05/01/2026
This is not an easy message to write. For nearly two decades, our mission at Prime Health Chiropractic has been simple: provide high-quality, personalized care that helps people truly heal and live better lives. Every decision we make is rooted in that commitment. Unfortunately, we’ve reached a point where a difficult but necessary change must be made.
Over the past two years, our office has experienced a total revenue decline of approximately 40%, despite providing the same level of care and seeing the same number of patients. To be completely transparent, there have been times where I have gone an entire month without paying myself, simply to keep the office operating and ensure our patients continue to receive care. This is not due to a lack of demand, as our schedule remains full. The issue is what happens behind the scenes.
The primary driver is the continued decline in insurance reimbursement rates. In many cases, a visit that costs $50 or more to provide is reimbursed at $15 or less by insurance. Insurance companies determine what they will pay, not providers, and those reimbursement rates have steadily decreased over time while the cost to deliver care continues to rise. So while nothing changes for you during your visit, the value assigned to that visit by insurance continues to drop, creating a growing gap between cost and reimbursement.
At the same time, we are facing increased utility bills, higher supply and equipment costs, rising operational and staffing expenses, and ongoing inflation across every aspect of running the office. This creates a situation where less is coming in while more is going out.
We are left with two options: decrease the quality of care by shortening visits, reducing one-on-one time, and operating as a high-volume factory, or slightly increase pricing to maintain the level of care you deserve. To be clear, the first option is not something we are willing to do. That is not why this office exists, and it is not how we will ever treat our patients.
In order to continue providing the care you expect and deserve, we will be implementing a $5 increase per adjustment beginning July 1, 2026. This decision was made carefully and reluctantly, with one clear goal: to protect the quality of care, not compromise it.
You may also notice that we are gradually transitioning away from insurance-based care. We will continue to accept select insurance plans that provide reasonable reimbursement, but many simply do not cover care at a sustainable level. Moving toward a more cash-based model allows us to spend more time with each patient, focus on outcomes instead of restrictions, provide care based on need rather than insurance limitations, and maintain consistency in the quality of care we deliver.
Running a healthcare practice in today’s environment is increasingly difficult, and balancing patient care, financial sustainability, and rising costs is something we face every day. This decision was not made lightly, but the alternative is a version of care that is rushed, impersonal, and lower quality, and that is not something we will ever offer.
We are incredibly grateful for your trust and the opportunity to care for you and your family. If you have any questions, we will always speak with you openly and honestly. Thank you for standing with us as we continue to serve this community the right way.
With respect and appreciation,
Dr. Andrew Carr, D.C.
