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
Trends in Alternative Medicine Use in the United States, 1990-1997 Results of a Follow-up National Survey
David Eisenberg,Roger B. Davis,Susan L. Ettner,Scott Appel,Sonja Wilkey,Maria I. Van Rompay,Ronald C. Kessler +6 more
TL;DR: Alternative medicine use and expenditures increased substantially between 1990 and 1997, attributable primarily to an increase in the proportion of the population seeking alternative therapies, rather than increased visits per patient.
Journal ArticleDOI
Long-Term Trends in the Use of Complementary and Alternative Medical Therapies in the United States
Ronald C. Kessler,Roger B. Davis,David F. Foster,Maria I. Van Rompay,Ellen E. Walters,Sonja A. Wilkey,Ted J. Kaptchuk,David Eisenberg +7 more
TL;DR: In the absence of prospective data, which do not exist, the results represent, to the knowledge, the most accurate information currently available on U.S. trends in CAM therapy use over the past half-century.
Journal ArticleDOI
The use of complementary and alternative therapies to treat anxiety and depression in the United States
Ronald C. Kessler,Jane Soukup,Roger B. Davis,David F. Foster,Sonja Wilkey,Maria I. Van Rompay,David Eisenberg +6 more
TL;DR: Complementary and alternative therapies are used more than conventional therapies by people with self-defined anxiety attacks and severe depression, and most patients visiting conventional mental health providers for these problems also use complementary andAlternative therapies.
Journal ArticleDOI
The escalating cost and prevalence of alternative medicine.
TL;DR: The public appears to have ambivalent standards for alternative therapies but wishes to be empowered with accurate information to facilitate self-prescription, and expenditure on alternative therapies was nearly four times the public contribution to all pharmaceuticals.
Journal ArticleDOI
A review of the incorporation of complementary and alternative medicine by mainstream physicians.
TL;DR: It is suggested that large numbers of physicians are either referring to or practicing some of the more prominent and well-known forms of CAM and that many physicians believe that these therapies are useful or efficacious.
References
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Journal ArticleDOI
Choosing alternative therapy: an exploratory study of sociodemographic characteristics and motives of patients resident in Sydney
TL;DR: Far from being representative of the Australian community, the majority of the sample population came from a very select group, with a narrow range of socioeconomic backgrounds, and the health risk behaviour of those surveyed was significantly different from that exhibited by the population in general.
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Use of alternative health therapies by people with multiple sclerosis: an exploratory study.
TL;DR: Physical therapy, counseling, nutrition, and massage were the most frequently used alternative therapies in people with multiple sclerosis.
Journal ArticleDOI
The economics of prevention.
TL;DR: A review of cost-effectiveness studies of prevention supports two conclusions: few prevention programs, if any, reduce medical expenditures; and even when prevention costs less per person than acute care, its medical cost can be as great or greater.