In what is being called a great first step by the integrative health community, Congress has proposed bipartisan legislation to help manage costs and improve outcomes for Medicaid recipients with help on a state and community level. The Social Determinants Accelerator Act introduced in July 2019 proposes planning grants and technical assistance to help communities address non-medical needs that are linked to health, such as food security, employment and housing stability. The proposed legislation, which has been endorsed by groups like the American Hospital Association and Aligning for Health, an association working to address such social determinants to health, suggests a growing recognition among political leaders that good health encompasses more than just addressing disease states and that social determinants like income equality, poor public transportation, and housing instability can also impact health and well-being.1 The new bill is a positive first step, according to Margaret Chesney, professor of medicine and former director of the Osher Center of Integrative Medicine, at the University of California, San Francisco School of Medicine, as well as a special advisor to IHPC. “This bill provides opportunities to reach out and encourage Congress to consider the importance of health in general and highlight a very important problem—that in many cases health is determined more by zip code than genetic code. Where we live, the schools in our neighborhood, the availability of low cost healthy fruits and vegetables, the presence of safe spaces to be outdoors, are all major determinants of our health status and longevity.” While the bill is a step forward, it doesn’t go far enough, she added. The focus of the bill is more on addressing individual social needs such as food insecurity or lack of transportation. Facilitating access to these services is helpful but falls short of addressing the on-going needs. Actually addressing social determinants requires looking at the policies that create the conditions which lead to poor health, according to Sharad Kohli, M.D., IHPC Policy Committee co-chair. “Integrative clinics,” he noted, “including many federally qualified health centers, are uniquely situated to address all of the factors that influence health including working on an individual clinical level with patients using both conventional and complementary health approaches, by directly working with patients to address their specific social needs, and by advocating for policy change that can lead to healthier communities.”2 There are integrative medicine clinics and programs, for example, that not only strive to combine the best of complementary and conventional care, but also to help individuals, families and communities create social and physical environments that are conducive to health. Perhaps we can build on the interest of lawmakers in this bill to help them move toward taking bolder steps to address social determinants of health. Though the legislation recognizes the importance of communities and hospitals linking people to existing available resources, there are still significant gaps to address in these programs. For example, Chesney noted, the recent water problem in Newark, N.J., where the city delivered cartons of water to certain points in the city where contamination was a problem, but seniors in three-story walkup apartments couldn’t access it. And the fact is, Americans are not getting the most efficient and cost-effective healthcare. Statistics show that among industrialized nations – Japan has the highest longevity – at 84.2 years and their health care cost is $4,766 per capita. In contrast, the U.S. life expectancy is 78.6 years and our health care costs are $10,586 per capita, more than twice that of Japan.3 “If we want to address the extremely high cost of healthcare, which is more than $10,000 per capita and our mortality rate, which is increasing rather than decreasing, then we have to look at the whole picture and need to make it possible to have a healthy lifestyle,” Chesney explained. If people have to take three buses across town to get to the food bank, that is not going to address the need. A better approach is to place food banks in hospitals. Chesney noted the preventative food pantry program at Boston Medical Center. “You see the doctor and get your recommendations for diet, say for diabetes, and then you go down a few floors and get the recommended food from the food bank. That is integrative medicine!” “Groups like IHPC are in an ideal position to advocate for bold ideas to help create healthier zip codes,” Chesney added. One such idea, she highlighted is the Morehouse Community Health Worker Training Program4 for High School Students and Young Adults, which offers youth skills that can be directly translated into a meaningful job and a career path for their lives. At the same time, these youth learn positive health skills that they can share with their peers and families. And that, Chesney added, will engage them in helping to change the world in which they live. References Castrucci BC, Fielding J, Auerbach J. Social determinants of Health—health isn’t just bugs and bacteria. The Hill. 4 2019. Castrucci BC, Auerbach J. Meeting individual social needs falls short of addressing social determinants of health. Healthaffairs. Jan. 16, 2019. Organization for Economic Co-operation and Development, 2019. oecd/healthstat/life-expectancy-at-birth.htm and Data.oecd/healthres/health-spending.htm. Morehouse School of Medicine. Community Health Worker Training Program for High School Students and Young Adults. https://www.msm.edu/Education/PipelinePrograms/hscommunityhealthworker.php
