Journal ArticleDOI
Current trends in the integration and reimbursement of complementary and alternative medicine by managed care, insurance carriers, and hospital providers.
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TLDR
Assessment of managed care and insurance coverage of complementary and alternative medicine (CAM) and the integration of such services offered by hospitals found consumer demand for CAM is motivating more insurers and hospitals to assess the benefits of incorporating CAM.Abstract:
Objectives.To assess the status of managed care and insurance coverage of complementary and alternative medicine (CAM) and the integration of such services offered by hospitals.Methods.A literature review and information search was conducted to determine which insurers had special policies for CAM and which hospitals were offering CAM. Telephone interviews were conducted with a definitive sample of 18 insurers and a representative subsample of seven hospitals.Results.A majority of the insurers interviewed offered some coverage for the following: nutrition counseling, biofeedback, psychotherapy, acupuncture, preventive medicine, chiropractic, osteopathy, and physical therapy. Twelve insurers said that market demand was their primary motivation for covering CAM. Factors determining whether insurers would offer coverage for additional therapies included potential cost-effectiveness based on consumer interest, demonstrable clinical efficacy, and state mandates. Some hospitals are also responding to consumer i...read more
Citations
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Journal ArticleDOI
Yoga intervention for adults with mild-to-moderate asthma: a pilot study.
Alyse Sabina,Anna-leila Williams,Hilary K. Wall,Sandeep Bansal,Geoffrey L. Chupp,David L. Katz +5 more
TL;DR: Iyengar yoga conferred no appreciable benefit in mild-to-moderate asthma and Circumstances under which yoga is of benefit in asthma management, if any, remain to be determined.
Journal ArticleDOI
Current trends in the integration and reimbursement of complementary and alternative medicine by managed care organizations (MCOs) and insurance providers: 1998 update and cohort analysis.
TL;DR: Assessment of managed care and insurance coverage of complementary and alternative medicine (CAM) and the integration of such services into conventional medicine and the most common obstacles listed were lack of research on efficacy, economics, ignorance about CAM, provider competition and division, and lack of standards of practice.
Journal ArticleDOI
Herbal medicine: Is it an alternative or an unknown? A brief review of popular herbals used by patients in a pain and symptom management practice setting
TL;DR: The author will examine possible ethic implications of providing care to patients utilizing alternative therapies using herbals frequently used by patients in a pain and symptom management practice setting with regard to common indications, potential side effects, and drug interactions.
Journal ArticleDOI
The use of alternative medical therapies in patients with systemic lupus erythematosus
Andrew D. Moore,Michelle Petri,Susan Manzi,David A. Isenberg,Caroline Gordon,Jean Luc Senécal,Yvan St. Pierre,Lawrence Joseph,John R. Penrod,Paul R. Fortin,Nurhan Sutcliffe,Jean Goulet,Denis Choquette,Tamara Grodzicky,John M. Esdaile,Ann E. Clarke,Ann E. Clarke +16 more
TL;DR: The use of alternative medical therapy may be a marker for care-seeking behavior associated with higher consumption of conventional medical resources in the absence of demonstrable additional morbidity and should be considered in future cost analyses of patients with SLE.
Journal ArticleDOI
Complementary and alternative medicine (CAM) use patterns and disclosure to physicians in acute coronary syndromes patients
Debra Barraco,Gretchen Valencia,Arthur L. Riba,Suneetha Nareddy,Cathy B.S.N. Draus,Steven M. Schwartz +5 more
TL;DR: The frequency and types of CAM therapies used by patients hospitalized with acute coronary syndromes for general health purposes and cardiac reasons suggest that a significant portion of patients do not report CAM use to their physicians and physicians seldom ask.
References
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Unconventional medicine in the United States. Prevalence, costs, and patterns of use.
David Eisenberg,Ronald C. Kessler,Cindy Foster,Frances E. Norlock,David R. Calkins,Thomas L. Delbanco +5 more
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Journal ArticleDOI
The Outcomes and Costs of Care for Acute Low Back Pain among Patients Seen by Primary Care Practitioners, Chiropractors, and Orthopedic Surgeons
Timothy S. Carey,Joanne M. Garrett,Anne Jackman,Curtis P. McLaughlin,John G. Fryer,Douglas R. Smucker +5 more
TL;DR: The times to functional recovery, return to work, and complete recovery from low back pain were similar among patients seen by all six groups of practitioners, but there were marked differences in the use of health care services.
Journal ArticleDOI
Why do patients seek a second opinion or alternative medicine
TL;DR: Psychosocial determinants of seeking a second opinion and alternative medicine use and using alternative medical care were positively related to scepticism toward conventional medicine and negatively related to perceived health status and satisfaction with clinic physicians.
Journal ArticleDOI
Use of unproven therapies by people with Alzheimer's disease.
TL;DR: The use of unproven therapies for Alzheimer's disease are described to describe the use of new treatments that are not currently available in the clinic.
Journal ArticleDOI
Determinants of nontraditional therapy use in patients with HIV infection. A prospective study.
TL;DR: No beneficial effect on disease progression, CD4 cell count, or mortality was observed in patients with HIV when compared with patients receiving only conventional medical therapy, and HIV care givers should be aware of its use in patients and take a history of nontraditional therapy first.