Corporate Wellness Program

Who? Why? Benefits!

Industrial Companies, Churches, Clubs, Businesses. The whole world is moving toward wellness and prevention. Corporations and community organizations now realize that waiting until disaster (heart attack, cancer, diabetes, back or neck pain, rotten teeth) strikes to take care of their health is not the smartest way to live life. Health and wellness education is the key.

Pangemanan Chiropractic, for the past five years, has been providing this program to local industrial and large companies such as General Cable, RJ Industries, BlueGrass Energy, Wal-Mart, Home Depot, and many others, at no charge in most cases. Churches, local clubs such as Rotary Club, Business Network International (BNI), and Chamber of Commerceas well as the Anderson School System have also benefited from this educational wellness programs.

Stay Young for the Next 100 Years. Americans are living longer. The chance of you living to 80, 90, and 100+ is pretty good. The question is, do you want to live the next 40, 50, or 60 years of your life in pain, stiffness and suffering or do you want to live these years full of activities, freedom, and vitality? Schedule us to speak at your club, church or company immediately. There are only eight (8) openings left for the doctors to speak in 2009.

Save money. If we can prevent one workplace injury at your business, which in the state of Kentucky (#10 in the country) averages $12,500 per case in 2003*, then this program is a MUST. Scroll below to read dozens of clinical studies from peer-reviewed medical journals on the effectiveness of chiropractic care when compared to other forms of treatment, especially in Workers Compensation cases.

Reduce stress. If you are hurting, you are not happy, short-fused, crabby, irritable, creating more stress to other people around you. Stress may be a small word, but it has huge implications for corporate profitability. According to the US Bureau of Labor, stress costs US business over $300 billion annually. In the 21st Century, business operates faster and with more complexity and uncertainty than ever before. The impact of stress on profitability, whether creative or negative, must be understood, measured, and managed in a realistic and thorough way if a company is to successfully navigate today's business environment.

*This is the latest statistic reported by The Public Policy Institute of NYS, Inc., 152 Washington Avenue, Albany, NY 12210

Our Mission

Community and employee well-being is our business. Services for corporations include ways to improve employee health, decrease the severity of chronic health problems, reduce the incidence of work related injuries, and reduce the time off work due to injuries and other health problems while reducing the cost of healthcare over time.

Pain-free employees + Injury-free workplace = Happy Workplace Atmosphere = Better Performance

Solutions

Focused Assessments: Pangemanan Chiropractic will assist your company in choosing the programs that are the most effective for your organization. Through interview, questionaires, and records review we can help you choose the wellness areas most specific to your company. Workplace ergonomic and safety evaluation are included.

Wellness Workshops:These 30 minutes or 1 hour educational programs can be targeted towards a specific instruction in specific subjects that have been recognized as important to your employees. Topics covered that can be covered during any wellness workshop and fair may include the following:

How to Stay Young for the Next 100 Years (*Popular)
Building Personal Foundation in Wellness for Your Children (3 parts) (*Popular)
Back and Neck Injury Prevention
Steps to Reduce Common Repetitive Injuries at Workplace (*Popular)
Common Sense Nutrition
Blood Pressure Screens
Office Ergonomics + Computer Ergonomics
BIG 4 Workshop - "Osteoporosis + Diabetes + Arthritis + Fibromyalgia" (*Popular)
Sports + Fitness Review - for Beginners and Intermediate Fitness Enthusiast
Stress Reduction Workshop
Natural Weight Loss for Hormonally Imbalanced Individuals (*Popular)
Walk Programs

Health Fairs:Allow for a festive atmosphere in multi-targeted format. The fair is usually held in a half work day format and allows for employees to visit multiple booths so they may get information and educational instruction in multiple subject matters. In smaller companies with less than fifty (50) employees, health fair may be conducted in a one or two hours format. Employees will receive state-of-the-art digital spinal checkup scan (a $80 value) and FootLevelers digital feet scan ($25 value) to detect potential underlying spinal, nervous system, and structural problems. Each scan only takes about 30-60 seconds to perform. Brief chair massage services, fitness evaluation, and heart fitness evaluation are just a few of many available services provided during the health fair.

