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Helping Patients Through Pregnancy Loss
There is a lot of focus in the acupuncture world on fertility and helping women get pregnant. It's exhilarating to hear the news that a patient is expecting a baby. The other side of that is pregnancy loss. That includes abortion, miscarriage or stillbirth.
Chiropractic: The Right Choice for Relieving LBP
"Low back pain (LBP) is a common threat to medicine and a reasonable threat to all national health care systems. ... Reducing ineffective treatments is necessary to decrease the LBP associated costs."
Some Thoughts on the TMJ
The temporomandibular joint is an interesting and dynamic articulation that can cause a lot of problems.
Going Shoeless: The Pros & Cons of Barefoot Running
With the subculture of barefoot runners and the products catering to them growing daily, just about every chiropractor has been asked at one point or another about their opinion regarding barefoot running.
Energy is a hot commodity. Society pays dearly for it and for the expertise of those who know how to cultivate it.
SOAP Notes: It's Time for a Cleaning
I have been planning for some time to write an article about how traditional SOAP notes do not fit chiropractic practice, and the unfairness of holding DCs to a model clearly created for and primarily applicable to medical physicians.
Herbal Medicine: Go Mainstream
When it comes to practicing herbal medicine in a mainstream setting, there are a number of important points to understand when it comes to prescribing formulas. Some important questions to ask are - what method of prescribing and dispensing is most effective in this setting?
Correcting Kid Logic in Health Care and Research Design
A recent broadcast on public radio described a fascinating phenomenon known as kid logic.
Happenings in Our Evolving Profession
Good things seem to be happening for our profession and recent developments show we are all on board. Talking about being on board, this September The Veterans Express-Purple Heart Tour is expected to make its way out of the station.
What They Don't Say Could Hurt You
I have written previously regarding the difficulties of drawing information from patients who are poor historians, forgetful or just plain uncooperative. The thought to revisit the topic occurred recently during preparation for an upcoming seminar.
Let's face it – patient evaluation takes time. Unless you are really into the diagnostic evaluation game, you probably have found the formal exam protocol tedious if not downright annoying.
The Potter's Wheel: Reflections on Practicing in a Technology-Driven World
In my very early years of practice, an older patient named Cora would call me at home, usually late Sunday night after she had consumed an unknown quantity of beer.
Economics of Complementary/Integrative Care
Although this column doesn't usually feature a book review, we're going outside of our usual public health format to discuss a new book written by Patricia Herman ND, PhD.
We Get Letters & E-Mail
Patient Perception and the Farce of "Fast Relief"; A Fly in the Ointment; Persecuted for Choosing to Practice Chiropractic.
Peer Points: Stories of Practice Success
When patients go see Arizona-based acupuncturist Jing Liu, it is to get top care from an practitioner well versed in all aspects of Traditional Chinese Medicine.
What the Science Says About Magnesium Stearate
It's often been said that scientific studies can be used to support just about anything. But discoveries are never made one study at a time.
Helping Infertility Patients with the Spirit Essence
As many of you know, when it comes to treating infertility, we are dealing with a patient population that is, generally speaking, in emotional turmoil. These patients often experience fear, anxiety, despair, hopelessness, grief and anger.
You are What You Eat Part II: Integrative Protocols
In the previous installment of this article I discussed important ideas concerning gastrointestinal health and foundational ideas from TCM, which can provide key insights into creating effective protocols for healing the gut.
Why You Should Get to Know the National Vaccine Information Center
Barbara Loe Fisher has been a diligent advocate for providing parents with the information necessary to make informed decisions regarding the usage of vaccinations for their children.
There Are No Secrets: Treating Complicated Conditions with TCM
Including standardized extra points, there are just over 400 acupuncture points on the body. You get 400 and I get 400 - same. Yet, time and time again treatment protocols are coveted as if they were some secret formula only intended for the right and privileged.
The Spirits of the Points: The Gall Bladder Official
The Gall Bladder is known as The Official of Decision Making and Judgment. In any given day, this Official makes countless decisions – conscious and unconscious, which influence every aspect of our being.
News in Brief
Controversial Florida PIP Law Under Review; D'Youville Chiro. Students Learning Art of Co-Managing; And the Award Goes To...; F4CP Recognizes Major Contribution by ChiroTouch.
Research Abstracts From the Journal of Manipulative & Physiological Therapeutics
Effect of Pain Relief on Lumbar Muscle Function and Activation; Effects of Thrust Amplitude and Duration of HVLA Spinal Manipulation; Immediate Effects of Upper Thoracic Manipulation on Cardiovascular Response.
Have a Heart: Say No to Soda
It's not enough that soft drinks and other sugar-sweetened beverages have been linked to cavities and weight gain, among other negative health consequences.
