insurance

May 26, 2019

How the Backlash to Oregon’s Plan to Taper Opioids with Integrative Approaches Missed the Mark

When Oregon announced in 2016 that it would shift its back and neck care for Medicaid clients from opioids toward acupuncture, spinal manipulation, massage, yoga therapy and mind-body methods, it was heralded as a breakthrough for pain treatment nationally. Inside that policy was a mandate many now consider even bigger news. Doctors were required to totally taper patients off opioids.  A backlash propelled by a letter signed by over 100 conventional pain academics nationwide – plus with one notable signer from the integrative pain community – stopped Oregon’s planned expansion of the model in its tracks. While there are good reasons for caution on mandatory tapering, the one-sided reactivity missed a chance for practitioners and patients alike to gain more experience with non pharmacologic tools to rein in the known abuses associated with opioids.
December 26, 2018

CHI Health Care: Trials and Tribulations at the Nation’s Model Integrative Medicine Medical Home

On the surface of things, the values of “accountable care” and “patient-centered medical homes (PCMH)” and those of integrative medicine suggest a convergence. A survey found alignment in integrative medicine leaders. Maryland integrative doctors David Fogel, MD, and his spouse Ilana Bar-Levav, MD, presented with a substantial philanthropic gift, jumped into the apparently convergent rivers with both feet, creating the interprofessionally rich environment that is now CHI Health Care. The goal was and remains to prove the value proposition of integrative medicine in the medical industry’s move from volume to value. The center gained recognition as a PCMH and became part of a Medicare Shared Savings accountable care organization (ACO). Now Fogel makes clear that the convergence of the two paradigms have produced rumblings of boulders at the river bottom. While he remains positive about the model, the systemic obstacles are daunting.
May 31, 2018

James Maskell and the Intriguing Incenticare Insurance Model for Access and Payment for Functional and Integrative Care

The co-founder of the Evolution of Medicine/Functional Forum, James Maskell, is a non-stop communicator and marketeer. He operates at the visionary edges of the integrative and functional medicine worlds. Business success. Health coaching. Blue Zones and zip-codes. Root-causes. The employer stakeholder. The “micropractice.”
May 22, 2018

Government Report: Covering Naturopathic Services Minimally Increases or Decreases Overall Costs

Those searching for the financial impact of including the integrative care of naturopathic doctors in insurance plans will find some answers in a recent government report from the state of Maine. The report also raises a next stage question.