Cost?

There is no cost whatsoever to employers, churces, clubs, or organizations to hire us to conduct wellness workshops and/or health fair(s) at your site as long as it is within the YELLOW AREA on the map below.

The GREEN AREA outside the yellow area must be reserved at least 30 days in advance and costs about $495 per workshop or up to $1995 per event. Anything outside the green area will be considered on a case by case basis.

Focused Assessment, however, involves a low fee that varies based on the number of employees, etc. Contact us for more information.

Coverage Area:

Pangemanan Chiropractic offers a wide range of health and wellness services for corporations and individuals in the Central Bluegrass area within the radius provided below, including but not limited to the following counties in Kentucky, Anderson, Franklin, Shelby, Mercer, and Fayette. Requests for events outside the green area will be considered on a case by case basis. Contact us (502) 839-7171 for more information.

Begin Today

Contact us (email: info at 839-7171 dot com) for a thorough needs assessment and a proposal on how our Corporate Wellness Program can develop a seamless, high-value workplace health program for your company, church, or organization!

Research Studies on Chiropractic Role in Corporate Wellness:

Clinical Utilization and Cost Outcomes from an Integrative Medicine Independent Physician Association: An Additional 3-year Update, Journal of Manip Physiol Therapeutics 2007 (May); 30 (4): 263–269
A new retrospective analysis of 70,274 member-months in a 7-year period within an IPA, comparing medical management to chiropractic management, demonstrated decreases of 60.2% in-hospital admissions, 59.0% hospital days, 62.0% outpatient surgeries and procedures, and 83% pharmaceutical costs when compared with conventional medicine IPA performance. This clearly demonstrates that chiropractic nonsurgical nonpharmaceutical approaches generates reductions in both clinical and cost utilization when compared with PCPs using conventional medicine alone.

U.S. GOVERNMENT AGENCY REPORT
A 1994 study published by the U.S. Agency for Health Care Policy and Research (AHCPR) and the U.S. Department of Health and Human Services endorses spinal manipulation for acute low back pain in adults in its Clinical Practice Guideline # 14. An independent multidisciplinary panel of private-sector clinicians and other experts convened and developed specific statements on appropriate health care of acute low back problems in adults. One statement cited, relief of discomfort (low back pain) can be accomplished most safely with spinal manipulation, and/or nonprescription medication.

THE MANGA REPORT
A major study to assess the most appropriate use of available health care resources was reported in 1993. This was an outcomes study funded by the Ontario Ministry of Health and conducted in hopes of sharing information about ways to reduce the incidence of work-related injuries and to address cost-effective ways to rehabilitate disabled and injured workers. The study was conducted by three health economists led by University of Ottawa Professor Pran Manga, Ph.D. The report of the study is commonly called the Manga Report. The Manga Report overwhelmingly supported the efficacy, safety, scientific validity, and cost-effectiveness of chiropractic for low-back pain. Additionally, it found that higher patient satisfaction levels were associated with chiropractic care than with medical treatment alternatives. “Evidence from Canada and other countries suggests potential savings of hundreds of millions annually,” the Manga Report states. “The literature clearly and consistently shows that the major savings from chiropractic management come from fewer and lower costs of auxiliary services, fewer hospitalizations, and a highly significant reduction in chronic problems, as well as in levels and duration of disability.”

RAND STUDY ON LOW-BACK PAIN
A four-phase study conducted in the early 1990s by RAND, one of America’s most prestigious centers for research in public policy, science and technology, explored many indications of low-back pain. In the RAND studies, an expert panel of researchers, including medical doctors and doctors of chiropractic, found that: 1) chiropractors deliver a substantial amount of health care to the U.S. population; 2) spinal manipulation is of benefit to some patients with acute low-back pain.
The RAND reports marked the first time that representatives of the medical community went on record stating that spinal manipulation is an appropriate treatment for certain low-back pain conditions.

