The Acupuncture Poll's question for August 2004 was:
Do you belong to a managed care network? If so, how many networks do you belong to?
Results are as follows:
These results are based upon 107 responses. As this is a voluntary, non-scientific survey, caution should be used in generalizing the results. Here is a sample of the comments made by those who took the survey and how they voted. Some comments have been edited for brevity.
I am not part of a managed care network:
Part of me wants my patients to be able to use insurance to pay for treatment. However, I do not, nor do I ever hope to, become involved in billing directly to insurance companies. I fear that our profession will end up suffering the same problems chiropractic does if we become heavily involved in insurance programs.
I see about 75 patients a week average. All patients pay directly out-of-pocket. Those with insurance submit for reimbursement. There is no need for us to become involved with managed care networks.
I am not part of a managed care network:
Although I've thought about responding to the many "invitations" I receive, I've heard some horror stories about demanding records and holding payments.
Yes, 1-2 networks:
Managed care is a good option from a cost perspective; however, I find them very cumbersome to deal with regarding coverage, approvals, referrals and payments for non-standard things. I believe today's health care consumer seeks high-quality, low-hassle health care plans that allow for as much flexibility as possible, at reasonable prices (not necessarily the lowest cost).
The most important relationship I seek to nurture in the treatment room is the one a patient has with their own body. We live in a culture that teaches us to override pain, defer to outside authority, and push through discomfort. Patients often arrive hoping I can “fix” them, but the truth is, we can’t do the work for them. We can offer guidance, insight and support, but healing requires their full participation.
Chinese medical theory details each meridian’s functions and associations, which can be extrapolated for metaphorical significance.For example, the Large Intestine (LI) meridian expels physical and emotional waste, supporting systemic purification and renewal. Its anatomical trajectory, which traverses the index finger, upper extremity, shoulder, neck, and terminates at the contralateral nasolabial groove, also serves as a narrative metaphor, eloquently illustrating my journey from acupuncturist to colon and rectal surgeon.
When we are in the grips of an anxious pattern, it dominates our brain and nervous system, and we lose our normal body-mind regulation. In this and subsequent articles, I present effective mindfulness-based method* via case study, that we can add to our acupuncture treatments to help clients consciously stop the dysregulating cascade of events and bring “distressed parts” into coherent body-mind-spirit integration.
