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Chiropractic Takes Its Case to the DOJ

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Manage episode 497699768 series 3643436
Content provided by DC and Dynamic Chiropractic. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by DC and Dynamic Chiropractic or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

The article highlights a significant initiative by Chiropractic Future, which has submitted three formal filings to the U.S. Department of Justice (DOJ). These submissions specifically target the DOJ’s Anticompetitive Regulations Task Force to address systemic inequities that impede reimbursement, restrict patient access, and foster discriminatory treatment of chiropractors within the healthcare system.

The key grievances detailed include: Provider Discrimination, where chiropractors face unequal reimbursement and unjustified network exclusion despite legal protections and billing for services identical to those provided by other healthcare professionals. This practice directly suppresses market competition and limits patient access to care. Another critical issue is Medicare Disparities, where chiropractors, though federally recognized as “physicians,” are only reimbursed for spinal manipulation, excluding other in-scope services like evaluations and diagnostics that are covered for other providers. Finally, ERISA Abuse is outlined, where self-funded plans exploit preemption to impose lower rates, arbitrary visit limits, and improper payment recoupments, violating fiduciary duties. This collaborative effort, acknowledging contributions from other national chiropractic organizations, aims to expose and challenge these barriers, striving for fair access and consistent reimbursement for chiropractic care.

  continue reading

75 episodes

Artwork
iconShare
 
Manage episode 497699768 series 3643436
Content provided by DC and Dynamic Chiropractic. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by DC and Dynamic Chiropractic or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

The article highlights a significant initiative by Chiropractic Future, which has submitted three formal filings to the U.S. Department of Justice (DOJ). These submissions specifically target the DOJ’s Anticompetitive Regulations Task Force to address systemic inequities that impede reimbursement, restrict patient access, and foster discriminatory treatment of chiropractors within the healthcare system.

The key grievances detailed include: Provider Discrimination, where chiropractors face unequal reimbursement and unjustified network exclusion despite legal protections and billing for services identical to those provided by other healthcare professionals. This practice directly suppresses market competition and limits patient access to care. Another critical issue is Medicare Disparities, where chiropractors, though federally recognized as “physicians,” are only reimbursed for spinal manipulation, excluding other in-scope services like evaluations and diagnostics that are covered for other providers. Finally, ERISA Abuse is outlined, where self-funded plans exploit preemption to impose lower rates, arbitrary visit limits, and improper payment recoupments, violating fiduciary duties. This collaborative effort, acknowledging contributions from other national chiropractic organizations, aims to expose and challenge these barriers, striving for fair access and consistent reimbursement for chiropractic care.

  continue reading

75 episodes

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