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Patients in Medicare Demonstration Project Give Their Chiropractors High Marks

Source ACA Online

According to long-awaited results from a congressionally mandated pilot project testing the feasibility of expanding chiropractic services in the Medicare program, patients have a high rate of satisfaction with the care they receive from doctors of chiropractic.

When asked to rate their satisfaction on a 10-point scale, 87 percent of patients in the study gave their doctor of chiropractic a level of 8 or higher. What’s more, 56 percent of those patients rated their chiropractor with a perfect 10.

Contributing to that satisfaction was the attention given to patients’ needs and the accessibility of chiropractic care. Patients reported that doctors of chiropractic listened to them carefully and spent sufficient time with them. Some 95 percent said they had to wait no longer than one week for appointments.

“Doctors of chiropractic everywhere should feel pride in these patient satisfaction results and in being part of a profession that still sees the great need for spending time with patients and truly listening to them,” said Dr. Rick McMichael, president of the American Chiropractic Association (ACA). “It’s clear that patients deeply value the time their chiropractic providers spend with them and the expert care that DCs offer.”

The pilot, known as a “demonstration project” in Congress, was conducted from April 2005 to March 2007 throughout the states of Maine and New Mexico, and also in Scott County, Iowa, 26 counties comprising the Chicago metropolitan area, and 17 counties in central Virginia.

Current chiropractic coverage under Medicare is limited to spinal manipulation. Under the demonstration project, however, chiropractic care was expanded to include diagnostic and other services, such as X-rays, examinations, physical therapy and rehabilitation services.

The final report to Congress also includes information on the costs of expanding chiropractic services in the demonstration sites. The report indicates that in all but one of the demonstration sites, patients’ health care costs were not significantly changed by expanding coverage of chiropractic services. In contrast, a cost increase was found in the Chicago metropolitan area. Further research into the reasons why the results in Chicago differ from the rest of the demonstration project sites is needed to better understand these findings.

“We already know that Medicare costs in general tend to be higher in Chicago than other similar areas of the country. We must find the underlying cause of the cost difference found in the chiropractic demonstration project and determine whether it had anything at all to do with the expansion of chiropractic services,” Dr. McMichael noted.

To further analyze the results of the demonstration project, ACA is creating a taskforce of Medicare experts and researchers who will review the report and develop a response for the Centers of Medicare and Medicaid Services.

To view the report online, visit www.acatoday.org/pdf/demo_report.pdf.

3 comments to Patients in Medicare Demonstration Project Give Their Chiropractors High Marks

  • YIPEE!!! My town is in the Chicago region, so I had a chance to participate in the Demo.

  • I hope our accomplishment in the demonstration project lead to more equality within Medicare. I hope the great work of all those who participated leads to expansion of our inclusion under medicare, so chiropractors can be compensated for all the things we do beyond spinal manipulation (examinations, referral for imaging procedures, physical rehabilitation…)

    Thanks to everyone who participated and great work.

  • Getting patients reimbursed for care is an ongoing struggle with Medicare. For reimbursement, patients have to be under active care. Active meaning patients are seen frequently and improve visit to visit. All else is considered maintenance. It does not matter that without regular chiropractic care the patient may need drugs or surgery. It does not matter that preventative care may save the system tons of money. Hopefully demos like this will help lead to better inclusion of chiropractic services in Medicare.

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