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Trends in Utilization and Cost of Nonpharmacological Pain Therapies in the United States Under Medicare Part B, 2000-2022

Journal: Journal of Integrative and Complementary Medicine Date: 2024/09, 30(9):Pages: 902-906. doi: Subito , type of study: cross sectional study

Full text    (https://www.liebertpub.com/doi/10.1089/jicm.2023.0759)

Keywords:

cross sectional study [821]
economics [54]
Medicare [9]
nonpharmacological therapies [1]
OMT [3730]
osteopathic manipulative treatment [3750]
USA [1610]
utilization [18]

Abstract:

Background: Many clinical practice guidelines for management of pain disorders now favor first-line use of nonpharmacological therapies (NPT). However, Medicare coverage of NPT is limited. Methods: Using a serial cross-sectional design, we examined temporal trends in the utilization and cost of NPT procedures commonly used to treat pain under Medicare. Results: Utilization and costs for physical therapy increased while those for spinal and osteopathic manipulation declined. Discussion: Future research on NPT under Medicare should focus on equity of patient access and comparative outcomes.


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