A Building Block of Healthy Aging
Coenzyme Q10 has gained enormous attention in recent years, and with good reason —it's the Energizer Bunny of the cellular world.
Remembering Joe Weider (1920-2013)
With the death of Joe Weider, the world's most famous body-building visionary, crusader, fitness magazine publisher and icon, on March 23, 2013, chiropractic has lost one of its greatest friends and supporters.
Are They Finally Fixing Medicare Reimbursement?
Even with federal sequestration cuts taking effect in March, including a 2 percent reduction in Medicare reimbursement to health care providers, hope may be on the horizon in the form of a much-anticipated, perpetually suggested overhaul of Medicare's Sustainable Growth Rate formula, which serves as the basis for determining physician reimbursement.
Medicine Presents: A Great Opportunity
The changing nature of health care presents both opportunities and challenges. While we tend to focus on our profession, we can sometimes forget the impact other health care professions can have on us.
September, 2010, Vol. 10, Issue 09
By Ramon G. McLeod, Editor-in-Chief
Will Green, the owner and founder of the International Massage Association (IMA), a business that was once a major insurer for the massage therapy community, said in an interview that depression was behind his failure to pay for more than $600,000 in insurance premium payments, an action that has effectively destroy the business.
During the wide-ranging interview, Green reiterated a number of statements he had made in an e-mail he sent to the association's members that followed the original Massage Today story ("What Became of IMA", August 2010) that went online on July 19. In the e-mail, sent to members on July 21, he told members that he "began to sabotage" the association last year. IMA will go out of business formally at the end of this year, he said.
In the interview and the e-mail, Green said he became deeply depressed last year after he learned from federal agents that insurance brokers he worked with in the early part of this decade were under investigation for insurance fraud.
Green, in the interview, was asked directly why he stopped paying Markel Insurance the premiums owed them for at least six months, he said, "I don't know why, was it right or was it wrong? It was wrong," he said.
"I wasn't acting like me for six or eight months.
"Do I have answers why? No...Am I embarrassed, absolutely," he said.
Green also said he has paid the insurer two months of owed premiums for 2009-2010. And that he plans to pay three more months with the proceeds of the sale of his $2 million building in Warrenton, Va., IMA's headquarters. He said he hoped the sale would be finalized in a few weeks.
He said, in his original e-mail, that when he began to repay the insurance company, "My only option was to terminate our staff of 18 people and do the best I could to sell off assets and pay off my debt. I owe the money!"
He said he sold off vehicles, investments, business equipment and buildings to get the cash and make payments. He said that Markel continued to cover IMA members through the no-payment period and remain covered by their existing policies. "Everyone is covered at this point."
Asked what happened to the $600,000 he did not pay, and is now attempting to repay, Green said, "I spent some on payroll, it was used in the businesses...it got eaten up in costs."
Green has said several times that the fraud case was the trigger for depression and failure to pay premiums. That case involved Rodney R. Ayer, former president of Phoenix Underwriting Managers Inc. of New Jersey, who pleaded guilty to insurance fraud on July 2.
Ayer, and an unnamed company, only referred to as "Insurance Broker A-1" worked with two massage associations, IMA and Hands-On Trade Association, according to federal documents.
Bret VanLeeuven, owner of Green's former long-time insurance brokerage firm, Utah-based Stratus Insurance, Inc. insisted in an interview that his company, which works with massage associations, was not the "Insurance Broker A-1" named in the federal records.
VanLeeuven stated that was in partnership with Ayer at that time, "But there are other individuals involved in this case," he said. "They (the federal authorities) are talking to me, Green, and a lot of others. Everyone down the line."
The fraud case stems from a scheme uncovered in 2006. Federal records say that Ayer and the unnamed second broker pretended to have acquired coverage from Hannover Re, a multinational insurance carrier. Instead, according to court records, they took in premiums from the associations, paid out claims and expenses, while retaining underwriting profits that normally go to the insurance carrier.
Ayer faces a $500,000 fine, two years in jail, and has agreed to setup a $500,000 escrow account for any claims left over from the period when this all occurred.
Green says he first learned about this scheme last year from the FBI.
VanLeeuven, who ended his business relationship with Green in April 2010 over Green's failure to pay him the premiums for the Markel policy, scoffed at Green's explanation that depression caused him to get so deeply in arrears.
"For Green to say that depression caused him not to pay his bills ignores that this was all self-induced," VanLeeuven said. "The fact is that what Ayer did had no financial impact on Green. He can say it hurt him that his company's name was involved with this," he said. "But this (current situation) involves $800,000 of his members money."
"Maybe I should say I'm depressed and stop paying my bills," he said.
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