News / Profession

The New Health Care Lexicon

Clinic without Walls vs. IPAs
Dynamic Chiropractic Staff

The health care lexicon, like our everyday language, is constantly in flux. This column is devoted to keeping you current on new health care terms.

Clinic without Walls

A group practice that operates from multiple sites. Member practices are usually economically linked and share a common administration.

Independent Practice Association (IPA)

A legal entity that holds managed care contracts. The IPA contracts with physicians to provide care on a fee-for-service or capitation basis. IPAs are often sponsored by medical societies to help physicians in solo practice contract for managed care.

These definitions are reprinted with permission from the glossary of Revolution: The New Health Care Takes Shape, authored by noted health care futurist Russell C. Coile, Jr., and published by Whittle Direct Books, 1993.

November 1995
print pdf
Trending
News / Profession
NBCE-FCLB Merger Approved
NBCE-FCLB Merger Approved

The proposed merger of the National Board of Chiropractic Examiners and Federation of Chiropractic Licensing Boards was approved by NBCE delegates and FCLB members at their respective annual meetings, held jointly in Atlanta, Ga., this year. Per the new bylaws, the new entity takes the NBCE name, with FCLB continuing as a department within NBCE. The federation will continue to enjoy Board of Directors representation on what will be a single, expanded board.

 |  Digital Exclusive
Dynamic Chiropractic Staff
Diagnosis & Diagnostic Equip
When Radiculopathy Isn’t Radiculopathy: A Clinical Series (Pt. 3)
When Radiculopathy Isn’t Radiculopathy

Before introducing subscapularis syndrome as an upper extremity analog, it is essential to revisit piriformis syndrome as a well-established example of myogenic pseudo-radiculopathy. Piriformis syndrome has long served as a clinical exception to disc-centric models of lower extremity pain and provides an important framework for understanding how deep muscular dysfunction can mimic radiculopathy in the absence of nerve root compression.

Ken Kaufman, DC
Healthcare / Public Health
From Pain Scores to Performance Metrics
From Pain Scores to Performance Metrics

Pain has become the dominant language of musculoskeletal healthcare. Numeric pain-rating scales and symptom reports are routinely used as primary indicators of clinical success. But while pain reduction is meaningful, it is an incomplete and often misleading representation of recovery. This has real consequences for patient adherence, long-term outcomes, and how conservative care is perceived within the broader healthcare system.

Christopher Proulx, DC, PhD(ABD), CSCS