Current trends in the integration and reimbursement of complementary and alternative medicine by managed care, insurance carriers, and hospital providers.
Citations
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Cites background from "Current trends in the integration a..."
...Many managed care organizations have responded to this evidence by providing insurance coverage for some CAM therapies (5)....
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571 citations
Cites background from "Current trends in the integration a..."
...The high proportions of self-defined anxious and depressed patients who use complementary and alternative therapies are especially striking because insurance coverage for these therapies has only recently begun (30)....
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Cites methods from "Current trends in the integration a..."
...This hypothesis is supported by interviews with hospital CAM program directors, who stated that they most often decided what types of CAM to include in their programs based on the availability of licensed or certified practitioners in their area.(56) It is a matter of concern that scientific evidence of efficacy is not the primary reason for the incorporation of CAM....
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References
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"Current trends in the integration a..." refers background in this paper
...(7) consumer desire to reduce personal health care spending, especially seniors,9 and (8) support of nationally renowned clinicians....
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140 citations
"Current trends in the integration a..." refers background in this paper
...(5) a desire for and expectation wellness by baby boomers, 7...
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...Reasons given and the number giving the reasons are as follows: availability of licensed or certified practitioners (5), advice from a committee of experts (3), therapies supported by scientific research (9), therapies familiar to medical staff and public (9), director’s personal experience and interest (2), therapies specific needs of patients (1), and compatibility with hospital’s overall mission (1)....
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76 citations
"Current trends in the integration a..." refers background or methods in this paper
...Other important selection factors were that the provider: (1) possess malpractice insurance; (2) be part of a network practitioners; (3) follow national quality assurance standards; and (4) be trained in a needed specialty....
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...in peer-reviewed journals or consultation with regional and national experts; and (3) state-mandated coverage of CAM (Table 2)....
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...Among the primary obstacles to incorporating CAM into mainstream health care as listed by insurers and CAM program directors that participated in our study were: (1) lack research on efficacy; (9) economics; (3) ignorance about CAM; (4) vider competition and division; and...
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...Reimbursement was described as depending on: (1) market-driven rates; (2) the practitioner’s license; (3) Current Procedure Terminology (CPT) codes; and (4) the particular health plan....
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...In addition to the literature review, the researchers received information from experts on CAM and the health care industry via: (1) an electronic mail request for information sent to members of an alternative medicine Health Online course; (2) an electronic mail request for information sent to directors of the 10 research centers established by the Office of Alternative Medicine (OAM), National Institutes of Health; (3) literature sent by the OAM centers; and (4) consultation with experts at the Stan-...
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74 citations