for chronic patients. Haas et al (2005), Journal of Manipulative and Physiological Therapeutics
9 Neck Pain In a study funded by NIH s National Center for Complementary and Alternative Medicine to test the effectiveness of different approaches for treating mechanical neck pain received either spinal manipulative therapy (SMT) from a doctor of chiropractic (DC), pain medication (over-the-counter pain relievers, narcotics and muscle relaxants) or exercise recommendations. After 12 weeks, about 57 percent of those who met with DCs and 48 percent who exercised reported at least a 75 percent reduction in pain, compared to 33 percent of the people in the medication group. After one year, approximately 53 percent of the drug-free groups continued to report at least a 75 percent reduction in pain; compared to just 38 percent pain reduction among those who took medication. -- Bronfort et al. (2012), Annals of Internal Medicine
10 The Cost of Chronic Pain
11 Chronic pain affects at least 116 million American adults more than the total affected by heart disease, cancer, and diabetes combined. Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research
12 Commonly Reported Pain Conditions When asked about four common types of pain, respondents of a National Institute of Health Statistics survey indicated that low back pain was the most common (27%), followed by severe headache or migraine pain (15%), neck pain (15%) and facial ache or pain (4%). Back pain is the leading cause of disability in Americans under 45 years old. More than 26 million Americans between the ages of experience frequent back pain. National Centers for Health Statistics, Chartbook on Trends in the Health of Americans 2006, Special Feature: Pain.
13 Economist Evaluation Pran Manga,PhD an economist at the University of Ottawa, was commissioned twice by the Provincial Government of Ontario to assess the effectiveness and cost-effectiveness of chiropractic management of low back pain. His assessment of the comparative cost data in his first report led him to conclude the following: There is an overwhelming body of evidence indicating that chiropractic management of low back pain is more costeffective than medical management. We reviewed numerous studies that range from very persuasive to convincing in support of this conclusion. The lack of any convincing argument or evidence to the contrary must be noted and is significant to us in forming our conclusions and recommendations (Manga et al., 1993, p. 11).
14 Economist Evaluation In his second report, Manga (1998) found the cost advantages for chiropractic care of matched conditions to be so dramatic that he concluded that doubling the utilization of chiropractic services from 10% to 20% may realize savings as much as $770 million in direct costs and $3.8 billion in indirect costs (p. 1).
15 A more recent evaluation of the cost-effectiveness of chiropractic care, the Mercer Report, came to the following conclusions (Choudry & Milstein, 2009): For low back pain, chiropractic physician care increases total annual per patient spending by $75 compared to medical physician care. For neck pain, chiropractic physician care reduces total annual per patient spending by $302 compared to medical physician care. When considering effectiveness and cost together, chiropractic physician care for low back and neck pain is highly cost-effective, [and] represents a good value in comparison to medical physician care and to widely accepted cost effectiveness thresholds. These researchers admitted that, because they were unable to capture and incorporate the costs of any prescribed drugs, their estimate of the comparative cost-effectiveness of chiropractic care was likely to be understated.
16 Patient Satisfaction Chiropractic patients were found to be more satisfied with their back care providers after four weeks of treatment than were medical patients. Results from observational studies suggested that back pain patients are more satisfied with chiropractic care than with medical care. Additionally, studies conclude that patients are more satisfied with chiropractic care than they were with physical therapy after six weeks. -- Hertzman-Miller et al (2002), American Journal of Public Health
17 Opiate Addiction Last year nearly twice as many people here died from heroin overdoses as the year before. Since 2000, Vermont has seen an increase of more than 770 percent in treatment for opiate addiction. Gov. Peter Shumlin.
19 Prescription Opioids, Gateway Drugs? Thirty-one (41%) felt that their addiction began with legitimate prescriptions. Prescription Opioid Use Among Patients Seeking Treatment for Opioid Dependence Journal of Addiction Medicine: June Volume 4 - Issue 2 - pp
20 Although prescription pain medications play a role in managing pain, the consequences of reliance upon prescription drugs can be serious. Dependence on and addiction to opioid drugs have physical, psychological, economic and social costs, and medications are not always effective in managing chronic pain. An evolving and reformed health care system must be open and responsive to nonconventional approaches to responding to chronic pain.
21 Vermont Medical Society 6. Discourage payment policies that encourage pill prescribing Follow the Money Current payment policies discourage: 1) use of evidencebased complementary and alternative medicine treatments; 2) team approach to caring for chronic pain patients; 3) case management; and 4) spending appropriate time with complex patients.
