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To: DieHard the Hunter

Lots of physicians use acupuncture. Cupping, though: not so much. We now have a certified acupuncturist working out of our hospital....I am not aware of the terms of her practice, but it isn’t cheap, while the physicians, AFAIK, can charge for their time, but not for the practice, per se.

There are modalities in massage that involve lifting the muscle off the bone, but after a decent interval of relaxation of that muscle and skin-rolling techniques designed to loosen the bond between the muscle and fascia. It does work well.

Personally, I am not in favor of causing hematomas on clients. I have seen folks after a cupping session. I would rather have deep-tissue massage. But, everyone is different, so of course, keep it up if it works for you.

As a retired medical massage therapist whose husband is still practicing we do not want the government or the insurance companies to cover our work. We experienced this during an experimental program back around 10 years ago. They begin with the authorization process before you can even accept an appointment. Then, they can mandate that their policyholders get preferential appointments, even when they are usually more non-compliant. By the time you are almost out of business, the demand for the preferences for policyholders has decimated any other regular practice. Then they begin to dictate what area you can work (as prescribed by a gatekeeper physician) and for how long (15-minute increments). This is already the norm in PT, as well as limits on number of covered sessions and contributes greatly, IMO, to the number of PT patients who fail their course of treatment and then improve under massage protocols.

Payment is within 120 days, making it difficult to deal with cash flow. Sometimes payments are bundled and paid within 180 days!

We have already spoken to a couple of area D.O.s about becoming gatekeepers if medical massage is mandated for coverage. At least they understand the modality and are too busy being physicians to feel threatened.

I fear that the efficacy of complementary modalities will be undermined if the government or the insurance companies get involved. So far, most of our covered clients are either under a cafeteria section of their policy, which zerO will get rid of, or they are Workman’s comp, where the client pays and is then reimbursed under the policy that pertains. That has worked out alright for both the practitioner and the client.

Are the complementary modalities covered under the public system in NZ?

16 posted on 08/03/2009 8:12:53 AM PDT by reformedliberal (Are we at high crimes or misdemeanors, yet?)
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To: reformedliberal

> Are the complementary modalities covered under the public system in NZ?

Yes — particularly under the ACC system (Accident Compensation Commission). That is the “public” system that pays for our no-fault accidents.

(In New Zealand it is impossible to sue or be sued for personal injury. Such events are “no-fault” and treated by ACC, which seeks to return the patient to as close to full health as is possible)

ACC is funded by levy from employers and vehicle drivers.

Under the standard public medical system (which is basic acute and chronic treatment) complementary modalities are also covered, depending upon what it is and how it is needed.

They are also definitely covered under our private medical system.

(so you can see, there are several “systems” at work here, not just one huge mega-system like what ObamaCare seems to be proposed as)

19 posted on 08/04/2009 12:59:38 AM PDT by DieHard the Hunter (Is mise an ceann-cinnidh. Cha ghéill mi do dhuine. Fàg am bealach.)
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