HHS Pain Management Report offers unprecedented potential to support advancement of integrative pain management protocols
The recent release of Pain Management Best Practices Inter-Agency Task Force Report from the U.S. Department of Health and Human Services (HHS) is an unprecedented opportunity to shed light on the potential of integrative and non-pharmacological approaches to pain management, according to the Integrative Health Policy Consortium (IHPC). Although the nation has been justifiably focused on the action of the pharmaceutical industry that has helped to perpetuate the opioid crisis by promoting drugs for pain that have known potential to cause addiction and harm, this report has received far too little attention, the Washington. D.C.-based non-profit organization said. “This document paints a path forward to effectively address pain with a multidisciplinary strategy utilizing non-pharmacologic approaches,” said IHPC Policy Committee co-chair Sharad Kohli, MD. “Many of the therapies recommended are not only safer, but more effective than opioids, will prevent unnecessary deaths, and will improve the quality of life for the millions of Americans currently suffering with pain.” The report identifies gaps and inconsistencies in pain management and offers recommendations for improving pain management best practices. The task force emphasizes key non-pharmaceutical centered approaches to improve the lives of patients living with acute and chronic pain. They include individualized patient-centered care fostering a therapeutic alliance between patients and clinicians and multidisciplinary approaches using one or more treatment modalities and the biopsychosocial model for pain care. The report also considers special patient populations and comorbid conditions that accompany complex pain. The Task Force also recommended that the Centers for Medicare & Medicaid Services (CMS) and other insurers align their reimbursement guidelines with these findings. The Inter-Agency Task Force Report is a welcome addition to the pile of reports generated by government agencies in the context of the opioid overdose syndemic, noted Robert Twillman, Ph.D., an IHPC at-large member and pain management psychologist at St. Luke’s Health System in Kansas City, MO. It is notable, he added, that the work resulting in the document was done by a select group of individuals directly involved with pain management in one way or another, and that it included a broad spectrum of such individuals, as mandated by the SUPPORT Act for Patients and Communities. “Asking those ‘in the trenches’ as people with pain, health care providers, and policymakers to survey the landscape and make recommendations for where we go from here is exactly the way such exercises should be carried out,” Twillman said. “Couple that with robust opportunities for public comment, both online and at the Task Force’s meetings, and you have a document that stands out as an example of the way things should be done.” The Task Force’s recommendations span five broad treatment approaches to pain management: Medication, Restorative Therapies, Interventional Procedures, Behavioral Health Approaches, and Complementary and Integrative Health. They are reinforced by four cross-cutting themes critical to all treatment approaches: Risk Assessment, Stigma, Access to Care and Education. It represents a philosophical and cultural shift to addressing chronic and acute pain by using Complementary and Integrative Health Protocols, IHPC said. It is gratifying, Twillman added, to see the task force recognize these ideas because previous guidelines and policies have given little more than lip service to these notions. “Many times non-pharmacological treatments for pain are recognized as preferred first-line therapy, but recognition of the tremendous access barriers to that kind of care is rare,” he said. “Those of us in the field know all too well how difficult it is for most people with pain to access non-pharmaceutical care, and for the Task Force to fully recognize this and recommend changes to coverage policies to promote access is very important.” Twillman sees this report as a tremendous opportunity for the field of integrative health and medicine. “It is a foot in the door that is enabled by the country’s tremendous problems related to the opioid misuse, abuse, overdose, and overdose death syndemics,” he said. The tremendous opportunity here for integrative providers to demonstrate the value of these interventions can’t be ignored, and the integrative health community needs to do everything in its power to leverage this report to improve access, Twillman added. “Any time a good report is issued, we talk about not letting it just gather dust on a shelf, and far too often, that is exactly what happens. I’m not sure we’ve ever had an opportunity like this, and we can’t allow it to go unrecognized.” You can read the full report and visit HHS’s accompanying toolkit here