22 SAFE AND EFFECTIVE TREATMENT OF CHRONIC PAIN IN VERMONT Most people don t need to be on chronic pain medications. However, doctors went to medical school to help people and sometimes, due to lack of reimbursement for other alternative therapies and lack of time, writing a prescription to give the patient something to reduce their pain is sometimes the only and easier method to affect change. Different forms of therapy need to be equally accessible to all patients Doctors have an emotional response to their patients and because of the lack of resources and treatment modalities that are not covered by insurance; the emotional response is to give a pill to help Pain and addiction specialist
23 SAFE AND EFFECTIVE TREATMENT OF CHRONIC PAIN IN VERMONT One very big issue is how the insurance companies are actually driving a lot of the dependence on opioids. For example research shows that for chronic nonspecific low back pain, chiropractic manipulation, acupuncture, and massage are all helpful. Yet many insurance companies won t cover these. But they will cover the Percocet, which has not been proven to be helpful in research. Primary care physician
24 SAFE AND EFFECTIVE TREATMENT OF CHRONIC PAIN IN VERMONT A pressing issue in my practice is the painful burden and outright handcuffing of my ability to use several portions of a multidisciplinary pain treatment regimen, given the repeated, persistent and drastic cuts in payment for what I do. Controlled substances are given to patients by insurance payers without question, while pain alleviating, non- drug options such as procedures or physical therapies are denied coverage repeatedly, solely on the basis of expense. Is anyone among us really surprised that we have a prescription drug diversion issue now, given what I just stated. At times it has seemed to me that insurers want our patients addicted to medications; that this problem is something that is being created intentionally. Interventional pain specialist
25 Current Medicaid Coverage The current reimbursement of chiropractic services for the most vulnerable in Vermont is significantly limited. Spinal manipulation is the only reimbursable service. This is like limiting a PCP to only prescribing an antibiotic. Initial examination (Evaluation and Management visit) is noncovered. This is a significant barrier/financial disincentive for many Medicaid patients. Physical modalities, soft tissue treatments, physical rehab/exercise instructions are all non-covered services in a chiropractic office, yet they are a covered benefit when preformed by other providers.
26 Current Medicaid Coverage House Health Care Committee requested that DVHA look into the problem. The VCA provided an in depth paper reviewing the cost effectiveness of chiropractic care. We are still seeking consideration of H.487
27 Health Care Exchange Chiropractic physicians as well as other lower cost habilitative and rehabilitative providers are grouped in the same specialist category as surgeons, cardiologists and other high cost specialists on Exchange plans. MVP Bronze Plan specialist co-pay of $80.00 after the patient has met their deductible. Creates a financial disincentive for seeking cost effective, noninvasive, non-pharmacological treatments for pain management. We suggest a third provider distinction (habilitative and rehabilitative) with the same co-pay as primary care.
www.albertachiro.com 11203 70 Street NW Edmonton, AB T5B 1T1 Telephone: 780.420.0932 Fax: 780.425.6583 Alberta s chiropractors: Spine care experts Patient satisfaction and research synopsis Chiropractic
CHA SERIES Key Chiropractic Concepts for the CHA AGENDA Welcome & Introductions About Chiropractic Terminology ABOUT CHIROPRACTIC You will get lots of questions about the profession & chiropractic care
. Report to The Vermont Legislature Treatment of Chronic Pain In Accordance with Act 75, Sections 14(d)(2) and 14a An Act Relating to Strengthening Vermont s Response to Opioid Addiction and Methamphetamine
Submission to the Saskatchewan Workers Compensation Act Committee of Review Submitted by the 3420A Hill Avenue Regina, SK S4S 0W9 Phone: (306) 585-1411 - Fax: (306) 585-0685 E-mail: email@example.com
PLEASE NOTE: In most BUT NOT ALL instances, the page and line numbering of bills on this web site correspond to the page and line numbering of the official printed version of the bills. Senate Engrossed
PRODUCT INFORMATION Fidelis Care NY State of Health: The Official Health Plan Marketplace Standard Products NY State of Health: The Official Health Plan Marketplace (the Marketplace) is an online insurance
Cancellation/No Show Policy If you are unable to keep your scheduled appointment we require a 24 hour advance notice. Failure to provide this notice will result in a $50.00 cancellation/no show fee. You
Thanks to the National Board of Chiropractic Examiners for permission to reproduce these abstracts. The Effectiveness of Chiropractic Care A substantial number of systematic reviews of literature and meta-analyses
A. Occupations Health Care Job Information Sheet #11 Natural Medicine/ Wellness/ Bodywork A. Occupations 1) Acupuncturist 2) Naturopath 3) Chiropractor 4) Chiropodist 5) positions in the field of natural
CHIROPRACTIC WELLNESS AWARENESS Do you want to have a healthy body? Do you like to maintain your high energy level? Do you want to be stress-less? Do you like to be pain free? Please call Conrad Nieh D.C.
