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PubMedDate not supplied

Current trends in the integration and reimbursement of complementary and alternative medicine by managed care, insurance carriers, and hospital providers.

OBJECTIVES: To assess the status of managed care and insurance coverage of complementary and alternative medicine (CAM) and the integration of such services offered by hospitals. METHODS: A literature review and information search was conducted to determine which insurers had special policies for CAM and which hospitals were offering CAM. Telephone interviews were conducted with a definitive sample of 18 insurers and a representative subsample of seven hospitals. RESULTS: A majority of the insurers interviewed offered some coverage for the following: nutrition counseling, biofeedback, psychotherapy, acupuncture, preventive medicine, chiropractic, osteopathy, and physical therapy. Twelve insurers said that market demand was their primary motivation for covering CAM. Factors determining whether insurers would offer coverage for additional therapies included potential cost-effectiveness based on consumer interest, demonstrable clinical efficacy, and state mandates. Some hospitals are also responding to consumer interest in CAM, although hospitals can only offer CAM therapies for which local, licensed practitioners are available. Among the most common obstacles listed to incorporating CAM into mainstream health care were lack of research on efficacy, economics, ignorance about CAM, provider competition and division, and lack of standards of practice. CONCLUSIONS: Consumer demand for CAM is motivating more insurers and hospitals to assess the benefits of incorporating CAM. Outcomes studies for both allopathic and CAM therapies are needed to help create a health care system based upon treatments that work, whether they are mainstream, complementary, or alternative.

Complementary Therapies↗
PubMed1995

[Different phases in neurologic rehabilitation. Association of German Pension Insurance Carriers].

Elaborated by the project subgroup for "Neurological Rehabilitation" of the Federation of German Pension Insurance Institutes, the phase model presented describes the phases of neurological care and rehabilitation for patients with neurological conditions (notably stroke, craniocerebral trauma, and multiple sclerosis). It deals with acute and intensive care, inpatient medical rehabilitation, as well as the phase of aftercare and the care/rehabilitation phase where long-term support, attendant and/or maintenance measures are required (outpatient or partial-hospitalization medical rehabilitation modalities are not included as yet). Based on patient characteristics, care and rehabilitation goals are specified along with the care and rehabilitation tasks that can be derived from these, with great diversity of individual management course being possible.

Brain Injuries↗