Pain Insights, Inc. announces a comprehensive market research study conducted among 1,044 patients with moderate-to-severe chronic pain and measured patient views/satisfaction/outcomes on the use of opioids, non-opioids, OTCs, and non-pharmacologic therapies for treatment of chronic pain. The report, published in July 2019, updates “Harmonizing Clinical Practice and Clinical Guidelines in the Management of Chronic Pain: — From the Patient Perspective” published in June 2017. The updated report also looked at the impact of recent guideline recommendations on patient/practitioner views regarding opioids, the uptake of medical marijuana/cannabis, utilization of non-opioids and opioids for post-surgical pain (inpatient/outpatient). Among the study’s key findings: Patients currently taking an opioid for chronic pain declined from 59% to 48% in the updated study; approximately one in five patients with chronic pain indicated they have tried medical marijuana/cannabis as part of their pain therapy; and moving forward patients are recommending a broader approach that can be tailored to individual needs and include pharmacologic, non-pharmacologic, cognitive and spiritual support. Read more here http://www.paininsights.com/tracking-pain-in-america
Group medical visits are exceptional methods delivering critical components of integrative health care for treating and reducing the risk of a wide variety of chronic diseases, particularly in underserved populations. A Special Focus Issue on Innovation in Group-Delivered Services is published in The Journal of Alternative and Complementary Medicine (JACM), a peer-reviewed publication dedicated to paradigm, practice, and policy advancing integrative health. The Special Issue was developed in partnership with Integrative Medicine for the Underserved (IM4US) and Centering Healthcare Institute. The issue was led by Guest Editors Paula Gardiner, MD, MPH, University of Massachusetts Medical School (Worcester, Mass.), Maria Chao, DrPH, MPA, University of California, San Francisco, and Marena Burnett, Centering Healthcare Institute (Boston). The issue includes two editorials, four commentaries, a systematic review and eight original research articles. The broad diversity of contexts that are conducive to review are featured, from applications in federally qualified health centers to integrative oncology, and with themes ranging from the growing movement for community acupuncture to a commentary exploring the special ingredient that group brings. Read more here https://medicalxpress.com/news/2019-07-group-medical-access-advance-heath.html
A proposed study from the Centers for Medicare and Medicaid Services (CMS) on acupuncture for chronic low back pain represents what the IHPC Partner for Health, American Society of Acupuncturists (ASA), called a massive step toward incorporation of acupuncture into national health care. The goal of the CMS work is to conduct studies in the age group covered by Medicare, in order to determine if the evidence for acupuncture’s effectiveness in this specific group is sufficient to include it under general Medicare coverage. Once the studies are completed, the data will be analyzed to determine whether to cover acupuncture for low back pain in this population. While it is a step in the right direction and good news that acupuncture is being studied at this level, the ASA does have some concerns, according to David W. Miller, MD, L.Ac., chair of the group’s Board of Directors and a private practitioner at East-West Integrated Medicine in the Chicago area. “Our main concern is that licensed acupuncturists be explicitly included in the process, and that the service they provide be clearly recognized.” The association asked its members to provide comments to CMS by Aug. 15, asking that the section regarding “auxiliary providers” be changed to more clearly name “Licensed Acupuncturists or state equivalent.” The group also asked members to request that the supervision required during the study period be done only by medical doctors. The current language states that other practitioners such as Physician’s Assistants, Nurse Practitioners, and Nurse Specialists can also provide supervision. The ASA does not see this as appropriate, given that these practitioners do not typically have the training required to supervise acupuncture practice, unless they themselves are also legally trained as licensed acupuncturists, Miller noted. Supervision by other licensure types does not have any legal precedent and does not add in any way to the safety or quality of the trials, the group said in a statement to members. ASA cautioned members to remember in their comments that this is a groundbreaking moment for this type of study, and some error in concept is inevitable. In general, the acupuncture community is thrilled that CMS is moving in this direction. This type of access will allow millions of American seniors access to this effective, non-pharmacological option for pain control. This care may be a significant component in boosting quality of life for Medicare recipients, and decreasing our national opioid dependence.
