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Utilization, patient satisfaction, and cost implications of acupuncture, massage, and naturopathic medicine offered as covered health benefits: a comparison of two delivery models.
Altern Ther Health Med. 2001 Jul-Aug; 7(4):66-70.AT

Abstract

CONTEXT

Increasing numbers of health plans in the United States offer complementary and alternative medicine (CAM) benefits despite limited information.

OBJECTIVE

To determine the utilization rates and costs associated with providing CAM services in 2 benefit designs, and to determine the satisfaction of patients in both plans.

DESIGN

Two health plans were identified: a traditional indemnity plan offered through a defined preferred provider organization (PPO) of CAM providers and a health maintenance organization (HMO). Costs and utilization rates for CAM services were compared during a 1-year period of coverage beginning November 1, 1996.

SETTING AND PARTICIPANTS

1091 patients in both plans who used CAM services during the month of May 1997 in Washington state.

RESULTS

Only 1% of all patients covered for CAM accessed these services during the study period. A significantly higher percentage of patients in the PPO plan (1.2%) used CAM services compared to the HMO plan (0.6%) (P < .001). However, the average total cost of annual CAM services (plan benefit + user contribution) was similar ($347 in the HMO and $376 in the PPO), and the price per member per month was nearly identical ($0.20 in the HMO and $0.19 in the PPO). Most users perceived these services as helpful.

CONCLUSIONS

Utilization of CAM services and per member per month costs were lower than expected given the high interest in CAM services reported in consumer surveys. The high level of satisfaction with CAM services and self-reported decrease in the use of pain medications suggests the need for prospective studies examining the effect of CAM treatments.

Authors+Show Affiliations

Advantis Tucson, Ariz, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

11452569

Citation

Stewart, D, et al. "Utilization, Patient Satisfaction, and Cost Implications of Acupuncture, Massage, and Naturopathic Medicine Offered as Covered Health Benefits: a Comparison of Two Delivery Models." Alternative Therapies in Health and Medicine, vol. 7, no. 4, 2001, pp. 66-70.
Stewart D, Weeks J, Bent S. Utilization, patient satisfaction, and cost implications of acupuncture, massage, and naturopathic medicine offered as covered health benefits: a comparison of two delivery models. Altern Ther Health Med. 2001;7(4):66-70.
Stewart, D., Weeks, J., & Bent, S. (2001). Utilization, patient satisfaction, and cost implications of acupuncture, massage, and naturopathic medicine offered as covered health benefits: a comparison of two delivery models. Alternative Therapies in Health and Medicine, 7(4), 66-70.
Stewart D, Weeks J, Bent S. Utilization, Patient Satisfaction, and Cost Implications of Acupuncture, Massage, and Naturopathic Medicine Offered as Covered Health Benefits: a Comparison of Two Delivery Models. Altern Ther Health Med. 2001 Jul-Aug;7(4):66-70. PubMed PMID: 11452569.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Utilization, patient satisfaction, and cost implications of acupuncture, massage, and naturopathic medicine offered as covered health benefits: a comparison of two delivery models. AU - Stewart,D, AU - Weeks,J, AU - Bent,S, PY - 2001/7/17/pubmed PY - 2001/8/10/medline PY - 2001/7/17/entrez SP - 66 EP - 70 JF - Alternative therapies in health and medicine JO - Altern Ther Health Med VL - 7 IS - 4 N2 - CONTEXT: Increasing numbers of health plans in the United States offer complementary and alternative medicine (CAM) benefits despite limited information. OBJECTIVE: To determine the utilization rates and costs associated with providing CAM services in 2 benefit designs, and to determine the satisfaction of patients in both plans. DESIGN: Two health plans were identified: a traditional indemnity plan offered through a defined preferred provider organization (PPO) of CAM providers and a health maintenance organization (HMO). Costs and utilization rates for CAM services were compared during a 1-year period of coverage beginning November 1, 1996. SETTING AND PARTICIPANTS: 1091 patients in both plans who used CAM services during the month of May 1997 in Washington state. RESULTS: Only 1% of all patients covered for CAM accessed these services during the study period. A significantly higher percentage of patients in the PPO plan (1.2%) used CAM services compared to the HMO plan (0.6%) (P < .001). However, the average total cost of annual CAM services (plan benefit + user contribution) was similar ($347 in the HMO and $376 in the PPO), and the price per member per month was nearly identical ($0.20 in the HMO and $0.19 in the PPO). Most users perceived these services as helpful. CONCLUSIONS: Utilization of CAM services and per member per month costs were lower than expected given the high interest in CAM services reported in consumer surveys. The high level of satisfaction with CAM services and self-reported decrease in the use of pain medications suggests the need for prospective studies examining the effect of CAM treatments. SN - 1078-6791 UR - https://www.unboundmedicine.com/medline/citation/11452569/Utilization_patient_satisfaction_and_cost_implications_of_acupuncture_massage_and_naturopathic_medicine_offered_as_covered_health_benefits:_a_comparison_of_two_delivery_models_ L2 - https://medlineplus.gov/complementaryandintegrativemedicine.html DB - PRIME DP - Unbound Medicine ER -