March 2024 Health Newsletter

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March 10, 2024

Dear Friends,

If you have been in the office lately, you know we have been talking about pets. For my part, I have frequently told stories about my adopted dog Zuma, a blue-tongued skink named Blue and my wonderful tortoise Merlin! I often ask new patients if they have pets because it gives us a commonality -- a connection beyond just doctor and patient. I find out so much more about a patient when they tell me about their pets because it is an insight into their relationship with nature. It can tell me a bit about how they see their health and their view of their place in the world. 

We generally expect people to care for their spouse, their parent or child. But when a person chooses to have a pet to care for, or chooses not to have one because they cannot adequately care for one, it tells me that they are thoughtful and respectful of themselves and of Nature's other creatures. We can connect on a caring level and I anticipate that this person will be engaged in getting better and staying well. That will make us better partners in working toward their optimum wellness! (And, by the way, it's fun to hear about your pets' adventures!)

I will keep asking about your family... I will keep asking about your pets... I will keep doing my best to journey with you toward your best health! If you have not been in lately, make an appointment for an adjustment. And tell your dog or cat I say Hi!

Office hours are Tuesday, Thursday, and Friday 9 -1 and 3 to 6 by appointment and Saturdays 9 - 1 by appointment. Call 201-525-0707 to make an appointment with me. Joan, Jolanta and Debi will find a convenient time for you to come in.

All the best and see you soon!

Carmel-Ann Mania, D.C.

 

Your name has been added to the newsletter list so that we can keep you informed of the latest in Chiropractic, in our practice, and in the realm of health in general. You may, of course, opt out, but we hope that you will continue to receive this newsletter and the occasional notice from us electronically. Call 201-525-0707 for an appointment, consultation or more information about our office or the services we offer. If you have a church, temple, civic or social group that needs a speaker or a fundraising program, I am available for speaking or programs on health and wellness topics.



Current Articles

» Please support "Medicare Chiropractic Modernization Act" H.R. 610/ S.799
» Look for Insurance Changes
» Unlocking Wellness: How Chiropractic Care Helps You Live Pain-Free 

» Too Much Food Variety in Your Diet Can Lead to Unhealthy Eating
» ADHD May Be on the Rise in U.S. Children

Please support "Medicare Chiropractic Modernization Act" H.R. 610/ S.799

Arlington, VA – In March 2023, both the U.S. House of Representatives and the U.S. Senate  reintroduced legislation to increase access to Medicare-covered services provided by doctors of chiropractic. The Chiropractic Medicare Coverage Modernization Act (H.R. 1610 / S. 799) would bring Medicare’s coverage of chiropractic into alignment with most other federal programs and private health plans, giving seniors improved coverage of non-drug treatments to alleviate pain and improve function.

The legislation was introduced by Reps. Gregory Steube (R-Fla.), Brian Higgins (D-N.Y), Mark Alford (R-Mo.) and John Larson (D-Conn.) in the House and Sens. Richard Blumenthal (D-Conn.) and Kevin Cramer (R-N.D.) in the Senate. Both bills were introduced with a number of bipartisan original cosponsors. An identical bill that expired last year in Congress achieved more than 150 cosponsors in the House, split almost evenly between Democrats and Republications, and six cosponsors in the Senate.

“The level of bipartisan support we achieved with the last bill tells us that this is an issue that resonates and has the momentum to go all the way,” noted John Falardeau, ACA senior vice president of public policy and advocacy. “We thank Sens. Blumenthal and Cramer and Reps. Steube, Higgins, Alford and Larson for their leadership in reintroducing this important legislation, which will benefit America’s seniors.”

“Giving Medicare beneficiaries more options for non-drug services to treat common musculoskeletal conditions such as back pain is critical in ongoing efforts to reduce opioid overuse,” noted ACA President Michael Martin, DC. “Chiropractic care is a part of the solution for many patients who seek to avoid or reduce their reliance on prescription pain medications.”

H.R. 1610/S. 799 would update the Medicare statute that has limited beneficiary access to chiropractic services for over 50 years. The legislation adds no new benefits; it simply allows Medicare beneficiaries access to the profession’s broad-based, non-drug approach to pain management and musculoskeletal health. This includes manual manipulation of the spine (the only chiropractic service now covered), as well as services such as manual manipulation of the extremities and numerous other non-drug treatments, evaluation and management services, and diagnostic imaging. The range of services available to beneficiaries would be determined by a chiropractor’s state licensure.

