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Related Experiment Videos

Complementary and alternative medicine. The daunting challenge.

E Brown1

  • 1Blue Cross Blue Shield Association, Chicago, IL, USA. Elizabeth.Brown@bcbsa.com

Physician Executive
|June 3, 1999
PubMed
Summary
This summary is machine-generated.

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Designing complementary and alternative medicine (CAM) benefits presents challenges for health plans. This article explores options for CAM benefit design, considering uninsured versus insured benefit approaches.

Area of Science:

  • Health Services Research
  • Integrative Medicine
  • Healthcare Management

Background:

  • Complementary and Alternative Medicine (CAM) has seen a significant rise in interest.
  • Health plans face challenges in defining and managing CAM benefits.
  • Questions exist regarding CAM provider appropriateness and integration with conventional medicine.

Purpose of the Study:

  • To explore options for designing complementary and alternative medicine (CAM) benefits within health plans.
  • To address the complexities of defining CAM benefits, providers, and management strategies.
  • To examine the potential impact of CAM benefits on conventional biomedicine coverage.

Main Methods:

  • Exploration of two primary approaches to CAM benefit design.

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  • Consideration of creating an uninsured benefit for CAM services.
  • Consideration of creating an insured benefit for CAM services.

    • Main Results:

    • The integration of CAM benefits requires careful consideration of benefit design.
    • Two fundamental approaches, uninsured or insured benefits, are presented for health plans.
    • The lack of rigorous, evidence-based analysis for many CAM therapies poses a challenge.

    Conclusions:

    • Health plans must navigate uncharted territory when developing CAM benefit strategies.
    • Defining CAM benefits, providers, and management is crucial for successful implementation.
    • The choice between uninsured and insured benefits impacts how CAM is integrated into healthcare coverage.