Originally Posted by Gauss
What will happen, regardless of whether we like it or not, is all insurances will mandate everyone with back pain go to PM&R first. That is inevitable and already occurring
The largest IPA in my region (major metropolitan area), also the one taking the most cost cutting measures as of late, instituted this policy about 18 months ago.
Not surprisingly, they have concurrently become very restrictive regarding utilization of interventional pain procedures, imaging, etc.
Good for Physiatry on the surface, but has been shunting alot of patients to certain Physiatrists with little spine or MSK skill.
When this becomes the norm with most insurers, maybe we want to revisit the idea of a Spine/MSK CAQ.