UNIVERSITY OF VIRGINIA HEALTH PLAN 2015 SCHEDULE OF BENEFITS CHOICE HEALTH SERVICES PROVIDED Direct Access through UVa Provider Network 1. PLAN COINSURANCE Applies to all expenses unless otherwise stated.
Michigan Guidelines for the Use of Controlled Substances for the Treatment of Pain Section I: Preamble The Michigan Boards of Medicine and Osteopathic Medicine & Surgery recognize that principles of quality
Pursuant to section 453-1.5, Hawaii Revised Statutes, the Board of Medical Examiners ("Board") has established guidelines for physicians with respect to the care and treatment of patients with severe acute
Treatment of Chronic Pain: Our Approach Today s webinar was coordinated by the National Association of Community Health Centers, a partner with the SAMHSA-HRSA Center for Integrated Health Solutions SAMHSA
Opportunities in modern pain management Diagnosis Consulting Therapy 2 3 The POLYMEDES Way Doing it right from the beginning Most patients with a chronic pain problem have experienced an odyssey of failed
33 % of whiplash patients develop headaches originating from the upper cervical spine - Dr Nikolai Bogduk Spine, 1995 1 Physical Treatments for Headache: A Structured Review Headache: The Journal of Head
University of Arizona Integrative Health Center Frequently Asked Questions created for Maricopa County Employees 1. What is the Integrative Health Center? The University of Arizona Integrative Health Center
ALBERTA INSURANCE REFORM LEGISLATION INSURANCE LITIGATION LEGAL ALERT October, 2004 A Review of Bill 53, the INSURANCE AMENDMENT ACT, 2003 (No. 2), S.A. 2003, c.40 In November of 2003 the Provincial Government
SUBMISSION November 2015 SUBMISSION TO THE MEDICARE BENEFITS SCHEDULE REVIEW TASKFORCE Submission by the Chiropractors Association of Australia Page 1 of 10 About the Chiropractors Association of Australia
A chiropractic approach to managing migraine What is chiropractic? Chiropractic is a primary healthcare profession that specialises in the diagnosis, treatment and overall management of conditions that
Orthopaedic Approaches to Chronic Neck and Lower Back Pain David C. Urquia, MD Augusta Orthopaedic Associates / Waterville Orthopedics Introduction We see many patients who have longstanding pain in the
CHAPTER V: MANIPULATIVE AND BODY-BASED THERAPIES: CHIROPRACTIC AND SPINAL MANIPULATION About Chiropractic and Its Use My topic tonight is manipulative and body-based therapies, chiropractic, and spinal
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.alaskacare.gov or by calling 1-800-821-2251. Important
Program of Study: Bachelor of Science Training Program Description Athletic training, as defined by the National Athletic Trainer s Association, is practiced by athletic trainers, health care professionals
COMPREHENSIVE PAIN REHABILITATION CENTER OUTPATIENT PROGRAMS Our comprehensive whole-person rehabilitative services help patients return to an active lifestyle. THE MAYO CLINIC COMPREHENSIVE PAIN REHABILITATION
FACT SHEET ABOUT CHIROPRACTIC What is CHIROPRACTIC Chiropractic is a health care discipline based on the scientific premise that the body is a self-regulating, self-healing organism. These important functions
1 2 3 4 5 6 7 8 9 Introduction to Sports Medicine and Athletic Training Chapter 1: Sports Medicine: The Multidisciplinary Approach to Athletic Health Care Objectives Upon completion of this chapter, you
: VIVA HEALTH Access Plan Coverage Period: 01/01/2015 12/31/2015 This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document
Guidelines for the Use of Controlled Substances in the Treatment of Pain Adopted by the New Hampshire Medical Society, July 1998 Section I: Preamble The New Hampshire Medical Society believes that principles
New Law Alert No. 11 April 2002 California edition Patient access to medical records Acupuncture treatment modalities are expanded Cervical cancer screening CME required for pain management Mental health
JENNIFER M. GRANHOLM GOVERNOR STATE OF MICHIGAN DEPARTMENT OF COMMUNITY HEALTH LANSING JANET OLSZEWSKI DIRECTOR Michigan Board of Nursing Guidelines for the Use of Controlled Substances for the Treatment
Integrative Pain Treatment Center Integrative Pain Treatment Center Offering Solutions for The Management of Pain ADACHES BACK AND NECK PAIN FIBROMYALGIA MYOFASCIAL PAIN ARTHRITIS SPINAL STENOSIS JOINT
Q2 2013 What s new in 2013? P a g e 1 SpineScottsdale Physical Therapy The Arizona Quarterly Spine Official Newsletter of SpineScottsdale Physical Therapy and the Center for SpineHealth Center for SpineHealth
