Insurers Should Incentivize Non-Drug Treatments for Chronic Pain
An LDI Fellow and Chronic Pain Researcher Call on Health Plans To Lower Barriers to Physical Therapy, Acupuncture, and Interdisciplinary Pain Care
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Chart of the Day: More U.S. Patients Use Acupuncture for Low Back Pain, But it Remains Rare
Penn LDI Study Examines Insurance Claims to Learn More about Patients Who Get Acupuncture
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As insurance coverage for acupuncture rose from 2010 to 2019, more people started using the treatment. Given the prevalence of low back pain, LDI Senior Fellow Molly Candon and colleagues analyzed national insurance claims to understand the characteristics of people with the condition who use acupuncture and how they combine it with other treatments. They found that less than 1% of individuals with low back pain were reimbursed for acupuncture in 2010 and that number increased to 1.6% in 2019. Asian, female, middle-aged, and college-educated patients, as well as those with incomes over $100,000 and people with chronic low back pain, were more likely to use acupuncture. Electroacupuncture use remained steady, with similar patterns. Compared with nonusers, those getting acupuncture were more likely to engage in physical therapy and were twice as likely to receive chiropractic care and psychotherapy. People who received acupuncture and/or electroacupuncture were less likely to use pharmacologic treatments.
The researchers note that the overall low use of acupuncture among people with low back pain may stem from limited or less generous insurance coverage. Medicare began covering acupuncture for the condition in 2020, which could expand access, as Medicare decisions often influence other insurers.
Read the entire study here.
The study, “Utilization of Reimbursed Acupuncture Therapy for Low Back Pain,” was published in August 2024 in JAMA Network Open. Authors include Molly Candon, Arya Nielsen, Jeffery A. Dusek, Sebastian Spataro Solorzano, Martin Cheatle, Mark D. Neuman, Craig Samitt, Siyuan Shen, Rachel M. Werner, and David Mandell.
Author
Christine Weeks
Director of Strategic Initiatives
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