THE NEW ZEALAND COMMISSION REPORT
A particularly significant study of chiropractic was conducted between 1978-1980 by the New Zealand Commission of Inquiry. In its 377-page report to the House of Representatives, the Commission called its study “probably the most comprehensive and detailed independent examination of chiropractic ever undertaken in any country.” The Commission entered the inquiry with “the general impression ... shared by many in the community: that chiropractic was an unscientific cult, not to be compared with orthodox medical or paramedical services.” By the end of the inquiry, the commission reported itself “irresistibly and with complete unanimity drawn to the conclusion that modern chiropractic is a soundly-based and valuable branch of health care in a specialized area...” Conclusions of the Commission’s report, based on investigations in New Zealand, the U.S., Canada, the United Kingdom, and Australia, stated:

Spinal manual therapy in the hands of a registered chiropractor is safe.
Spinal manual therapy can be effective in relieving musculo-skeletal symptoms such as back pain, and other symptoms known to respond to such therapy, such as migraine.
Chiropractors are the only health practitioners who are necessarily equipped by their education and training to carry out spinal manual therapy.
In the public interest and in the interests of patients, there must be no impediment to full professional cooperation between chiropractors and medical practitioners.

STATE OF TEXAS WORKERS' COMPENSATION STUDY OF 2003
In 2002, the Texas Chiropractic Association (TCA) commissioned an independent study to determine the use and effectiveness of chiropractic with regard to workers' compensation, the results of which were published in February. According to the report, Chiropractic Treatment of Workers' Compensation Claimants in the State of Texas, chiropractic care was associated with significantly lower costs and more rapid recovery in treating workers with low-back injuries. They found: Lower back and neck injuries accounted for 38 percent of all claims costs. Chiropractors treated about 30 percent of workers with lower back injuries, but were responsible for only 17.5 percent of the medical costs and 9.1 percent of the total costs. These findings were even more intertesting: The average claim for a worker with a low-back injury was $15,884. However, if a worker received at least 75 percent of his or her care from a chiropractor, the total cost per claimant decreased by nearly one-fourth to $12,202. If the chiropractor provided at least 90 percent of the care, the average cost declined by more than 50 percent, to $7,632.

FLORIDA WORKERS’ COMPENSATION STUDY
A 1988 study of 10,652 Florida workers’ compensation cases was conducted by Steve Wolk, Ph.D. , and reported by the Foundation for Chiropractic Education and Research. It was concluded that “a claimant with a back-related injury, when initially treated by a chiropractor versus a medical doctor, is less likely to become temporarily disabled, or if disabled, remains disabled for a shorter period of time; and claimants treated by medical doctors were hospitalized at a much higher rate than claimants treated by chiropractors.”

WASHINGTON HMO STUDY
In 1989, a survey administered by Daniel C. Cherkin, Ph.D., and Frederick A. MacCornack, Ph.D., concluded that patients receiving care from health maintenance organizations (HMOs) within the state of Washington were three times as likely to report satisfaction with care from chiropractors as they were with care from other physicians. The patients were also more likely to believe that their chiropractor was concerned about them.

UTAH WORKERS’ COMPENSATION STUDY
A workers’ compensation study conducted in Utah by Kelly B. Jarvis, D.C., Reed B. Phillips, D.C., Ph.D., and Elliot K. Morris, JD, MBA, compared the cost of chiropractic care to the costs of medical care for conditions with identical diagnostic codes. Results were reported in the August 1991 Journal of Occupational Medicine. The study indicated that costs were significantly higher for medical claims than for chiropractic claims; in addition, the number of work days lost was nearly ten times higher for those who received medical care instead of chiropractic care.

PATIENT DISABILITY COMPARISON
A 1992 article in the Journal of Family Practice reported a study by DC Cherkin, Ph.D., which compared patients of family physicians and of chiropractors. The article stated “the number of days of disability for patients seen by family physicians was significantly higher (mean 39.7) than for patients managed by chiropractors (mean 10.8).” A related editorial in the same issue referred to risks of complications from lumbar manipulation as being “very low.”

