Episode notes
PCA Deep Dive: Medicare Stuck in 1972; The Case for Chiropractic Modernization
Episode Overview
This episode examines the Chiropractic Medicare Coverage Modernization Act (H.R. 539 / S. 106) and the structural limitations within Medicare that restrict coverage of chiropractic services to spinal manipulation only, excluding evaluation, imaging, and related services routinely covered for other physician types.
We explore the economic impact of referral loops, opioid exposure pathways, and downstream surgical costs, along with recent JAMA analysis on Medicare Advantage quality measurement and data fragmentation.
00:00 Why Federal Policy Matters: Medicare Modernization Act (H.R. 539 / S. 106)
01:31 The ‘Mechanic Can’t Pop the Hood’ Analogy (How Medicare Handcuffs Chiropractors)
03:19 2026 vs. 1972: ...
Keywords
DelegationPennsylvaniaPennsylvania Chiropractic Association #ChiropracticVoicesMike Barba Dr Keith Miller Deep Dive Evidence-based chiropracticPennsylvania Chiropractic AssociationEvidence Based ChiropracticChiropractic science podcast#EvidenceBasedChiropracticJAMAJAMA Article Chiropractic workforce developmentConservative careConservative care first back surgery risks long-term spine health conservative spine care evidence-based spine care#ConservativeCare#ChiropracticPolicy#PCADeepDiveChiropractic workforce PennsylvaniaEvidence-based care#PCA#ChiropracticCare#ChiropracticPractice#AlternativeHealthcare#ChiropracticBusiness#ConservativeCareFirst#ChiropracticLeadershipH.R. 539SB106Medicare Medicare modernization #MedicareReform#MedicareAdvantageNon surgical back pain treatmentMedicare beneficiariesSenior healthcare policyValue based healthcare metricsHealthcare bureaucracyChiropractic Medicare Coverage Modernization ActSpinal manipulation MedicareACAAmerican Chiropractic AssociationKeith MillerDr. Dan SchatzbergLicensed but Handcuffed