New Pennsylvania Law

When I was practicing in Texas, we had a similar law that required a patient has been referred to an acupuncturist. One of the sneaky ways that I was told by the local board to get around this was to have a separate form where the patient gave the name and address of their PHP, verified they had seen an MD for the condition, and was referred by the physician to get acupuncture. Since most patients see acupuncturists after they exhaust all other possibilities, it was never a problem. Last time I checked, neither acupuncture, chiropractor, or naturopathy were extensively covered in med school, yet we had to be given "permission" while chiropractors and naturopaths were allowed to practice unencumbered. At least in Pennsylvania, the scales are beginning to balance.

PA Law Change Makes Alternative Medicine Easier to Obtain
Pennsylvania - Senate Bill 1235, eliminates the requirement for patients to obtain both a written referral and their last physical exam results to keep on file with their acupuncturist to take effect on January 28, 2007

January 24, 2007 - Backed by both Democrats and Republicans in the state Senate, "[S.B.1235] takes away a tremendous burden to our patients, who often waited weeks to procure a referral while their ailments were left untreated," Steven Mavros, Licensed Acupuncturist and representative of the Association for Professional Acupuncture stated.

Since a patient cannot be denied access to their own medical records [HIPAA], this means that the power to choose acupuncture as a complimentary therapy is now in the hands of the patient.

The original 1986 bill required acupuncturists to obtain physician referrals before providing treatment. Now, patients can come in for same day treatment with no paperwork in hand. Treatment may take place for up to 60 days without any diagnosis or referral.Governor Edward Rendell signed S.B.1235 into law on November 30, 2006.

Feel Good Acupuncture, located at 301 Montour Boulevard in Bloomsburg provides acupuncture and herbal services. "It will be a pleasure to be able to take patients for same-day visits. It's very frustrating to turn away a patient that is in pain, because they did not know that they needed to have a referral prior to treatment."

Points for Plants

Wow - better botany through acupuncture - who would have thought?

Researcher patents use of acupuncture on plants

LONG-TERM PROJECT: Hsiao Gui-wen spent eight years drawing up a comprehensive map of plant acupuncture points and another seven years perfecting the treatment By Chung Li-hua
STAFF REPORTERS Sunday, Jan 07, 2007, Page 2

Can acupuncture be used on plants?

After experimenting for 15 years, Hsiao Gui-wen (蕭貴文), a researcher of Chinese medicine, has uncovered the acupuncture points on plants.

When applied to fruit-bearing plants such as peach and apple trees, acupuncture not only advanced the harvest time by a month and a half, but also decreased damage by blight.

The technique has been patented, and many interested businesses now are in negotiation for the rights to use the technology.

Hsiao originally ran a chiropractic clinic in Yonghe. After he witnessed ginger lilies change color upon absorbing dyes, he toyed with the idea that plants may have acupuncture points like humans.

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New Year, New Face . . . Sort of

In Louisville, there are at least two new plastic surgery offices opening near my practice in addition to the several "botox beauty boutiques" that promise to smooth out any flaw you can think of with laser, syringe, or scalpel. Acupuncture facials can be a hard sell - people who are considering botox or face lifts are probably not going to embrace acupuncture because the results are too slow. The occasional Hollywood personality testimonial may bring some of these people in, but the majority are going to be existing clients or those who would not try anything more invasive than Oil of Olay. Here is some help in bringing that awareness.

Put a New Face on the New Year
Written by Staff
Friday, 05 January 2007

Okay, that may be a bit extreme, but with all of the natural and less invasion alternatives to plastic surgery now offered inn the Denver area, it might not be as impossible as it sounds. If you’ve been looking for a way to rejuvenate and start the year with confidence, you may be ready for an overall overhaul. There are ways to get the fresh glowing skin you are seeking without spending exorbitant amounts of money or committing to invasive plastic surgery. An easy first step is a consultation with a dermatologist and/or an acupuncturist.

Cosmetic acupuncture has been around for centuries. In the early Chinese dynasties, treatments were reserved for the wealthy, though luckily today it is available for common folks like us, and both men and women alike. Cosmetic acupuncture can eliminate fine lines and wrinkles and diminishes deeper lines. Sagging skin lifts and develops a healthy glow. rhytids (lines between the eyes) can completely disappear. Puffy eyes and sagging lids improve noticeably. Rosacea has diminished in most patients and acne becomes less of a problem. Women report that makeup slides on smoothly and less moisturizer is needed. Men have reported noticeable differences in “smile lines” and sagging jowels. Men also love the treatment because it is subtle and gradual.

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Acupuncture on Children

Just from my brief time during clinicals at Kosair Children's Hospital, I had the chance to see children undergo nurmerous types of therapies. By and large, they adapt well even if it does involve needles. I know men in their 50's who refuse to take their own blood sugerbecause they are afraid of the "stick" while a 7-year old will say "look what I can do" and lancet their fingers without a problem. It is not a far reach to believe that kids could embrace acupuncture . . . especially if it means less "yucky medicine."

Dec 26, 2006 3:32 pm US/Eastern
Using Acupuncture To Help Children Heal
Dr. Mallika Marshall Reporting
(CBS4) BOSTON

Acupuncture is one of the oldest forms of healing. Now local doctors are using it to help treat children.

Sandra Kean suffers from migraines as well as severe abdominal pain as a result of a condition called ulcerative colitis. In addition to having surgery, she comes to Children's Hospital Boston for regular acupuncture treatments to help relieve her pain. "I would be doubled over, uncomfortable and crying, and then after I went to acupuncture, I was more relaxed and calm and the side effects were basically gone."

"After a week or two, we weren't getting any more complaining about her abdominal pain or her back pain," said Sandra's mother Roseanne.