Value Added Services for our US Family Health Plan Members Vision Care Complementary and Alternative Medicine Hearing Aids and Batteries U S F a m i l y H e a l t h P l a n Healthy Vision: The Clear Choice
Extended Insurance Benefit Campaign If occupational therapy services are not covered by your insurance provider, Ask for it! Nicole Raftis Canadian Association of Occupational Therapists CTTC Building,
The Cost of Pain and Economic Burden of Prescription Misuse, Abuse and Diversion Angela Huskey, PharmD, CPE Case Bill is a 47 year old man with a history of low back pain and spinal stenosis Not a real
Managing Chronic Pain Chronic pain can cripple the body, mind and spirit. Feeling broken? You may benefit from Cleveland Clinic s Section of Pain Medicine, which tailors comprehensive, innovative treatment
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.etf.wi.gov or by calling 1-877-533-5020. Important Questions
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at MedMutual.com/SBC or by calling 800.540.2583. Important Questions
MQAC Rules for the Management of Chronic Non-Cancer Pain Effective January 2, 2012 246-919-850 Pain management Intent. These rules govern the use of opioids in the treatment of patients for chronic noncancer
C o n s u m e r Q & A 1 California Society of Addiction Medicine (CSAM) Consumer Q&As Q: Is addiction a disease? A: Addiction is a chronic disorder, like heart disease or diabetes. A chronic disorder is
I was recently sent a link to a white paper released by the Wisconsin Chiropractic Association entitled The Primary Spinal Care Physician Initiative. I rarely publicly respond to positions from political
1.0 Purpose: Use of Controlled Substances for the Treatment of Pain The Physicians Advisory Committee for Controlled Substances of the Medical Society of Delaware supports the Federation of State Medical
Regence BlueCross BlueShield of Oregon: Preferred Coverage Period: 08/15/2015-08/14/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual & Eligible Family
Appendix to Tennessee Department of Health: Tennessee Clinical Practice Guidelines for Outpatient Management of Chronic Non- Malignant Pain Division of Workers Compensation 04.01.2015 Background Opioids
Humana Health Plan, Inc. Humana Bronze 6450/Lexington UK HealthCare HMOx Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 01/01/2016-12/31/2016 Coverage for: Individual
UnitedHealthcare Life Ins Co: Platinum Copay Select Coverage Period: Beginning on or after 01/01/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Family
NATIONAL REFERENCE LABORATORY Drug Testing to Support Pain Management 500 Chipeta Way, Salt Lake City, UT 84108 (800) 522-2787 (801) 583-2787 www.aruplab.com www.arupconsult.com ARUP is an enterprise of
Insurance how to use health insurance taking charge of your health insurance Now that you have health insurance, you are able to get the health care you need, when you need it. You won t have to wait until
R H ealth Research Highlights Changing Views of Chiropractic... and a National Reappraisal of Nontraditional Health Care For half a century, the American Medical Association waged war against chiropractic,
National Poll: Chronic Pain and Drug Addiction April 2013 Results of a New Public Opinion Poll National Poll on Chronic Pain and Drug Addiction The National Poll on Chronic Pain was conducted online in
Quality Assurance Committee Approved by Council: February 8, 2011 Note to readers: In the event of any inconsistency between this document and the legislation that affects chiropractic practice, the legislation
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at MedMutual.com/SBC or by calling 800.540.2583. Important Questions
SMALL BUSINESS GROUP Compare your plan options 2014 plans for businesses with 1 50 employees I SMALL BUSINESS GROUP Group Health plans offer value, choice, and more A well-run business takes a lot of time,
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.bcbsla.com or by calling 1-800-599-2583. Important Questions
Provider Type Amerigroup Kansas, Inc. Providers/ Locations % Covered (Urban & Semi-Urban) Average Distance to Provider (Urban/ Semiurban) % Covered (Rural/ Frontier) Average Distance to Provider (Rural/Frontier)
SBC0041W082720130944 HUMANA HEALTH PLAN, INC./HUMANA INSURANCE COMPANY: IN LG NPOS 11 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Date: Beginning on or after 01/01/2015
Q3 2013 What s new at SpineScottsdale? P a g e 1 SpineScottsdale Physical Therapy The Arizona Quarterly Spine Official Newsletter of SpineScottsdale Physical Therapy and the Center for SpineHealth Center