OREGON WORKERS’ COMPENSATION STUDY
A 1991 report on a workers’ compensation study conducted in Oregon by Joanne Nyiendo, Ph.D., concluded that the median time loss days (per case) for comparable injuries was 9.0 for patients receiving treatment by a doctor of chiropractic and 11.5 for treatment by a medical doctor.

STANO COST COMPARISON STUDY
Miron Stano, PhD, Oakland University, conducted a study comparing the health-care costs for chiropractic and medical patients with neuromusculoskeletal conditions. The database he used came from the records of MEDSTAT Systems, Inc., a health benefits management consulting firm which processes insurance claims for many of the country's largest corporations. This June 1993 Journal of Manipulative and Physiological Therapeutics study involved 395,641 patients. Results over a two-year period showed that patients who received chiropractic care incurred significantly lower health care costs than did patients treated solely by medical or osteopathic physicians.

SASKATCHEWAN CLINICAL RESEARCH
Following a 1993 study, researchers J. David Cassidy, D.C., Haymo Thiel, D.C., M.S., and W. Kirkaldy-Willis, M.D., of the Back Pain Clinic at the Royal University Hospital in Saskatchewan concluded that “the treatment of lumbar intervertebral disk herniation by side posture manipulation is both safe and effective.”

UNIVERSITY OF SASKATCHEWAN STUDY OF 1985
In 1985 the University of Saskatchewan conducted a study of 283 patients “who had not responded to previous conservative or operative treatment” and who were initially classified as totally disabled. The study revealed that “81% ... became symptom free or achieved a state of mild intermittent pain with no work restrictions” after daily spinal manipulations were administered.

WIGHT STUDY ON RECURRING HEADACHES
A 1978 study conducted by J.S. Wight, D.C. , and reported in the ACA Journal of Chiropractic, indicated that 74.6% of patients with recurring headaches, including migraines, were either cured or experienced reduced headache symptomatology after receiving chiropractic manipulation.

1991 GALLUP POLL
A 1991 demographic poll conducted by the Gallup Organization revealed that 90% of chiropractic patients felt their treatment was effective; more than 80% were satisfied with that treatment; and nearly 73% felt most of their expectations had been met during their chiropractic visits.

1990 BRITISH MEDICAL JOURNAL REPORT
A study conducted by T.W. Meade, a medical doctor, and reported in the June 2, 1990, British Medical Journal concluded after two years of patient monitoring, “for patients with low-back pain in whom manipulation is not contraindicated, chiropractic almost certainly confers worthwhile, long-term benefit in comparison with hospital outpatient management.” More importantly, this article contradicts other articles which maintained that spinal adjusting (manipulation) was only effective for "acute" low back pain . This article found: The benefit is seen mainly in those with chronic or severe pain . It also suggested that “introducing chiropractic into NHS practice should be considered.”

VIRGINIA COMPARATIVE STUDY
A 1992 study conducted by L.G. Schifrin, Ph.D., provided an economic assessment of mandated health insurance coverage for chiropractic treatment within the Commonwealth of Virginia. As reported by the College of William and Mary, and the Medical College of Virginia, the study indicated that chiropractic provides therapeutic benefits at economical costs. The report also recommended that chiropractic be a widely available form of health care.

1992 AMERICA HEALTH POLICY REPORT
A 1992 review of data from over 2,000,000 users of chiropractic care in the U.S., reported in the Journal of American Health Policy, stated that “chiropractic users tend to have substantially lower total health care costs,” and that “chiropractic care reduces the use of both physician and hospital care.”

1985 UNIVERSITY OF SASKATCHEWAN STUDY
In 1985 the University of Saskatchewan conducted a study of 283 patients “who had not responded to previous conservative or operative treatment” and who were initially classified as totally disabled. The study revealed that “81% ... became symptom free or achieved a state of mild intermittent pain with no work restrictions” after daily spinal manipulations were administered.

