FROM:    
J Integr Complement Med 2024 (Jul 8) [EPUB] ~ FULL TEXT
James Whedon • George Zakhary
  
 
Professor and Senior Health Services Researcher, 
Health Services Research, 
Southern California University of Health Sciences, 
Whittier, CA, USA.
 Background:       Many clinical practice guidelines for management of pain disorders now favor first-line use of nonpharmacological therapies (NPT). However, Medicare coverage of NPT is limited. 
 
 Methods:       Using a serial cross-sectional design, we examined temporal trends in the utilization and cost of NPT procedures commonly used to treat pain under Medicare. 
 
 Results:       Utilization and costs for physical therapy increased while those for spinal and osteopathic manipulation declined. 
 
 Discussion:       Future research on NPT under Medicare should focus on equity of patient access and comparative outcomes.
 
 Keywords:       Medicare; nonpharmacological therapies; pain.
  
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