UNM Pain Center: Addressing New Mexico s Public Health Crises of Pain, Addiction, and Unintentional Opioid Overdose Deaths Joanna G Katzman, M.D., M.S.P.H Director, UNM Pain Center Associate Professor,
LEARN Your guide to health insurance Table of Contents Why health insurance is important...1 How the Affordable Care Act affects you...2 See if you may qualify for a subsidy...4 Types of health plans...6
Enrolled Copy S.B. 28 MASSAGE PRACTICE ACT AMENDMENTS 1998 GENERAL SESSION STATE OF UTAH Sponsor: R. Mont Evans AN ACT RELATING TO OCCUPATIONS AND PROFESSIONS; AMENDING THE SCOPE OF PRACTICE FOR MASSAGE
CareFirst BlueChoice, Inc. [840 First Street, NE] [Washington, DC 20065] [(202) 479-8000] An independent licensee of the BlueCross and Blue Shield Association ATTACHMENT [C] IN-NETWORK SCHEDULE OF BENEFITS
This is only a summary. Please read the FEHB Plan RI 72-007 that contains the complete terms of this plan. All benefits are subject to the definitions, limitations, and exclusions set forth in the FEHB
Pain Management Regulations Affect More Than Pain Management Specialists January 2012 LINDA A. KEEN MSN, JD, LHCRM LAW OFFICE OF LINDA A. KEEN P.A. TALLAHASSEE, FL Of counsel to Pain Management Regulations
Rehabilitation Where You Recover Inpatient Rehabilitation Services at Albany Medical Center You're Here and So Are We As the region s only academic medical center, Albany Medical Center offers a number
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan documents at www.dbm.maryland.gov/benefits or by calling 410-767-4775
Managed Care Medical Management (Central Region Products) In this section Page Core Care Management Activities 9.1! Healthcare Management Services 9.1! Goal of HMS medical management 9.1! How medical management
CIS - Plan V E PPP RX4 with Alternative Care Summary of Benefits and Coverage: What this Plan Covers & What it Costs City of Tigard Insurance Summary Management 2015: Page 1 Coverage Period: 01/01/2015-12/31/2015
Component 2: The Culture of Health Care Unit 3: Health Care Settings The Places Where Care Is Delivered Lecture 5 This material was developed by Oregon Health & Science University, funded by the Department
Maryland Cancer Plan Pain Management Committee IDEAL MODEL FOR CANCER CONTROL PROBLEM or ISSUE Lack of provider awareness regarding appropriate pain assessment and management and relevant policy Definition:
SAM KARAS ACUTE REHABILITATION CENTER 1 MEDICAL CARE Sam Karas Acute Rehabilitation The Sam Karas Acute Rehabilitation Center is a comprehensive and interdisciplinary inpatient unit. Medical care is directed
BluePerks Discount Program Savings on non-covered services and more Complement health plan coverage in new ways. These days, more and more people whether treating a recurring sports injury, relieving stress
Acute Low Back Pain North American Spine Society Public Education Series What Is Acute Low Back Pain? Acute low back pain (LBP) is defined as low back pain present for up to six weeks. It may be experienced
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.bollingercolleges.com/bennington or by calling 1-866-267-0092.
Boston College Student Blue PPO Plan Coverage Period: 2015-2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual and Family Plan Type: PPO This is only a
SECTION A. Summary of Benefits LW-V, 10/09 This Summary is part of your Benefit Handbook. It states the Cost Sharing amounts that you must pay for Covered Benefits and some important limitations on your
14 C O M M U N I T Y M A G A Z I N E S M A Y / J U N E 2 0 0 8 Oh, my aching head NEW DOCTOR TEAM ADDRESSES CHRONIC HEADACHE PROBLEMS SEVERE HEADACHES IN THIS COUNTRY ARE A LEADING CAUSE OF DISRUP- TION
P A T H W A Y S T O A Career in Sports Medicine P A T H W A Y S T O A Career in Sports Medicine What is sports medicine? Sports medicine is not a single career, but instead a widely varied group of professionals
Insurance Reimbursement for Reiki Sessions B Y J ANE V AN D E V ELDE, RN, ND In September 2006 I received a telephone call from a nursing friend. At that time, she was working as a consultant for a case
how to choose the health plan that s right for you It s easy to feel a little confused about where to start when choosing a health plan. Some people ask their friends, family, or co-workers for advice.
SCI Integrated Pain Program: (NEW) Directed By Dr. Vernon B. Williams Sports related concussion and other mechanisms for head injury result in a variety of symptoms. The injured athlete or worker may suffer
Health Alliance Plan Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 01/01/2014-12/31/2014 Coverage for: Individual Family Plan Type: HMO This is only a summary.