Page 18 - Hani Times April 2019
P. 18

18       종합                                                                                                        April 1, 2019  Vol. 1  Hani Times






        Will Medicare Cover Acupuncture For Chronic Low



        Back Pain?                                                                                                               By Namwook Cho, L.Ac.







        “Acupuncture (and massage...)                                                           from last January 15, 2019 for 30  treatment options for chronic pain.
        should be included in Medicare.                                                         calendar days and NCA expecting  The Agency  for  Healthcare
        My families, and many senior                                                            the review will be completed by  Research and Quality (AHRQ),
        citizens I know, are huge fans of                                                       October 13th, 2019.          CMS, and National Institutes of
        Medicare. They are also cognizant                                                       NCA is to complete a thorough  Health (NIH) are collaborating in
        of the fact that their lives would be                                                   review of the evidence to determine  this effort.
        better if acupuncture and massage                                                       if  acupuncture  for  CLBP  is  The Agency  for  Healthcare
        were covered.”                                                                          reasonable and necessary under the  Research and Quality published a
        -A Senior citizen who supports                                                          Medicare program.            systematic review of noninvasive,
        acupuncture  treatment  for                                                             Low  back  pain  is  a  common  nonpharmacological treatment for
        Medicare.                                                                               condition  affecting  many  chronic pain in last June, 2018.
        “Acupuncture for Chronic Low                                                            individuals at some point in their  This review included assessment
        Back Pain is a very effective, none                                                     lives. Some individuals will develop  of several nonpharmacological
        invasive, non- chemical, Positive                                                       CLBP, which is an episode of low  interventions, including exercise,
        benefit relieving while helping the                                                     back pain that has persisted for 3  acupuncture, spinal manipulation,
                                      △ After fall of 2019, CMS will decide whether acupuncture will be
        whole person feel better.”                                                              months or longer.            and multidisciplinary rehabilitation
                                      added to Medicare or not. Photoⓒdizain
        -A medical doctor who supports                                                          In response to the U.S. opioid crisis,  for CLBP.
        acupuncture for Medicare.                                                               Health and Human Services (HHS)  Actual  comments  supporting
        More  than  400  comments  should be added to Medicare  treatment coverage in Medicare   is focused on preventing opioid  acupuncture treatment for CLBP
        from patients, acupuncturist,  system.                     have surged.                 use disorder and providing more  could be seen https://www.cms.gov/
        chiropractors, and medical doctors   Currently, acupuncture treatment for  U.S. Centers for Medicare &   evidence-based non-pharmacologic  medicare-coverage-database.
        supports that acupuncture treatment  CLBP is not covered by Medicare.  Medicaid Services (CMS) surveyed
        for chronic low back pain (CLBP)  But chances for adding acupuncture  national coverage analysis (NCA)
                                                                                                      Facts and Findings Regarding

                                                                                                    Acupuncture Treatment for LBP


















                                                                                                                    △ Varies Pain Symptoms. Photoⓒstaras


                                                                                                   Back pain is one of the most  observational study was set up
                                                                                                   common reasons for Americans  by ten health insurance funds.
                                                                                                   to visit their doctor.    The study examined 454,920
                                                                                                   American  S ociety  of  patients with one or more
                                                                                                   Acupuncture  recently  diagnoses of chronic pain,
                                                                                                   introduced some interesting  including low back pain (45%
                                                                                                   studies regarding acupuncture  of patients), headache (36%),
                                                                                                   treatments.               and osteoarthritis (12%), who
                                                                                                   According to American Society  were treated with acupuncture.
                                                                                                   of Acupuncturist’s  recent  Effectiveness of acupuncture
                                                                                                   survey,                   was rated by physicians in
                                                                                                   ㆍ Chronic neck and/or back  22% of the patients as marked,
                                                                                                   pain were/was found to affect  in 54% as moderate, in 16%
                                                                                                   54 percent of American adults  as minimal, and in 4% as poor
                                                                                                   in 2017.                  (unchanged).
                                                                                                   ㆍ Another survey found that  ㆍ Another German study
                                                                                                   32.5 percent of those 65 years  involving  340  outpatient
                                                                                                   and older suffer from back  acupuncture practices and
                                                                                                   pain.                     1,162 patients with a mean
                                                                                                   ㆍ 29 percent of Americans  of eight years of back pain,
                                                                                                   believe their low back pain  received ten treatments over a
                                                                                                   was due to stress, 26 percent  five-week period.
                                                                                                   believed it was due to being  The patients’ back pain reduced
                                                                                                   sedentary/weak muscles, and  for more than six months post
                                                                                                   26 percent blamed physical  treatment, and the acupuncture
                                                                                                   work.                     effectiveness was almost twice
                                                                                                   ㆍ In Germany, a large-scale  that of conventional therapy.
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