Chiropractic services and other nonpharmacologic approaches to pain management have become an important part of national efforts to reduce the overuse and abuse of prescription opioid pain medications. The opioid crisis has taken its toll among seniors and other Medicare beneficiaries as it has in communities nationwide.

Learn more at www.acatoday.org/medicare, including how you can reach out to Congress in support of this important legislation.

Author: acatoday.org
Source: acatoday.org


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Look for Insurance Changes

I want to let you know that we are likely going to be making some changes in the insurances that we are accepting. In the past few years, some of the Medicare advantage programs have begun to make it much more difficult for us to participate in. 

Particularly, they are insisting on precertifying care with time consuming paperwork while only allowing payments for an office visit at a rate of about $34. This amount is only 80% of the already reduced Medicare contract rate (and half the reduced in-network rate for non-Medicare insurance). Then, the staff has to chase that $34 by internet and phone for minutes to hours to days. The patients are annoyed by the paperwork, and the staff is annoyed by the frustration and additional work. Up until now, we have offered the full range of care for the regular Medicare price allowed for spinal adjustment only. By statute, we are only paid through Medicare and supplemental insurance for spinal adjustments only. NOT for extremity adjustments, Not for musle or trigger point work, Not for Ultrasound, Muscle Stim, Intracell or Exams. We are permitted to charge for these services by obtaining your written permission, but have tried to be considerate of the many who are on a fixed income, while still providing the best possible care. 

I would ask 3 things of each of you.1) Please check your Medicare coverage in the upcoming enrollment period to see exactly what you are getting for your money. If you can, consider a traditional Medicare plus Medigap supplement (like AARP/United Healthcare, etc.). 2) Anticipate filling out a written permission for the additional services needed in your care and paying the nominal fees for the services if you decide to stay in an Advantage plan.

And, most importantly, 3) contact your US Congress Representative and US Senators to pass HR. 1610/ S.799 the Chiropractic Coverage Modernization Act. This will give chiropractors the ability to charge Medicare for any services permitted under their state licenses, rather than continue the outdated and discriminatory restrictions currently in place. For more information and to contact your representatives, click or paste this link : Chiropractic Coverage Modernization Act

As always, know that the Staff and I appreciate the trust you have placed in us. Thank you for continuing to allow us to be a part of your search for optimum wellness!

Author: Carmel-Ann Mania, D.C.
Source: Dr. Mania


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Unlocking Wellness: How Chiropractic Care Helps You Live Pain-Free 


Are you tired of living with persistent pain that hinders your daily activities? Have you been seeking a natural, drug-free approach to alleviate discomfort and regain control of your life? If so, chiropractic care might be the solution you've been searching for. Chiropractors are primary healthcare providers who primarily specialize in diagnosing and treating musculoskeletal conditions, providing relief from pain and promoting overall wellness through holistic methods. Let's delve into the basics of chiropractic care and how it can help you reclaim a healthier, pain-free life.

At the core of chiropractic philosophy is that proper alignment of the spine and musculoskeletal system is essential for optimal health and well-being. Chiropractors employ a variety of techniques to assess and address misalignments, or subluxations, that may be causing pain or dysfunction in the body.

The first step in your journey to wellness with a chiropractor typically involves a comprehensive evaluation of your medical history, lifestyle factors, and specific symptoms. This holistic approach allows the chiropractor to gain a thorough understanding of your unique needs and develop a personalized treatment plan tailored to address your concerns.

Central to chiropractic care are spinal adjustments, also known as spinal manipulations, which involve applying precise, controlled force to misaligned vertebrae to restore proper alignment and function. Through gentle yet effective adjustments, chiropractors can alleviate pressure on nerves, reduce inflammation, and promote the body's natural ability to heal itself.

In addition to spinal adjustments, many chiropractors may incorporate other therapeutic modalities into your treatment plan to enhance results and support overall wellness. These may include:

  • Soft tissue therapy: Techniques such as massage, myofascial release, and trigger point therapy can help alleviate muscle tension, improve circulation, and enhance mobility.

