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Healthcare
costs continue to spiral despite aggressive
cost containment efforts. Carriers and
their representatives are caught in a
difficult position where they need to
manage costs but don't have the medical
or clinical credentials to make these
difficult healthcare management decisions.
For years carriers have turned to medical
review services that farm out IMEs and
utilization reviews to the lowest bidding
physician, not necessarily the best qualified.
Few, if any, of these review companies
keep full time physicians. Those that
do employ full time physician employees
are gathering opinions from physicians
who no longer work in a clinical environment
which compromises their opinions and objectivity.
In reality, carriers want to balance
what's best for the client and their employer.
Dollars spent on necessary care are justified.
Dollars above what's necessary is part
of the reason we have spiraling costs.
Fraud and abuse is a large part of the
problem and could be controlled if early
intervention is properly administered.
The physicians of the Shaw Chiropractic
offices are actively involved in patient
care and are sensitive to the need for
a cost containment consciousness . They
understand the need to balance necessary
care and optimal care taking into consideration
the specific parameters and dynamics of
the patient. It is because they practice
in an ethical manner that they are the
ideal choice for insurance carriers.
The Shaw Chiropractic physicians perform
IMEs and utilization reviews in a manner
consistent with their own treatment parameters.
That means that the patient and client
benefit from knowing that care has been
administered appropriately and within
generally accepted practice parameters
for the chiropractic profession. Fraud
and abuse are minimized and patient outcomes
are improved. All this is done in a manner
which saves the entire system excessive
operations costs.
We invite you to examine your files and
see if our actions are consistent with
our words. After you see that they are,
call us to see how we can help you, your
employer and your injured insured.
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