When it comes to expanding government coverage of holistic and complementary treatments, the task of getting everyone on board can be tedious and take years for legislative consideration.
Delivering substantial and comprehensive evidence of the benefits of holistic treatments, however, does help streamline the process and make a compelling case for incorporating integrative medicine into government programs and private insurance plans. Performing research and providing results that speak to how effective these treatments are for veterans and patients takes time and money, but is ultimately worth it for encouraging the inclusion of holistic treatments.
One such organization that performs research and reports on the results of various healthcare initiatives is the Quality Enhancement Research Initiative, known as QUERI, which operates under the umbrella of the Veterans Affairs department. This organization is instrumental in leveraging a vast network of researchers and investigators around the country to examine a multitude of healthcare actions.
In January 2014, QUERI presented an evidence map of acupuncture that analyzed the effects of acupuncture on mental health, wellness, and pain, plus elaborated on future research efforts and potential drawbacks to this treatment.
More than three years later, acupuncture was adopted into coverage for veterans as included in VHA Directive 1137, published in May 2017. Nearly a year after that Directive was announced, a Qualification Standard was published that permitted licensed acupuncturists to be hired to provide acupuncture care at VA Medical Centers (VAMC) in February 2018.
How did the VA come to the decision to promote acupuncture as part of their benefits for veterans? As with most bureaucratic processes, there were a lot of factors; one key player was QUERI’s evidence map of acupuncture. In this article, we’ll expand on QUERI’s research methods and some of the key takeaways from their report on the effects of acupuncture.
Founded in 1998 with the mission to “accelerate the use of research evidence, tools, and methods into routine care and ensure U.S. Military Veterans benefit from research discoveries,” QUERI plays a pivotal role in analyzing the effects of healthcare treatments with the ultimate goal of improving care quality and access for veterans.
Since its founding, QUERI has implemented numerous programs and leveraged partnerships to continue expanding care for veterans. Just a few notable examples in recent history include the following:
QUERI’s initiatives operate under a variety of frameworks or roadmaps depending on which facet of the organization you look at; regarding their overarching strategic methodology of operation, they employ a three-fold approach:
Pertaining to their research approaches, QUERI leverages a network of more than 200 investigators who have completed more than 500 peer-reviewed studies addressing VA priorities. This rigorous process ensures that research is performed and data is analyzed by those with a high degree of expertise and demonstrated dedication to improving care for veterans.
Now that we’ve established QUERI’s authority and importance in terms of gathering evidence for important healthcare initiatives for veterans, let’s review a few key takeaways from their evidence map of acupuncture:
QUERI reports with high confidence that acupuncture has a positive impact—or potential positive impact—on several different ailments:
High confidence in the evidence of positive impact:
High confidence in the evidence of potential positive effects:
There is also medium confidence in potential positive effects that acupuncture adequately treats pain related to osteoarthritis, pregnancy pain, Temporomandibular joint dysfunction (also known as TMJ), Plantar heel pain, prostatitis, and more.
QUERI’s investigation found that acupuncture had the potential for a positive effect on the following mental health conditions:
This evidence map of acupuncture found acupuncture had the potential for positive effects on a few ailments, including:
But ultimately there was unclear evidence that acupuncture impacts the following ailments and conditions:
While there have been significant studies on the effectiveness of acupuncture in more recent years, understanding this fundamental acupuncture evidence map and its relation to providing coverage to veterans can give insight into the process of increasing coverage for holistic treatments.
Is your acupuncture practice ready to start treating the veterans in your community? Worried about how stressful the medical billing process can be—especially in terms of billing the VA for services rendered? Partner with a medical billing firm!
At Holistic Billing Services, we deal exclusively with holistic healthcare practices that deliver acupuncture, massage therapy, and chiropractic treatments to communities around the country. Whether you have questions on acupuncture insurance billing or other methods to enhance your revenue cycle management, feel free to contact our team today and let us know how we can help your acupuncture practice.
At Holbie, we offer complete and innovative Holistic Billing Services for acupuncture, massage therapy, and chiropractic providers.
At Holbie, we offer complete and innovative Holistic Billing Services for acupuncture, massage therapy, and chiropractic providers.
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