April 01, 2004
By: Lauren Halsbain
Website: http://www.1st-in-wellness.com
Americans Likely to Gain Access to the Best of Alternative and Conventional Medicine
An upstart outfit in New Mexico rallied thousands of
government and private health plans, provider organizations and practitioners in support of a federally authorized
market trial that could give millions of Americans insurance coverage for the best of
alternative and conventional medicine.
The demonstration program authorizes Alternative Link to evaluate the cost-benefits of ABC codes in
commercial use. ABC codes are new business tools that could bring to the healthcare industry the same
consumer orientation and operating efficiencies that exist in the grocery industry.
The codes support
research, management and commerce in the fields of alternative medicine, nursing and other forms of
integrative healthcare. They fill gaps in older medical code sets that, for years, have focused on care
delivered by conventional physicians.
By doing so, ABC codes support cost-effectiveness comparisons
between conventional, complementary and alternative medicine. Such comparisons—which often lead
to changes in insurance coverage and reimbursement policies—were difficult when the American
Medical Association had what some call a statutory monopoly on coding.
Synthia Molina, CEO of Alternative Link, explains.
Imagine if an American Food Association
controlled universal product codes or bar codes on food products. All that association would need to do
to keep international foods off the shelves would be to withhold UPCs for those products.
The resulting
supply chain inefficiencies would be so great that no grocer could afford to stock international foods—
even if those were the foods Americans preferred at times.
That’s exactly what has happened in healthcare, she continues. Wherever the AMA has failed to
issue codes for alternative medicine, nursing or other forms of integrative healthcare, Americans have
found those approaches to care largely excluded from their covered health insurance benefits.
This
limits consumer choice and drives up prices on conventional approaches to care.
ABC codes—the brainchild of Melinna Giannini, a former health benefits broker and Alternative Link’s
Founder and President—already characterize some 4,000 healthcare services and supplies delivered
primarily by wellness-oriented healthcare practitioners.
Among these are acupuncturists, bodyworkers,
chiropractors, holistic physicians, homeopaths, ethnic and minority healthcare professionals, massage
therapists, midwives, naturopaths, nurses, oriental medicine practitioners, osteopaths, somatic educators
and spiritual healers. Forthcoming codes will reflect care delivered by nutritionists, holistic dentists,
mental health professionals, occupational therapists, pharmacists, physical therapists and others.
About
The Author:
Lauren Halsbain is a successful author and regular contributor to http://www.1st-in-wellness.com.
Obtaining and keeping good health through healthy living, natural healing, great mental health and healthy finances.