Effects of a Managed Chiropractic Benefit on the Use of Specific Diagnostic and Therapeutic Procedures in the Treatment of Low Back and Neck Pain, J Manipulative Physiol Ther 2005 (Oct); 28 (8): 564–569
For the treatment of low back and neck pain, the inclusion of a chiropractic benefit resulted in a reduction in the rates of surgery, advanced imaging, inpatient care, and plain-film radiographs . This effect was greater on a per-episode basis than on a per-patient basis.

Cost-effectiveness of Medical and Chiropractic Care for Acute and Chronic Low Back Pain
J Manipulative Physiol Ther 2005 (Oct); 28 (8): 555–563
Acute and chronic chiropractic patients experienced better outcomes in pain, functional disability, and patient satisfaction. Chiropractic care appeared relatively cost-effective for the treatment of chronic low back pain (LBP). Chiropractic and medical care performed comparably for acute patients. Practice-based clinical outcomes were consistent with systematic reviews of spinal manipulation efficacy: manipulation-based therapy is at least as good as and, in some cases, better than other therapeusis. This evidence can guide physicians, payers, and policy makers in evaluating chiropractic as a treatment option for low back pain. There are more articles like this in the Low Back Pain Page.

Cost Effectiveness of Physical Treatments for Back Pain in Primary Care, British Medical Journal 2004 (Dec 11); 329 (7479): 1381 ~ FULL TEXT
We believe that this is the first study of physical therapy for low back pain to show convincingly that both manipulation alone and manipulation followed by exercise provide cost effective additions to care in general practice. Indeed, as we trained practice teams in the best care of back pain, we may have underestimated the benefit of physical therapy (spinal manipulation) when compared with "usual care" in general practice. The detailed clinical outcomes reported in the accompanying paper reinforce these findings by showing that the improvements in health status reported here reflect statistically significant improvements in function, pain, disability, physical and mental aspects of quality of life, and beliefs about back pain.(1) Read more about this on the UK BEAM Trial Page

Comparative Analysis of Individuals With and Without Chiropractic Coverage: Patient Characteristics, Utilization, and Costs
Archives of Internal Medicine 2004 (Oct 11); 164 (18): 1985–1892 ~ FULL TEXT
A 4-year retrospective claims data analysis comparing more than 700,000 health plan members within a managed care environment found that members with chiropractic coverage had lower annual total health care expenditures, utilized x-rays and MRIs less, had less back surgeries, and for patients with chiropractic coverage, compared with those without coverage, also had lower average back pain episode-related costs ($289 vs $399).

The authors concluded: "Access to managed chiropractic care may reduce overall health care expenditures through several effects, including (1) positive risk selection; (2) substitution of chiropractic for traditional medical care, particularly for spine conditions; (3) more conservative, less invasive treatment profiles; and (4) lower health service costs associated with managed chiropractic care." You may also enjoy this recent press release and this glowing review on WebMD.

An Evaluation of Medical and Chiropractic Provider Utilization and Costs: Treating Injured Workers in North Carolina
J Manipulative Physiol Ther 2004 (Sep); 27 (7): 442–448
These data, with the acknowledged limitations of an insurance database, indicate lower treatment costs, less workdays lost, lower compensation payments, and lower utilization of ancillary medical services for patients treated by DCs. Despite the lower cost of chiropractic management, the use of chiropractic services in North Carolina appears very low.

Chiropractic Care: Is It Substitution Care or Add-on Care in Corporate Medical Plans? J Occup Environ Med 2004 (Aug); 46 (8): 847-855
An analysis of claims data from a managed care health plan was performed to evaluate whether patients use chiropractic care as a substitution for medical care or in addition to medical care. For the 4-year study period, there were 3,129,752 insured member years in the groups with chiropractic coverage and 5,197,686 insured member years in the groups without chiropractic coverage. These results (of this file review) indicate that patients use chiropractic care as a direct substitution for medical care.

