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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