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The Role of Insurance in Chronic Pain Management

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Joint, limb, back, abdominal and bowel pain are the most common types of chronic pain. A study published in The Journal of Pain analyzed treatment data from more than 4.8 million chronic-pain patients with commercial or Medicaid insurance. The researchers found that while the types and frequencies of pain were similar across insurance groups, treatments differed significantly.

Commercially insured patients were more likely to receive restorative and complementary treatments than those with Medicaid. For example, physical therapy was provided to 9 percent of Medicaid-insured patients, compared to 31.1 percent of commercially insured patients. Chiropractic care was accessed by 19.2 percent of Medicaid-insured patients and 38.6 percent of commercially insured patients.

Commercially insured patients also received care more quickly, with wait times from diagnosis to treatment being 50 days shorter for restorative therapy. Medicaid patients were more likely to rely on prescription pain medications, with 81.6 percent having at least one prescription, versus 65.6 percent of commercially insured patients. Commercially insured patients accessed outpatient specialist care more frequently and used multiple non-medication treatments

In-Print National Content Global and Health Briefs Health Brief October 2025

 

 

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Tick Tackler

Spring officially sprung on March 21. We have turned our clocks ahead. We are looking forward to warm winds, sunny skies and the smell of fresh cut grass. The daffodils and tulips have recently bloomed and we are just starting with the yard work that comes with the warmer weather.  Sadly, another season has started ramping up.  Tick season.

•             The best form of protection is prevention. Educating oneself about tick activity and how our behaviors overlap with tick habitats is the first step.

•             According to the NJ DOH, in 2022 Hunterdon County led the state with a Lyme disease incidence rate of 426 cases per 100,000 people. The fact is ticks spend approximately 90% of their lives not on a host but aggressively searching for one, molting to their next stage or over-wintering. This is why a tick remediation program should be implemented on school grounds where NJ DOH deems high risk for tick exposure and subsequent attachment to human hosts.

•             Governor Murphy has signed a bill that mandates tick education in NJ public schools. See this for the details.  Tick education must now be incorporated into K-12 school curriculum. See link:

https://www.nj.gov/education/broadcasts/2023/sept/27/TicksandTick-BorneIllnessEducation.pdf

•             May is a great month to remind the public that tick activity is in full swing. In New Jersey, there are many tickborne diseases that affect residents, including Anaplasmosis, Babesiosis, Ehrlichiosis, Lyme disease, Powassan, and Spotted Fever Group Rickettsiosis.

•             For years, the focus has mainly been about protecting ourselves from Lyme disease. But other tick-borne diseases are on the rise in Central Jersey. An increase of incidence of Babesia and Anaplasma are sidelining people too. These two pathogens are scary because they effect our blood cells. Babesia affects the red blood cells and Anaplasma effects the white blood cells.

•             Ticks can be infected with more than one pathogen. When you contract Lyme it is possible to contract more than just that one disease. This is called a co-infection. It is super important to pay attention to your symptoms. See link.

https://twp.freehold.nj.us/480/Disease-Co-Infection

A good resource from the State:

https://www.nj.gov/health/cd/topics/tickborne.shtml

 

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