There is sufficient basis for plan sponsors to reevaluate their current chiropractic benefit for treatment of neck and low back pain. Plan sponsors should work with their health plans to review their own claims experience with respect to treatments for neck and low back pain, especially within the employee health care benefits.

This analysis provides the framework for incorporating chiropractic for low back and neck pain into a value-based benefit design in order to derive the best health value for the payer and patient.