  • Therapeutic exercises: Chiropractors may prescribe specific exercises and stretches to strengthen muscles, improve flexibility, and promote proper posture, complementing the effects of spinal adjustments.

  • Lifestyle modifications: Depending on the chiropractor and location of their practice, they may be able to additionally offer guidance on various things including ergonomics, nutrition, exercise, and stress management strategies to support your overall health and prevent future injuries or pain flare-ups.

  • Education and empowerment: One of the hallmarks of chiropractic care is patient education. Chiropractors empower you with knowledge about your body and how to take an active role in your health and well-being, equipping you with the tools you need to live a vibrant, pain-free life.


Whether you're suffering from back pain, neck pain, headaches, or joint discomfort, chiropractic care offers a safe, non-invasive approach to addressing a wide range of musculoskeletal issues. By addressing the root cause of your pain and promoting natural healing from within, chiropractors help you not only alleviate symptoms but also improve your overall quality of life.

It's important to note that chiropractic care is not a one-size-fits-all solution, and outcomes may vary depending on factors such as the severity of your condition, your overall health status, and your commitment to following your chiropractor's recommendations. However, many patients experience significant relief and improved function after undergoing chiropractic treatment.

If you're ready to break free from the grip of pain and reclaim your vitality, consider exploring the benefits of chiropractic care. By restoring proper alignment, relieving pressure on nerves, and promoting holistic wellness, chiropractors help you get back to doing the things you love with greater comfort and ease. Take the first step towards a healthier, pain-free life today by scheduling a consultation with our office today!

Author: ChiroPlanet.com
Source: ChiroPlanet.com


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Too Much Food Variety in Your Diet Can Lead to Unhealthy Eating

The American Heart Association (AHA) is now questioning the assumption that eating a diverse array of foods is good for your health. This has been a diet recommendation for years, but doctors and nutritionists don’t agree on what an "array" or "variety" of food means. In fact, including a wide variety of food in your diet may actually be unhealthy. According to new studies, diversity in food choices is tied to poor diet, including eating refined sugars and grains, processed food, and sugar-laden drinks. Doctors once recommended getting a variety of food in your diet because it helps you get all the vitamins and nutrients you need. However, with the rise of cheap junk food and its availability, people are confusing variety with quality. The AHA Behavioral Change for Improving Health Factors Committee reviewed fairly recent studies on the topic of food variety in the diet, including its impact on obesity and eating patterns. Overall, they came to the conclusion that diversity in the diet doesn't necessarily connect to healthy habits. In fact, they discovered evidence suggesting that eating a wider variety of foods is tied to eating more food in general, poor eating habits, and gaining weight. Instead, researchers promote eating a large variety of healthy foods, including whole grains, veggies, and fruits.

Author: ChiroPlanet.com
Source: Circulation, online August 9, 2018.


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ADHD May Be on the Rise in U.S. Children

According to a new study published in JAMA Network Open, diagnoses of children with ADHD (attention-deficit/hyperactivity disorder) have increased significantly since 1997. Researchers found that the diagnosis rate for children with ADHD increased from 6.1% in 1997 to 10.2% in 2016. However, according to Dr. Wei Bao, there could be lots of reasons for this dramatic rise. For example, doctors are much better at diagnosing ADHD than they were 20 years ago. Dr. Bao also said that more people today are aware of the condition and its symptoms, which can lead to more kids getting screened and subsequently diagnosed. Bao and his fellows are researchers at the College of Public Health at the University of Iowa. They came to their conclusions by reviewing the National Health Interview Survey over 20 years. In particular, they honed in on answers to one question: Whether survey-takers' children had ever been diagnosed with ADHD or ADD (attention-deficit disorder). For scope, the most recent iteration of the survey from 2015-2016 collected data on over 18,000 children from age 4-17. Of that number, nearly 2,000 received an ADHD diagnosis. Though the research results are startling, experts advise parents and doctors to take the increase in children with ADHD with a grain of salt. This is because ADHD is commonly misdiagnosed.

Author: ChiroPlanet.com
Source: JAMA Network Open, online August 31, 2018.


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