Linking toxins to the diabetes epidemic Collaboration is an important way that IHPC moves forward in its mission to eliminate barriers to health. To advance that mission, we work in partnership with many experts and health care professionals around the United States. IHPC is pleased to note that one of these partners, Joseph Pizzorno, ND, is taking on an expanded role as co-chair of the Environmental and Health Committee. Dr. Pizzorno is a naturopathic physician, educator, researcher and expert spokesperson, as well as the founding president of Bastyr University. He is also an author or co-author of 12 books including the Textbook of Natural Medicine and the Encyclopedia of Natural Medicine and is one of the world’s leading authorities on science-based natural medicine. Under his leadership, Bastyr became the first accredited multidisciplinary university of natural medicine and the first NIH-funded center for alternative medicine research. He retired from Bastyr in 2000 and has since served on President Clinton’s White House Commission on Complementary and Alternative Medicine Policy and the George W. Bush administration’s Medicare Coverage Advisory Committee. IHPC recently had a conversation with Dr. Pizzorno about natural medicine, the group’s overall mission as well as the agenda for the Environmental and Health Committee: IHPC: You have been at the forefront of integrative medicine for more than four decades. Are you satisfied with the progress you have seen? Pizzorno: We have made dramatic progress in awareness of natural medicine. When I graduated in 1975, natural medicine was only licensed in six states and practicing was a felony in some states. Now, 22 states allow the practice of natural medicine and that is a dramatic increase. Clearly conventional medicine has had lots of successes over the years, obviously in areas like infection and acute care. But for everyday health and chronic disease the natural model works best. We now know that optimal medicine is integrating the best of both conventional and natural medicine. That is why IHPC is so important–because it brings together health professionals from all fields to develop better medicine. I think it is an incredible time to be in natural medicine. What we have accomplished is being recognized, and we have changed the dialogue of what medicine should look like. We are at the forefront of this change, so it’s a pretty exciting. IHPC: You are now working with the Environmental and Health Committee. Are people connecting the dots between chronic health issues and environmental toxins? Pizzorno: I have been involved with the committee since it was created to respond to the water contamination issues in Flint, Michigan. We formed the committed and offered guidance to the city of Flint about lead toxicity and ways to use natural medicines to facilitate excretion. It proved to be a fairly frustrating situation. Even though we had a good committee and local influence, we couldn’t get the powers that be interested. IHPC: It sounds like a difficult task. Explain the new work you are doing with the committee. Pizzorno: We are now working on the growing diabetes epidemic in most of the world. Fifty years ago diabetes affected less than one percent. Now it is projected that 30 percent of the U.S. population will get it in their lifetime. That is a dramatic increase. Why? Most people would say it is because we are eating more sugar. And that is true we eat too much sugar. But the diabetes epidemic doesn’t correlate with sugar consumption, which has been fairly stable. Then people say it is because of obesity. And it’s clear obese people do have far more diabetes, especially morbidly obese women who have a 50 percent higher risk than men. But if you look at obesity, those at the bottom 10 percent of environmental toxin load don’t have increased risk for diabetes. Even if someone is morbidly obese, if they don’t have high levels of toxins, they don’t have significantly increased risk for diabetes. IHPC: What is the committee doing with this? Pizzorno: About a year ago, I brought a hypothesis to the committee that the diabetes epidemic is due to environmental toxins. I developed a three phase research protocol to see if it is a correct hypothesis. So that is what we are working on. In the first phase, we will take 10 early stage diabetes patients and measure not only insulin and blood sugar levels, but also several measures of toxin load. We will teach those with a high-toxin load how to avoid these toxins, and then re-measure after three months. We will then determine if there is a correlation between decreasing toxin load and improving blood sugar regulation. Assuming Phase I is successful, Phase II will take on diabetes with an aggressive program of toxin avoidance and sophisticated detoxification protocols to help the patients get rid of toxins over a six-month period. If this shows promising results, we will go to Phase III, which is to propose a large, controlled National Institutes of Health study that will take about one year. IHPC: In general, what do you see as some of the biggest challenges still facing natural medicine today? Pizzorno: Getting the resources we need to research foundational concepts. The problem is, the money comes from the federal government, which is dominated by pharmaceutical companies and their priorities. The money is there to promote the drug and medicine model, but for most health problems is not a curative system. And there is really no group that makes large amounts of money from our medicine. You might say, well, there are successful supplement companies, but the challenge is even the largest is far smaller than the typical pharmaceutical company, and they don’t have the resources to subsidize the research that is needed. IHPC: Are there still issues in formatting of research to provide solid answers and deliverables? Pizzorno: I think at this point we know that the research can be done. We know what to do and how to do it–it’s just a matter of getting the resources to […]
There is an African proverb that says, “if you want to go fast, go alone. If you want to go far, go together.” IHPC couldn’t agree more. We know there is a long road ahead and much work to do in our mission to eliminate barriers to health. That is why we have our Partners for Health Program, in which we work together with like-minded, non-profit organizations toward our common goals. These organizations work tirelessly in their respective areas to advance the cause of integrative therapies for pain management and to support protocols for overall health and wellness. Here is an update from a few of these partners on their recent activities in Washington, DC: American Society of Acupuncturists hosts inaugural convention in Washington, DC IHPC Partner for Health, American Society of Acupuncturists (ASA), which strives to promote the highest standards of professional practice for acupuncture and East Asian Medicine in the United States, held its inaugural convention on May 31-June 3, 2019. The event, entitled “The State of Our Union: Licensed Acupuncturists in U.S. Healthcare,” featured