For Health Plans & ACOs
A smarter, lower-cost approach to musculoskeletal care—already built into your capitated benefits.
The Problem with the Current Model
In today’s managed care environment, chiropractic is a capitated ancillary benefit that most health plans are significantly underutilizing. Patients with neuromusculoskeletal complaints are routinely referred to higher-cost pathways—pain management, physical therapy, orthopedic surgery, and advanced diagnostics—when effective, lower-cost chiropractic care was already paid for and available.
The result is unnecessary spending that comes directly out of PCP surplus funds, including:
- Pain management procedures (ESIs, RFAs, nerve blocks, spinal stimulators)
- Avoidable orthopedic and spinal surgeries
- Duplicate physical therapy referrals
- Ongoing pharmaceutical costs (narcotics, muscle relaxers, anti-inflammatories)
- Unnecessary advanced diagnostics (MRI, CT, EMG, NCV)
These are non-capitated costs that reduce PCP profitability and inflate plan spending—for conditions that chiropractic care is highly effective at treating.
Why Chiropractic Is Being Underutilized
The gap isn’t the benefit—it’s the execution. Most chiropractors in existing networks operate in a palliative care model: patients seek relief when pain spikes, receive short-term symptom management, and cycle back through the system. True therapeutic, corrective care that resolves the underlying condition is rarely delivered.
No one has taken the time to educate chiropractors on how managed care works, what outcomes health plans need, or how to engage PCPs as collaborative partners. Existing chiropractic IPAs have little incentive to change this—fewer visits per member means lower payouts and higher margins for the IPA.
The Coordinated Chiro Difference
Coordinated Chiro was built to fix this gap. We recruit, train, and manage chiropractors who understand their role as first-line ancillary providers within the managed care model. Our network providers are educated in:
- How capitated managed care works and what outcomes matter to health plans
- Delivering therapeutic, outcomes-focused care—not just palliative symptom relief
- Engaging PCPs as referral partners and clinical collaborators
- Documentation and compliance standards that support value-based contracting
- Proactive patient management that reduces total cost of care
When chiropractic is deployed correctly, the benefit you’re already paying for starts reducing the non-capitated costs you’re trying to avoid. Fewer unnecessary referrals. Better patient recovery. More value from every capitated dollar.
Interested in Contracting with Our Network?
We work with Health Plans, ACOs, and Provider Networks to deploy properly trained chiropractic providers who deliver measurable value. Let’s talk about what a partnership looks like for your organization.