Clinical and Cost Outcomes of an Integrative Medicine IPA, J Manipulative Physiol Ther 2004 (Jun) ; 27 (5): 336–347
Analysis of clinical and cost outcomes on 21,743 member months over a 4-year period demonstrated decreases of 43.0% in hospital admissions per 1000, 58.4% hospital days per 1000, 43.2% outpatient surgeries and procedures per 1000, and 51.8% pharmaceutical cost reductions when compared with normative conventional medicine IPA performance for the same HMO product in the same geography over the same time frame.

Cost Effectiveness of Physiotherapy, Manual Therapy, and General Practitioner Care for Neck Pain: Economic Evaluation Alongside a Randomised Controlled Trial, British Medical Journal 2003 (Apr 26); 326 (7395): 911 ~ FULL TEXT
A hands-on approach to treating neck pain by manual therapy may help people get better faster and at a lower cost than more traditional treatments, according to this study. After seven and 26 weeks, they found significant improvements in recovery rates in the manual therapy group compared to the other 2 groups. For example, at week seven, 68% of the manual therapy group had recovered from their neck pain vs. 51% in the physical therapy group and 36% in the medical care group. You may also enjoy this WebMD review titled: Manual Therapy Eases Neck Pain, Cheaply.

Manual Therapy, Physical Therapy, or Continued Care by a General Practitioner for Patients with Neck Pain. A Randomized, Controlled Trial, Annals of Internal Medicine 2002 (May 21); 136 (10): 713-722
Neck pain is a common problem, but the effectiveness of frequently applied conservative therapies has never been directly compared. In this study, manual therapy such as chiropractic was a favorable treatment option for patients with neck pain compared with physical therapy or continued care by a general practitioner.

Effects of Inclusion of a Chiropractic Benefit on the Utilization of Health Care Resources in Managed Health Care Plan
Craig F Nelson, D.C., MS
A four-year longitudinal study using administrative claims data compared 700,000 health plan members with chiropractic coverage to 1 million health plan members without chiropractic coverage. This study demonstrates that the inclusion of a chiropractic benefit in a managed health care plan results in a reduction in the overall utilization of health care resources, and thereby, cost savings. There are four mechanism that produce this cost reduction: 1. A favorable selection process; 2. A substitution effect of chiropractic care for medical care; 3. Lower rates of use of high cost procedures; 4. Lower cost management of care episodes by chiropractors. You might also enjoy this sidebar article on this topic.

Preliminary Findings of Analysis of Chiropractic Utilization and Cost in the Workers' Compensation System of New South Wales, Australia, J Manipulative Physiol Ther 1995 (Oct); 18 (8): 503–511
The methodology used was found to be able to provide a basis for comparison of costs for care apportioned to chiropractic and other interventions. An analysis of 20 randomly selected cases from the WCA suggested that chiropractic intervention for certain conditions may be more cost-effective than other forms of intervention.

A Comparison of Health Care Costs for Chiropractic and Medical Patients, J Manipulative Physiol Ther 1993 (Jun); 16 (5): 291–299
Nearly one-fourth of patients were treated by chiropractors. Patients receiving chiropractic care experienced significantly lower health care costs as represented by third party payments in the fee-for-service sector. Total cost differences on the order of $1,000 over the 2-yr period were found in the total sample of patients as well as in subsamples of patients with specific disorders. The lower costs are attributable mainly to lower inpatient utilization. The cost differences remain statistically significant after controlling for patient demographics and insurance plan characteristics.

Mechanical Low-Back Pain: A Comparison of Medical and Chiropractic Management Within the Victorian WorkCare Scheme
Chiropractic Journal of Australia 1992 (Jun); 22 (2): 47–53
Comparisons of costs and outcomes were made between the two samples with the results being: (i) a significantly lower number of claimants requiring compensation days when chiropractic management was chosen, (ii) fewer compensation days taken by claimants who received chiropractic management, (iii) a greater number of patients progressed to chronic status when medical management was chosen, and (iv) a greater average payment per claim with medical management.