Cost Savings

Employers Need Chiropractic First and Sooner

Dynamic Chiropractic – July 15, 2014, Vol. 32, Issue 14 BY DONALD M. PETERSEN JR., BS, HCD(HC), FICC(H), PUBLISHER From the Journal of Occupational and Environmental Medicine comes a study that gives excellent direction to employers (and insurers) regarding the management of low back problems (LBP).1 The authors analyzed databases belonging to a large, self-insured […]

Recommendations to the Musculoskeletal Health Network, Health Department of Western Australia related to the Spinal Pain Model of Care made on behalf of the Chiropractors Association of Australia (Western Australian Branch)

Lyndon G. Amorin-Woods, BAppSci(Chiropractic Topics in Integrative Health Care 2014, Vol. 5(2) ID: 5.2002 Abstract The 2009 Spinal Model of Care published by the Western Australian Health Department via the Musculoskeletal Health Network would benefit from an update. Best-evidence synthesis and cost-risks-benefits estimations suggest that such guidelines should provide: (1) the early assessment of patients […]

Cost-Effectiveness of Manual Therapy for the Management of Musculoskeletal Conditions

A Systematic Review and Narrative Synthesis of Evidence From Randomized Controlled Trials Tsertsvadze A, et al. J Manipulative Physiol Ther. 2014 Jun 27. pii: S0161-4754(14)00087-6. doi: 10.1016/j.jmpt.2014.05.001. [Epub ahead of print] PubMed Reference Abstract OBJECTIVES: The purpose of this study was to systematically review trial-based economic evaluations of manual therapy relative to other alternative interventions […]

Cost Analysis Related to Dose-Response of Spinal Manipulative Therapy for Chronic Low Back Pain

Cost Analysis Related to Dose-Response of Spinal Manipulative Therapy for Chronic Low Back Pain: Outcomes From a Randomized Controlled Trial Darcy A. Vavrek, ND, MS Journal of Manipulative and Physiological Therapeutics Volume 37, Issue 5 , Pages 300-311, June 2014 Journal Reference Abstract Objective The purpose of this analysis is to report the incremental costs […]

Cost analysis related to dose-response of spinal manipulative therapy for chronic low back pain: outcomes from a randomized controlled trial – Full Text Article

J Manipulative Physiol Ther. 2014 Jun;37(5):300-11. doi: 10.1016/j.jmpt.2014.03.002. Vavrek DA1, Sharma R2, Haas M3. Abstract OBJECTIVE: The purpose of this analysis is to report the incremental costs and benefits of different doses of spinal manipulative therapy (SMT) in patients with chronic low back pain (LBP). METHODS: We randomized 400 patients with chronic LBP to receive […]

Abstracts on Chiropractic Cost Effectiveness

So it seems like every study done so far demonstrates that chiropractic care is more cost effective than medical care except for one study.  That was the Medicare chiropractic demonstration project which showed chiropractic to be more costly than medical care but that was only in one area of the country the Greater Chicago Area. […]

Trends in the use and cost of chiropractic spinal manipulation under Medicare Part B

Chiropractic claims account for less than 1/10th of 1% of overall Medicare expenditures.

Manual therapy, exercise therapy, or both, in addition to usual care, for osteoarthritis of the hip or knee

In this study, exercise therapy and manual therapy were more cost effective than usual care…

Medicare’s Demonstration of Expanded Coverage for Chiropractic Services: Limitations of the Demonstration and an Alternative Direct Cost Estimate

Craig Benton, D.C.: “So it seems like every study done so far demonstrates that chiropractic care is more cost effective than medical care except for one study.  That was the Medicare chiropractic demonstration project which showed chiropractic to be more costly than medical care but that was only in one area of the country the […]

The association of complementary and alternative medicine use and health care expenditures for back and neck problems.

Med Care. 2012 Dec;50(12):1029-36. doi: 10.1097/MLR.0b013e318269e0b2. Martin BI1, Gerkovich MM, Deyo RA, Sherman KJ, Cherkin DC, Lind BK, Goertz CM, Lafferty WE. Abstract BACKGROUND: Health care costs associated with use of complementary and alternative medicine (CAM) by patients with spine problems have not been studied in a national sample. OBJECTIVES: To estimate the total and […]

Spinal manipulation epidemiology: systematic review of cost effectiveness studies.

J Electromyogr Kinesiol. 2012 Oct;22(5):655-62. doi: 10.1016/j.jelekin.2012.02.011. Epub 2012 Mar 18. Michaleff ZA1, Lin CW, Maher CG, van Tulder MW. Abstract BACKGROUND: Spinal manipulative therapy (SMT) is frequently used by health professionals to manage spinal pain. With many treatments having comparable outcomes to SMT, determining the cost-effectiveness of these treatments has been identified as a […]

Where the United States Spends its Spine Dollars: Expenditures on different ambulatory services for the management of back and neck conditions

Matthew A. Davis, DC, MPH Spine (Phila Pa 1976). 2012 September 1; 37(19): 1693–1701. Abstract Study Design Serial, cross-sectional, nationally representative surveys of non-institutionalized adults. Objective To examine expenditures on common ambulatory health services for the management of back and neck conditions. Summary of Background Data Although it is well recognized that national costs associated with […]

Cost-effectiveness of medical and chiropractic care for acute and chronic low back pain

J Manipulative Physiol Ther. 2005 Oct;28(8):555-63. Haas M, Sharma R, Stano M. Abstract OBJECTIVES: To identify relative provider costs, clinical outcomes, and patient satisfaction for the treatment of low back pain (LBP). METHODS: This was a practice-based, nonrandomized, comparative study of patients self-referring to 60 doctors of chiropractic and 111 medical doctors in 51 chiropractic […]

Cost effectiveness of physiotherapy, manual therapy, and general practitioner care for neck pain

Cost effectiveness of physiotherapy, manual therapy, and general practitioner care for neck pain: economic evaluation alongside a randomised controlled trial. AuthorsKorthals-de Bos IB, et al. BMJ. 2003 Apr 26;326(7395):911. Comment in BMJ. 2003 Aug 16;327(7411):395. BMJ. 2003 Apr 26;326(7395):914. Abstract OBJECTIVE: To evaluate the cost effectiveness of physiotherapy, manual therapy, and care by a general […]