Journal of Manipulative and Physiological Therapeutics
Volume 28, Issue 3 , Pages 164-169 , March 2005

The Selection Effects of the Inclusion of a Chiropractic Benefit on the Patient Population of a Managed Health Care Organization

  • Craig F. Nelson, DC

      Affiliations

    • Director of Research, American Specialty Health, San Diego, Calif
    • Corresponding Author InformationSubmit requests for reprints to: Craig Nelson, DC, MS, American Specialty Health, 777 Front Street, San Diego, CA 92101.
    • ,
  • R. Douglas Metz, DC

      Affiliations

    • Chief Health Services Officer, American Specialty Health, San Diego, Calif
    • ,
  • Thomas M. LaBrot, DC

      Affiliations

    • Vice President for Clinical Services, American Specialty Health, San Diego, Calif
    • ,
  • Kenneth R. Pelletier, PhD, MD(hc)

      Affiliations

    • Director, Corporate Health Improvement Program (CHIP); Clinical Professor of Medicine, Department of Medicine, University of Maryland School of Medicine, Baltimore, Md, and University of Arizona School of Medicine, Tucson, Ariz

Received 6 May 2004 ,Revised 21 July 2004

References 

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  2. Feldman R, Escribano C, Pellise L. The role of government in health insurance markets with adverse selection. Health Econ. 1998;7:659–670
  3. Mark TL, Ozminkowski RJ, Kirk A, Ettner SL, Drabek J. Risk adjustment for people with chronic conditions in private sector health plans. Med Decis Making. 2003;23:397–405
  4. Encinosa WE, Selden TM. Designing employer health benefits for a heterogeneous workforce: risk adjustment and its alternatives. Inquiry. 2001;38:270–279
  5. Harris KM, Sturm R. Adverse selection and generosity of alcohol treatment benefits. Inquiry. 2002;39:413–428
  6. Shmueli A. The effect of health on acute care supplemental insurance ownership: an empirical analysis. Health Econ. 2001;10:341–350
  7. McCall N, Rice T, Boismier J, West R. Private health insurance and medical care utilization: evidence from the Medicare population. Inquiry. 1991;28:276–287
  8. Neudeck W, Podczeck K. Adverse selection and regulation in health insurance markets. J Health Econ. 1996;15:387–408
  9. Cardon JH, Hendel I. Asymmetric information in health insurance: evidence from the National Medical Expenditure Survey. Rand J Econ. 2001;32:408–427
  10. Astin J, Pelletier KR, Marie A, Haskell WL. Complementary and alternative medicine use among elderly persons: one-year analysis of a Blue Shield Medicare supplement. J Gerontol A Biol Sci Med Sci. 2000;55A:4–9
  11. Pelletier K, Marie A, Krasner M, Haskell WL. Current trends in the integration and reimbursement of complementary and alternative medicine by managed care, insurance carriers, and hospital providers. Am J Health Promot. 1997;12:112–123
  12. Pelletier K, Astin JA, Haskell WL. Current trends in the integration and reimbursement of complementary and alternative medicine by managed care organizations (MCOs) and insurance providers: 1998 update and cohort analysis. Am J Health Promot. 1999;14:125–133
  13. Astin J. Why patients use alternative medicine: results of a national study. JAMA. 1998;279:1548–1553
  14. Blais R, Maiga A, Aboubacar A. How different are users and non-users of alternative medicine?. Can J Public Health. 1997;88:159–162
  15. Eisenberg D, Kessler RC, Foster C, Norlock FE, Calkins DR, Delbanco TL. Unconventional medicine in the United States. Prevalence, costs, and patterns of use. N Engl J Med. 1993;328:246–252
  16. Eisenberg D, Davis RB, Ettner SL, Appel S, Wilkey S, Van Rompay M, et al. Trends in alternative medicine use in the United States, 1990-1997: results of a follow-up national survey. JAMA. 1998;280:1569–1575
  17. Druss BG, Rosenheck RA. Association between use of unconventional therapies and conventional medical services. JAMA. 1999;282:651–656
  18. Ni H, Simile C, Hardy AM. Utilization of complementary and alternative medicine by United States adults: results from the 1999 national health interview survey. Med Care. 2002;40:53–58
  19. Cote P, Cassidy JD, Carroll L. The treatment of neck and low back pain: who seeks care? who goes where?. Med Care. 2001;39:956–967

 Sources of support: American Specialty Health funded this project.

PII: S0161-4754(05)00058-8

doi: 10.1016/j.jmpt.2005.02.014

Journal of Manipulative and Physiological Therapeutics
Volume 28, Issue 3 , Pages 164-169 , March 2005

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