speakers from both integrative healthcare and regulatory agencies discussing both the status of working relationships with licensed acupuncturists and development of opportunities for integration within our healthcare system. IHPC Chairman Leonard Wisneski, MD, fired up the crowd with opening remarks, and IHPC Board Member Robert Twillman, Ph.D., provided an overview of the work that is being done in the realm of comprehensive integrative pain management. Other presenters were brought in from the Department of Veterans Affairs, the Department of Defense, and Indian Health Services, along with important speakers in the field of insurance from both the Hartford Group and American Specialty Health. The keynote speaker for the first day was Ellen Hamilton, representing the Office of Representative Judy Chu (D-CA). With more than 40 exhibitors and break-out sessions that included topics on social media, billing and research, there were over 300 attendees over the two-day event. Nearly 200 of the attendees spent the latter part of Sunday being trained in advocacy by IHPC director of government affairs, Kallie Guimond. The group had 3 asks that included asking House Members of Congress to join the Congressional Integrative Health & Wellness Caucus, and to co-sponsor Congresswoman Judy Chu’s bill HR 1182: Acupuncture for Our Heroes Act. IHPC has tirelessly advocated to help build the new Caucus and recently endorsed this bill as well. For their last ask, they accomplished adding nine co-sponsors to HR 1959: Preserving Patient Access to Compounded Medications Act. All in all, 183 people across 200 Congressional and Senate offices resulted in 565 meetings on the hill Monday June 3rd. They also held a Health Fair and provided acupuncture demonstrations to 180 additional offices in the Rayburn Foyer. AANP Canvasses the Hill with advocacy efforts IHPC Partner for Health American Association of Naturopathic Physicians (AANP), which strives to enhance human health and wellness by advancing the profession of naturopathic medicine, held its annual Washington, DC Federal Legislative Initiative for practitioners and students of naturopathic medicine on June 10. This is the second year that AANP has included as one of their “asks” that their Members of Congress join the Congressional Integrative Health & Wellness Caucus. AANP’s advocacy effort generated 954 meetings scheduled over 239 Congressional and Senate offices with many people visiting between 9 and 12 offices over the course of the day. Their outreach yielded an immediate uptick in co-sponsors for New York Representative Paul Tonko’s bill HR 2482: The Mainstreaming Addiction Treatment Act of 2019 and additional sponsors for Virginia Congressman Morgan Griffith’s HR 1959: Preserving Patient Access to Compounded Medications Act of 2019. The day concluded with a Whole Health Reception in the evening where guests were treated to organic foods including salmon, dark chocolate, and organic wines as they reviewed display tables that introduced naturopathic methods of treatment for chronic conditions. Integrative Medicine Foundation to host Veterans benefit IHPC Partner, the National Foundation for Integrative Medicine, a group committed to finding 21st century health solutions, is holding a Veterans benefit event on July 13, 2019 to support Veterans Quick Response Initiatives for Veterans suffering from pain and addiction and to support the cause of ending Veterans suicide once and for all. The charitable event, to take place at Running Hare Vineyard in Prince Frederick, Md., will include a concert from High Voltage and a silent auction with rare military items along with food and beverages, ice cream for the kids, and a social corn hole tournament during the day. All proceeds are considered a charitable tax deduction. To contribute to the event or take part as an exhibitor for Veteran’s initiatives, please contact Kallie Guimond at 240-432-7522. For more information or to purchase tickets visit Vets and Voltage 2019.
Programs that support the concepts of integrative health and wellbeing are gaining traction at the Veterans Health Administration. According to Ben Kligler, M.D., director of the Integrative Health Coordinating Center at the VA’s Office of Patient Centered Care and Cultural Transformation, this huge organization, with 140 centers treating six million patients annually, is seeing these programs make a difference for veterans. At the recent Congressional Integrative Health and Wellness Caucus in Washington, D.C., Kligler discussed the department’s efforts to move forward with programs that focus beyond drugs and surgery, inquiring what patients are living for and their health goals. It is a big shift for both patients and physicians, Kligler told attendees. He stressed that the effort goes far beyond pain management. “We talk about pain, but the big opportunity in the opioid crisis is the opportunity to learn from it—that the whole concept of taking a pill for a disease is really flawed, and if we change how we handle pain, that will be great, but it won’t be enough,“ he said. “The same opportunity applies to how we’re handling diabetes, heart disease and mental health. It’s about flipping the concept of where healing takes place.” We have an opportunity to push the envelope, he added, and “the fact that this caucus exists shows that it’s time for this to happen.” Jill Sheppard Davenport, a certified nutrition specialist who works at VA hospitals in the Integrative Health and Wellness Program has first-hand knowledge of how programs like nutrition, meditation and health coaching are helping patients. “Nutrition is core to health,” she told Caucus attendees, “but not yet core to health care.” She explained how anti-inflammatory foods like ginger, sweet potato, cashew, and kale work as medicines to prevent the compounds that can cause pain and stoke the fires of inflammation. Davenport shared three policy priorities: to expand Medicare and Medicaid reimbursement to cover nutrition for pain; to educate patients about programs like SNAP-Ed funding and the USDA nutrition guidelines to help them understand the power of food as medicine; and to use existing programs like SNAP and WIC and expand funding so providers can prescribe food as medicine. There is tremendous progress. The VA is in the midst of a three-year project to coordinate the efforts among care teams and look at the outcomes for these programs. Kligler noted that in 2017, the VA passed a policy mandating that evidence-based complementary/integrative health and wellness approaches are now part of VA standard medical benefits, which, at least in the VA, address the current barriers of payment for these treatments. Chiropractic has long been included in the standard of care, but this policy means that other therapies that have published evidence meeting the evidentiary bar will be covered by the VA, he noted. “That doesn’t mean we are there yet,” Kligler added. “There is a huge amount of cost and work yet to be done and the list is not yet hard and fast, but it does mean the VA is committed to cover therapies that demonstrate this evidence.”
