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News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
August, 2010, Vol. 10, Issue 08
What Became of IMA?
By Ramon G. McLeod, Editor-in-Chief
In early March of this year, calls went out from Will Green, owner and founder of the International Massage Association (IMA), to at least two major players in the massage insurance industry.Green wanted to know whether there was any interest in buying the liability insurance business that IMA had begun in 1994.
Once a major insurer for the massage community, IMA at its peak boasted more than 30,000 members. But, by early 2010 the association had shrunk to no more than 15,000 members, sources familiar with the discussions said. Nevertheless, the company still appeared to be a viable business, these sources said.
But, these sources said, something was wrong.
While their stories varied on some of the details, all said that Green allegedly made a number of statements in meetings that pointed to a troubling issue: IMA was in financial straits. Both of the established companies would eventually pull out of the sales talks with Green. A third company, new to the insurance business at that time, also ended talks.
Green, despite repeated attempts and interview requests, has refused to discuss publicly what has happened to his company.
According to one of the sources, "The big question was 'why' come to us? ...Then I was told that (IMA's) insurance broker had resigned from the risk group."
An interview with the owner of the brokerage firm, Utah-based Stratus Insurance, Inc., confirmed that the relationship between the two businesses had been severed. Central to the breakup was a dispute over more than $500,000 that involved premiums for policies underwritten by Markel Insurance Company.
IMA members got their first inklings of serious problems on April 8, when a posting on the IMA Web site said that it could no longer offer new policies to members. Then, on June 21, an e-mail was sent to past and present members stating that the company had ceased selling insurance on April 22 because its insurance agent had resigned.
Earlier that month, the registration for a "risk purchasing group" called Health and Beauty Purchasing Group, was cancelled. Federal law requires registration in the states where such a group is expected to do business under those laws. The Health and Beauty Purchasing Group was formed to purchase insurance for IMA.
In an interview, Chicago-based attorney Daniel V. O'Leary said he cancelled the registration in June. He said he was brought in by Green and Stratus in 2009 to finish getting the group registered in all 50 states and Washington, D.C. When Stratus resigned as IMA's broker, that left the association without a broker to represent it. Green was unable to find a new broker quickly, O'Leary said, and without one, the purchasing group could not continue.
While unfamiliar with the financial situation at IMA, he said that a serious dispute had erupted between Green and Stratus. "There was a lot of 'he said, she said' going on at the time, and we decided to cancel the group," O'Leary said.
By late June, IMA had ceased selling insurance and members were told that the business had been turned over to the National Association of Massage Therapists, a non-profit company located in Virginia. Sources present at the meetings where Green discussed the sale of the business have said that Green told them he needed to sell as a direct result of more than $500,000 in member premiums that is central to a dispute with his former insurance broker.
Meanwhile, properties that Green owns in Warrenton, Va., including IMA headquarters, are currently $7,800 in arrears on property taxes, public records show. The headquarters building is also up for sale for $2 million.
While Green has refused to publicly describe the situation, the owner of the insurance brokerage firm, Bret VanLeeuven, said in an interview that his company, Stratus, "cancelled him, not the the other way around...He owes us close to seven figures." Sources have said that Stratus believes it is owed at least $800,000 from Green and IMA.
The relationship between Green and VanLeeuven began around 2004, VanLeeuven said. Stratus, like other insurance brokers of its type, acquires the policies that insure the premium payers from liability claims.
Two of the sources who were solicited by Green to buy IMA said that statements were made at their meetings that suggested that Stratus had failed to properly acquire policies in several of the years since 2004, an allegation that VanLeeuven strongly denies. "Every premium that was collected was passed on to the appropriate parties," he said. "Our business has been audited many times, we held up our part of the contract," he said.
"And the bottomline is that as far as Stratus is concerned, every claim that was made was paid. There have been no complaints about unpaid valid claims. Every state has some kind of insurance commission and I defy anyone to find a complaint made against us," he said.
Green has not responded to numerous requests for an interview about IMA's financial status. Written questions were sent as well and questions posed to him were these:
Editor's Note: If you have had issues with either of IMA's insurance operations, please contact .
Associate Editor Christie Bondurant contributed to this report.
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