2.) Clinical and cost utilization based on 70274 member-months over a 7-year period demonstrated decreases of 60.2% in-hospital admissions, 59.0% hospital days, 62.0% outpatient surgeries and procedures, and 85% pharmaceutical costs when compared with conventional medicine IPA performance for the same health maintenance organization product in the same geography and time frame.
Sarnat R, Winterstein J, Cambron J. “Clinical Utilization and Cost Outcomes From an Integrative Medicine Independent Physician Association: An Additional 3-Year Update”. Journal of Manipulative and Physiological Therapeutics. May 2007. Volume 30, Issue 4, Pages 263–269.
3.) Individuals with similar risk profiles who begin their care pathway with a chiropractor or PCP see fewer total health care providers throughout the overall episode of care than do individuals who initially consult an orthopedic specialist, physical medicine/rehabilitation specialist, or physical/occupational therapist.
Kosloff T, Elton D, et al. “Conservative Spine Care: Opportunities to Improve the Quality and Value of Care” Popul Health Manag. 2013 Dec 1; 16(6): 390–396.
4.) In using chiropractors as a proxy for appropriate non-surgical pathways, there is a potential $219 million risk adjusted impact for non-surgical spinal care (1.4 million episodes in 4 million members over a span of 2.5 years).
Kosloff T, Elton D. “Conservative Care: Ensuring the Right Provider for the Right Treatment for Back Pain. 2012
5.) Paid costs for episodes of care initiated with a DC [Chiropractor] were almost 40% less than episodes initiated with an MD. Even after risk adjusting each patient’s costs, we found that episodes of care initiated with a DC were 20% less expensive than episodes initiated with an MD.
Liliedahl RL., Finch MD., Axene DV., Goertz CM. Cost of care for common back pain conditions initiated with chiropractic doctor vs. medical doctor/doctor of osteopathy as first physician experience of one Tennessee-based general health insurer. J Manipulative Physiol Ther. 2010;33:640–643
6.) There was a very strong association between surgery and first provider seen for the injury even after adjustment for other important variables. Approximately 42.7% of workers who first saw a surgeon had surgery, in contrast to only 1.5% of those who saw a chiropractor.
Keeney BJ, Fulton-Kehoe D, et al. “Early predictors of lumbar spine surgery after occupational back injury: results from a prospective study of workers in Washington State.” Spine (Phila Pa 1976). 2013 May 15;38(11):953-64.
7.) 4-year retrospective review of claims from 1.7 million health plan members were analyzed to determine the cost effects of the inclusion of a chiropractic benefit in an HMO insurance plan. Back pain episode-related costs were 25% lower for those with chiropractic coverage ($289 vs. $399).
Legorreta A, Metz D, et al. “Comparative Analysis of Individuals With and Without Chiropractic Coverage.” Archives of Internal Medicine 2004; 164: 1985-1992.
8.) The average cost of [low back injury] claims is $15,884. When a worker with a lower back injury receives at least 75% of his/her care from a chiropractor, that cost decreases to $12,202 and when he/she receives at least 90% of their care from a chiropractor the average cost declines even further to $7,632.”
Texas Workers’ Compensation Report. MGT of America, Inc. Chiropractic Treatment of Workers’ Compensation Claimants in the State of Texas (Austin, Texas: 2003)
9.) Chiropractic care appeared relatively cost-effective for the treatment of chronic lower back pain. Chiropractic and medical care performed comparably for acute patients. Practice-based clinical outcomes were consistent with systematic reviews of spinal manipulation efficacy: manipulation-based therapy is at least as good as and, in some cases, better than other therapeusis.
Haas M, Sharma R, Stano M. “Cost-effectiveness of medical and chiropractic care for acute and chronic low back pain.” J Manipulative Physiol Ther. 2005 Oct; 28(8):555-63.
10.) Smith, M.; Stano, M. “Costs and recurrences of chiropractic and medical episodes of low-back care.” Journal of Manipulative and Physiological Therapeutics 1997; 20(1): 5-12
11.) The Alternative Medicine Integration Study. Journal of Manipulative and Physiological Therapeutics, May 2007