Collaboration and a team approach is an important part of the solution for addressing non-opioid, integrative therapies for pain management, health and wellness, according to two of the presenters at the recent 2nd meeting of the Congressional Integrative Health and Wellness Caucus in Washington, DC on March 6th. The presentations were part of a larger program devoted to addressing barriers to access and other models of care with nonpharmacological treatment options titled “Pain Management in the U.S.: An Underlying Contributor to the Opioid Crisis.” Both presenters, Susan Luria, director of University Hospital’s Connor Integrative Health Network in Cleveland, Ohio, and Casey Seenauth, ND, staff physician at the Neil Riordan Center for Regenerative Medicine in Tempe, Arizona, underscored the substantial evidence that current systems are not working to address prevalent chronic health conditions that are caused or exacerbated by lifestyle factors and lead to opioid use. Luria described how a collaborative integrative approach is working in the University Hospital system. “Our health system has a program, the Connor Integrative Health Network, with the belief that optimal health could best be achieved by a combination of traditional medicines and complementary therapies and support of patients to achieve lifestyle choices and behavior that supports their health.” She detailed the program, which provides hour-long integrative consults with patients to identify the underlying causes of their health issues and pain and then prescribe the appropriate therapies, such as chiropractic, acupuncture, massage, yoga and even music and art therapy. “We are taking these therapies and embedding them where they should be with the physician,” she said. “So the acupuncturist is in a primary care office, music and art therapy are in the inpatient setting and we are bringing these tools to the patient in their homes. It helps patients take care of themselves and provides physicians with tools to take care of their patients. In his presentation, Seenauth noted the ample evidence and recommendations supporting integrative therapies from both medical experts and governmental agencies specifically for patients who have lower back pain—95 percent of whom are using opioids to address their pain. The recommendations overwhelmingly endorse non-pharmacological treatments, such as exercise, multidisciplinary rehabilitation, acupuncture, mindfulness, stress reduction, tai chi, yoga and spinal manipulation. He described how the Riordan Center with Southwest College of Naturopathic Medicine and other integrative health organizations have put together a program using the naturopathic therapeutic order to develop curricula that can be used in academic programs in Arizona for physicians, NDs, dentists, and even veterinarians. “Physicians who don’t typically have training in these therapies will get more training emphasizing this team-based approach so they know from the beginning how to collaborate to help patients. ND’s are uniquely positioned to be a part of these integrative care teams because they understand when to apply these various modalities,” he said. Both presenters also discussed barriers to access. Even though there is evidence that these modalities are effective, they are largely unavailable, Seenauth said, because there seems to be an issue of insurance companies not covering these treatments so patients have pay out of pocket and others aren’t able to afford the treatments. “The good news,” said Luria, “is that some things are covered in our program. The integrative Consult and chiropractic are covered, but the therapies they might recommend are not—acupuncture, massage and yoga are all cash pay. So the real barrier we have to break is the physicians inside our system who really don’t want to have to make that choice about changing care based on a patient’s ability to pay. Our physicians want to know that they are providing the same fantastic care to all their patients.”
IHPC Board Member John Weeks recently interviewed Andrew Weil MD on his monetary gift $15 million to the University of Arizona Andrew Weil Center for Integrative Medicine. This contribution will allow the center to leadership roles and staff and support a much larger strategic plan for the future. Read More Here