1996

“A system, of managing and financing health care delivery to ensure that services provided to plan members are necessary, efficiently provided and appropriately priced.”1 This is the accepted definition of managed care. Sounds good, doesn’t it? Unfortunately, the key word that prevents this definition from really ringing true is “ensure.” In spite of all the […]

The tribes continue to form on the Great Plains of managed care. Who would have thought years ago that medical and chiropractic physicians would end up on the same page of a preferred provider listing book? Gradually, this historically antagonistic professional relationship has taken on soap-opera proportions, chiefly because of the shot-gun marriage presided over […]

Finally, after one hundred years, it seems chiropractors received support from the United States government with the December 1994 publication by the Agency for Health Care Policy and Research, “Acute Low Back Problems In Adults-Clinical Practice Guidelines.” Not really! Despite the fact that chiropractors provide the majority of spinal manipulative therapy, the publication referred to […]

Managed Care Guru Dr. Ty Talcott tells you The Secrets to surviving and thriving in the managed care arena. If you have decided managed care has the ability to destroy your practice or provide an opportunity, is it not simple to make the next step. If you wish to survive and thrive in the future, […]

With the consolidation of the health care industry into regional/national mega managed care companies, doctors today are increasingly looking toward group practice as one means of creating administrative economies of scale and marketing clout as a means of competing. More and more doctors are aligning themselves with other primary or specialty providers to create leverage […]

Gregg Cristoff provides a brief education on cost analysis and Activity Based Costing (ABC) in particular, and the importance of it when trying to develop a strategy for surviving managed care. As managed care progresses further toward capitation, and financial risks are shifted to the practitioner, cost information is imperative before determining the acceptance of […]

How do you feel managed care is impacting the individual practitioner? I think managed care has had a negative effect on practitioners of all disciplines, not just chiropractors, but MD’s, DO’s, podiatrists, optometrists ­­the whole health care delivery system has felt this impact. In what ways do you feel it’s been negative? It certainly has […]

Please tell about your background. I’ve been practicing as a DC for 18 and a half years. I have had five practices and presently practice in New York City and am a partner in two other multidisciplinary centers. I was assistant professor at New York Chiropractic College from 1989 to 1993 and have been a […]

By using protocol from the International Scoliosis Research Center, a 47-year-old female’s mild Tertiary Scoliosis was reduced thirty-nine percent in 30 days with respect to the Cobb Angle measurements. Scoliosis or “skoliosis” coined by Hippocrates has afflicted the human spine since the stone age.1 Medical treatment for scoliosis varies from “wait and see” to spinal fusion. […]