Children's started offering patients acupuncture as a complementary therapy in 2000.

"Lots of kids will be saying to us, 'I don't want needles,' however; after careful explanation and demonstration, kids to very well with acupuncture," said Dr. Yuan-Chi Lin of Children's Hospital Boston.

Doctors have used acupuncture to help hundreds of patients, ranging from teenagers like Sandra to the tiniest of babies."I have done acupuncture for premature infants to decrease their anxiety when they are in the intensive care unit," said Dr. Lin.

Dr. Lin has conducted studies which have shown that children who suffered from headaches, stomach aches and other chronic pain, felt less pain, missed less school and were able to sleep better after receiving acupuncture treatments for a year.

BUSTED!

Having seen more than a few examples of insurance fraud in the hospital (some doctors bribe patients with free samples of medications and then don't see them, but bill for an office visit!), it is gratifying to see people get busted. I am all for lower health care costs, and this kind of behavior is one of the major elements that keep driving it up. It is disappointing to think that an acupuncturist would be engaged in this kind fraud, but if they are guilty, then I hope the government will be able to recap its losses.

2 acupuncturists charged with fraud
3:52 PM December 20, 2006
Star report

Two Carmel residents have been charged with health care fraud, U.S. Attorney Susan W. Brooks announced today.

Wei Chen Yang, 44, and Horng Shao, 40, were charged following an investigation by the U.S.
Department of Health and Human Services Inspector General and the Federal Bureau of Investigation.

Court filings allege that Yang and Shao ran the Yang Health Center in Carmel, and provided primarily acupuncture services to control pain and for other purposes. Few health care insurers cover acupuncture treatments.

Brooks said the pair fraudulently billed Medicare, the federal health care program for the elderly, and private insurers, such as Anthem and United Health Care, approximately $187,000 for the acupuncture services as chiropractic services that were covered by the insurers when they knew that acupuncture services were not covered or paid for by the insurers.

Yang and Shao, who could not be reached for comment, face a maximum possible prison sentence of 10 years and a maximum possible fine of $250,000. An initial hearing will be scheduled before a U.S. magistrate in Indianapolis.

Copyright 2006 IndyStar.com. All rights reserved

Care can be pricey

The other day, one of my patients commented to me, "acupuncture is covered in Canada, it stinks that we don't get that." Cost often keeps people away - I have received several "Thanks, bye" from potential patients inquiring about fees. While some insurance, health savings, and flex-spending plans help defray the cost, acupuncturists are largely cash and carry.

Monday, 12/18/06

Integrated care more mainstream, but many patients still foot the bill
By JOY BUCHANAN Staff Writer

Just because people like integrated medical care, that doesn't mean insurance will cover it. Most people using complementary therapies pay out of their own pockets, and prices vary widely.

"My patients are consistently frustrated that the things they do with me are not covered by insurance," said Dr. Stephen Reisman, owner of Mind-Body Medical Center in Nashville. He does not accept insurance because reimbursements are unreliable and paperwork is costly, he says. "We cannot possibly do that and stay in business. The unfortunate thing about my practice is that it's not always accessible to people with lower incomes. They can't afford to pay out of pocket." A new patient visit with Reisman lasts an hour and costs $225. Follow-up visits are $145.

Dr. Dainia Baugh of the Nima Holistic Wellness Center said insurance is integrative medicine's biggest challenge. "Insurance companies may cover a visit if the doctor's plan for the patient is traditional, but if it doesn't follow strict insurance guidelines, then they may not pay for the visit," she said. "It's one of those things they are not willing to do."

Mohit Ghose, spokesman for America's Health Insurance Plans, an industry group, said that is not entirely true. "There is widespread coverage for different therapies," he said. "We can cover anything you want us to cover provided there is medical evidence to back it up."

http://www.tennessean.com/apps/pbcs.dll/article?AID=/20061218/FEATURES04/612180372

Complementary medicines are useless . . .

and dangerous, says Britain's foremost expert
By BARBARA ROWLANDS Last updated at 08:53am on 12th December 2006

at least acupuncture isn't dismissed . . . totally.

A lot of complementary medicine is ineffective, and some positively dangerous. Meanwhile, alternative treatments that promise to cure cancer 'are downright irresponsible, if not criminal'.

These are the views not of an old-school doctor dismissive of alternative therapies, but of Professor Edzard Ernst, Britain's first professor of complementary medicine and, you would have assumed, its greatest champion.

Acupuncture gets the thumbs up. It's good for pain, particularly back pain, though it has nothing to do with mysterious energy flows, as many therapists claim. 'Acupuncture works in a physical way: it's nothing to do with yin and yang,' he says.

Herbal medicines - though not all of them - also pass muster because their success in treating a number of specific conditions has been demonstrated.

But most therapies don't come up to scientific scratch. In a series of articles for the trade publication Independent Nurse, reprinted on the publishers' website healthcarerepublic.com, he gives most the thumbs down.

Practitioners accuse Professor Ernst of trying to shoehorn therapies which are individually tailored to the patient into the straitjacket of a double-blind randomised placebo-controlled trial - the gold standard for conventional medicine.

In such a trial, a drug and a placebo pill are distributed at random to selected patients. Neither patient nor scientist knows who gets what. The code is broken only at the end and the results analysed.

Practitioners question how a treatment such as homeopathy or acupuncture, which treats the 'whole' person not just the symptom, can be subjected to such a study.

Ernst concedes that the 'bog-standard' randomised clinical trial is sometimes not completely suited to a number of treatments, but says he and his team work hard to find new ways of testing different therapies.

There are ways of doing clinical trials,' he says, 'where you can have the full spectrum of individu-alisation, holism and so on. You need to think a bit more - it's a challenge.'



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