Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast.
In this week’s news: We’ll Be Looking At –
- Outcomes indicators and a risk classification system for spinal manipulation under anesthesia
- And Finally, a Story about the Nebraska Supreme Court ruling on chiropractic copayment complaints
For HealthBeat …. This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #626 recorded March 16, 2018
HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.
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And Now for some news ….
Outcomes indicators and a risk classification system for spinal manipulation under anesthesia
Over a period of decades chiropractors have utilized spinal manipulation under anesthesia (SMUA) to treat chronic back and neck pain.
As an advanced form of manual therapy, spinal manipulation under anesthesia is reserved for the patient whose condition has proven refractory to office-based manipulation and other modes of conservative care.
Historically, the protocols and guidelines put forth by chiropractic MUA proponents have served as the clinical compass for directing MUA practice.
This review considers risk and unfavorable outcomes indicators in therapeutic decision making for spinal manipulation under anesthesia.
A new risk classification system is proposed that identifies patient safety and quality of care interests for a procedure that remains without higher-level research evidence.
A scale which categorizes risk and outcome potential for spinal manipulation under anesthesia is offered for the chiropractic clinician, which aims to elevate the standard of care and improve patient selection through the incorporation of specific indices from existing medical literature.
Congrats to Drs. John L. Cerf and Daniel S. Bowerman on this important study.
Surf to our Show Notes for Links – https://chiromt.biomedcentral.com/articles/10.1186/s12998-018-0177-z
Nebraska Supreme Court rules on chiropractic copayment complaints
Health insurance policyholders brought a declaratory judgment action to determine whether a statute allows insurance policies to impose higher copayments on policyholders when they obtain a covered service from a chiropractor rather than from a medical doctor.
The district court concluded that it does.
Currently, health insurance policies in Nebraska are permitted to charge a policyholder a higher copayment if covered services are obtained from a chiropractor rather than from a medical doctor.
The district court overruled the motion for summary judgment and dismissed Policyholders’ complaint.
The court explained that the Legislature could have imposed equal copayment requirements if it wished to do so, and the court identified other statutes where the Legislature expressly invoked “‘copayments’ and other cost-sharing restrictions.”
Policyholders filed a timely appeal, and we granted their petition to bypass review by the Nebraska Court of Appeals.
Surf to our Show Notes for links – https://www.courtlistener.com/opinion/4470485/cookson-v-ramge/
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For Chiropractic OnLine Today’s HealthBeat, This has been
Dr. Todd Eglow.