An interview with Kevin E. Moley on where chiropractic is heading in the 1990's

Article Abstract:

Mr. Kevin E. Moley, assistant secretary of the US Department of Health and Human Services, spoke at the 1991 American Chiropractic Association (ACA) Convention. At that time, he praised the progressive approach of the ACA to such issues as managed care, accreditation standards for chiropractic colleges, and its commitment to improving the image of chiropractic. Moley noted that skepticism, which has been aimed at chiropractic over the years, is now being aimed at others. Chiropractors have not been included in the conventional health care establishment in the past. He observed that the medical establishment today shows more agreement concerning the appropriateness of chiropractic than the appropriateness of invasive procedures. In an interview, Moley commented on the ongoing relationship between the ACA and the Rand Corporation and the publication of their joint study. This type of affiliation is important to validate chiropractic, and to obtain a place for it in the future health care. As the forces of the market place become more influential in medical care, consumers, and those who act for them (employers and consultants), will be asking providers what they do that works, and also for supporting evidence. The association can disseminate information; outcome-oriented patterns of practice information, and information about what works and what does not work. In forging a new health care system, there seem to be two forces in opposition: control in management and freedom of choice. Some large companies are offering their employees a 'point-of-service product.' This means that where the individual gets the service determines how much he is reimbursed. The patient retains some element of choice, if he wishes to pay for it. (Consumer Summary produced by Reliance Medical Information, Inc.)

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1991 ACA Convention addresses crises, defines opportunities of chiropractic profession: report on Orlando, FL activities

Article Abstract:

Over the past two years, the American Chiropractic Association (ACA) has been restructuring its organization to improve responsiveness to members. The association has a renewed commitment to make itself more attractive to non-members. The association is beginning a new approach to membership marketing. The strategic planning process has identified three key issues. Managed care is a completely new concept in health care in America; a 12-point plan has been outlined to prepare the chiropractic profession for these changes. A specific campaign for marketing chiropractic in this new managed care environment has been outlined, and specific recommendations are being considered. The members of the ACA demand and need more forceful representation in places where public policy is made. The association plays an important role in education by protecting student loans and working to gain a rightful share of government health care research money for chiropractic colleges. Managed care is a critical issue for chiropractic. Health costs are forcing regulation; the cost cutting that can be made has already been made. The next step is to focus on the management of the patient's care. The services that health care workers provide will be influenced in a greater or lesser degree by those who make government policy; they intend to cut costs. Association members need to be educated about managed care. Public relations of the ACA need to be expanded in public policy circles, and in the insurance industry. The ACA also needs to continue monitoring unethical practices. (Consumer Summary produced by Reliance Medical Information, Inc.)

Public relations

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A new beginning of back to our future

Article Abstract:

The chiropractic profession will face tremendous challenges over the next 5-to-10 years. Over the next few years, as much as 95 percent of all services paid for by insurance will be provided through some type of managed care. For a profession to be part of managed care, it must prove its value; this includes what is done, how it is done, how long it will take to do, and what it will cost. The type of provider is not important; what is important is that the service is the most appropriate and least expensive for the patient's problem. Although, in the past, the chiropractic profession has not provided much financial support for its colleges or researchers, the American Chiropractic Association is now providing funding for technique studies, standards of care, cost analysis, and public opinion surveys. The association's public relations efforts have obtained free radio and television time in the last year. Petty differences within the profession must be put aside if chiropractic is to survive. The method of chiropractic will survive, but the question of whether it will continue to be administered by a chiropractor remains. All chiropractors must work together to preserve what they firmly believe to be the best drugless approach to healing. Chiropractic must have scientific research, documentation, and statistical data to substantiate the quality of the care we give. It is no longer enough to say 'the patient feels better.' (Consumer Summary produced by Reliance Medical Information, Inc.)

Innovations

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