Chiropractic 2025:

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Chiropractic 2025: Divergent Futures chiropractors held prescribing rights and evolved effective therapeutic approaches that used pharmaceuticals in more conservative ways than their allopathic counterparts did. These broad-scope DCs also stepped up their use of EHRs to generate outcomes and show the efficacy of their practices. Overall, these advances for broad-scope chiropractors were not as visible or as profound as chiropractic’s success in positioning DCs as spine health leaders and integrating them into PCMH teams and ACOs. Looking back, chiropractors could agree that “big data,” large investments in chiropractic research, and relationship building with ACOs, hospitals, medical groups, and PCMH team leaders had made the greatest difference to the future of the chiropractic profession. In 2025, while almost one-third of DCs are successfully integrated into health care systems, the remaining two-thirds are still largely self-employed in solo or group practices. Yet they have higher esteem, collaborate more effectively with MDs and other providers, and get more referrals from health care providers outside ACOs. 19
Scenario 4: Vitalism & Value Imagine: Chiropractic 2025: Divergent Futures A wife, mom, and writer, Jane works part-time for a small advertising agency while her husband Peter works at a local hotel. Together they earn $60,000, near the average income for families in 2025. As they cannot afford the $16,000 for full health care insurance, they opt instead for a consumer-directed, high-deductible plan (CDHP) that leaves them to manage their own care within the deductible. Jane follows health news and trends and knows that there is much Scenario Highlights ■■ Many chiropractors and others engage in research supporting chiropractic and integrative health care, including the exploration and development of contemporary vitalism. ■■ Health care reform continues and the market bifurcates essentially around payment. Forty% of the population obtains full health insurance and receives care primarily through ACOs using risk sharing and capitation. Another 40% of the population enrolls in high-deductible catastrophic care health plans, and relies primarily on out-of-pocket expenses and self-care approaches with the help of sophisticated digital health coaches and local market transparency. Chiropractors succeed among both groups of patients. ■■ Chiropractors join other providers and systems in supporting population health, going beyond clinical care to shape community conditions that promote health and wellbeing. ■■ Outcomes research on all providers, along with the movement to capitated care and information on the prices local chiropractors and others charge, limit the number and costs of visits for most chiropractors and somewhat slow the growth of the chiropractic profession. the family can do both to stay healthy and to treat themselves for many conditions. Having witnessed her friends’ complications from medication and surgery, she follows the advances on nutrition, lifestyle, health promotion, energy health, and self-healing. Her family’s health plan comes with a highly effective digital health coach that summarizes relevant medical and health knowledge. The coach’s recommendations reflect Jane’s preference for conservative care that supports self-healing, pointing her toward self-care options, such as exercise or meditation, or if necessary toward in-person patient visits or treatments. The digital health coach also links to local resources such as Angie’s List, Jill’s List, and PatientsLikeMe; professional associations; and other tools for evaluating providers and their costs. For example, Peter has recurring low back pain from an old lifting injury. He follows the exercises the digital health coach provides, but several times a year the coach will recommend that he get an adjustment. In their region, chiropractors, physical therapists, naturopathic physicians, and osteopaths are available to provide this service. However, chiropractors routinely get the highest marks for quality, and are competitive on their fees. Peter has come to prefer one local chiropractor in particular. Given the family’s financial constraints, however, if this chiropractor’s fee grows too high then Peter will turn to the digital health coach to interpret the local market for other well-rated chiropractors with lower costs, including those who work for discount adjustment providers. Scenario Narrative In 2025, leaders across all domains of health care, including chiropractic, have learned to unleash the innate human potential for health. They are creating healthy environments, empowering patients, collaborating actively with other licensed complementary, alternative, and integrative health care disciplines, and integrating health information from “big data” applications based on national, community, and individual health records. Vitalism has made a major comeback as “contemporary vitalism,” paralleling the rise in scientific research on prayer, intention, and consciousness in healing, as well as the investigation of energy 20
Page 1 and 2: Chiropractic 2025: Divergent Future
Page 5 and 6: Table of Contents Abbreviations 1 I
Page 7 and 8: Introduction Chiropractic 2025: Div
Page 11 and 12: Chiropractic 2025 Scenarios Scenari
Page 13 and 14: Scenario 1: Marginal Gains, Margina
Page 17 and 18: Scenario 2: Hard Times & Civil War
Page 23: Chiropractic 2025: Divergent Future
Page 29 and 30: Comparative Scenario Matrix Chiropr
Page 31 and 32: DCs practicing in integrated health
Page 33 and 34: IAF Recommendations Chiropractic 20
Page 35 and 36: 2. Accelerate research. Chiropracti
Page 39 and 40: Christine Goertz, DC, PhD Vice Chan
Page 43 and 44: Chiropractic Schools, Education, an
Page 45 and 46: The Figure below identifies various
Page 47 and 48: FIGURE 3 16,000 14,000 12,000 10,00
Page 49 and 50: Tuition and the ROI Story Chiroprac
Page 55 and 56: The 50 States of Chiropractic Chiro
Page 57 and 58: FIGURE 4 Liver Disease Kidney Disea
Page 63 and 64: Percentage of Respondents in the Ch
Page 67 and 68: RARELY SEEN (1-10/year) CONDITION A
Page 71 and 72: Primary Care and Health Care Reform
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Chiropractic 2025: Divergent Future
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88 Ibid. Chiropractic 2025: Diverge
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Page 90:
Institute for Alternative Futures 1
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