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Publications and Research

Funding Leading-Edge Research

We champion research focused on delivering high quality, patient-centered, value-based care. Currently, we are studying the effectiveness of conservative care and how we can better participate in and promote integrative care that, in theory, should reduce costs while improving outcomes and satisfaction. Our research can be found below. 

Fulcrum has launched a project, called ChiroFirst, that evaluates a comprehensive, conservative care pathway that places a doctor of chiropractic as the standard point of entry for adults with acute and sub-acute back pain. ChiroFirst utilizes the ChiroCare Centers of Excellence clinics to collect data in support of the project and focuses on the Triple Aim (outcomes, cost, and patient satisfaction). Visit the ChiroFirst project webpage to learn more.

Download your free copy of “Low Back Treatment Trends Affecting Health Insurance Payers” below. Check out the summary and table of contents to learn more.

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Table of Contents

  1. Extent of Low Back Pain
  2. Economic Consequences
  3. Chiropractic Care as a Cost-Efficient Solution
  4. Care Models and Implications
    1. Stand Alone Model
    2. Collaborative Care Model
    3. Integrated Clinic of Hospital Model
  5. The Need to Educate and Engage Patients
  6. Conclusions

E-Book Summary

As chiropractic care continues to integrate into the health care system, primarily because of its ability to meet health care reform goals, progressive health insurance payers are taking notice.

Integrating chiropractic care into treatment protocols is becoming a priority for health care payers. As this new “Low Back Treatment Trends Affecting Health Insurance Payers” e-book will make clear, payers and providers who take leadership roles in this integration will be rewarded with successful, lower cost back and neck pain treatment options.

This free e-book will show:

  • The prevalence and costs to the health care system of low back pain rivals that of major diseases.
  • Chiropractic care is effective as an initial intervention, as a means of diagnosis and, in most cases, as a full treatment for low back pain.
  • Chiropractic treatment is highly cost-effective.
  • Health care providers are experimenting with ways to better integrate chiropractic into health care delivery.

If you’re a health insurance/payer decision-maker, employee benefits professional, or chief medical officer for a health insurance company, you need to download this book.



Download your free copy of “Usage of Outcomes Measurements in Chiropractic Care” below. Check out the summary and table of contents to learn more.

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Table of Contents

I. Executive Summary

II. Overview of Chiropractic Care of Minnesota, Inc.

III. Planning the Outcomes Program

IV. Background; Chiropractic Treatment for Back and Neck Pain

V. Chiropractic Treatment Outcomes Collection

a. Objectives

b. Methodology

c. Results

d. Secondary Survey Results

VI. Summary


Back and neck pain has reached epidemic levels in the United States, with over 80% of adults reporting neck and/or back pain at some point in their lives. When compared with other common treatments, spinal manipulation has provided equal or better improvement in pain and function. In spite of the demonstrated clinical benefits and value it provides, chiropractic care remains underutilized.

With such a high percentage of the population experiencing back and neck pain, more now than ever before, there is a need to identify and implement quality focused, patient-centered care delivery models that include chiropractors. To qualify as high-quality, patient-center focused, a physician must utilize and incorporate outcomes as part of their treatment model. Insurance companies, employers, state and federal governments, and consumers are all looking for direction about what kind of care a consumer should obtain with regards to back and neck pain. A study of the use of chiropractic treatment outcomes is the first step in the process of validating doctors of chiropractic as high-quality, patient-centered. If successful, the next step is to design and implement new care delivery models that include chiropractors.



Thousands of Minnesotans are needlessly suffering from untreated back and neck pain because they are unclear about chiropractic treatment options covered by their health plans, says a survey from Fulcrum, the largest independent network of credentialed chiropractors in the Upper Midwest.


Fulcrum hired Q Market Research in Eagan, Minnesota, to conduct a survey of Minnesotans who experienced back and neck pain within the past year that had not seen a chiropractor. They surveyed 651 and asked why the respondents did not seek treatment from a chiropractor. 

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Fulcrum prepares its network providers for the evolving health care environment by providing them with the tools and information needed to successfully integrate spinal manipulation and active care. Current research validates that spinal manipulation with active care exercise provides the best long-term patient recovery outcomes.