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Chuzhen Therapy as a Non-Invasive Traditional Chinese Therapy for Neck Pain

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Published on: June 6, 2025

Cost Sharing for Acupuncture Therapy in Commercial Insurance Plans.

Molly Candon^1,2,3, Jeffery A Dusek^4,5, Arya Nielsen⁶

¹Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Global Advances in Integrative Medicine and Health

|August 18, 2025

Summary

Patient cost sharing impacts acupuncture use, but access to in-network acupuncturists is more crucial. Lower out-of-pocket spending correlated with higher acupuncture utilization, though specific plan designs showed varied effects.

Keywords:

acupuncture copays cost sharing insurance coverage

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Area of Science:

Health Services Research
Healthcare Economics
Complementary and Alternative Medicine

Background:

Patient cost sharing, defined as out-of-pocket healthcare spending, influences various health outcomes.
The specific impact of cost-sharing on acupuncture utilization remains largely undetermined.

Purpose of the Study:

To investigate the association between different forms of cost sharing and the utilization of in-network acupuncture services.
Examined copayments, out-of-pocket spending percentages, and consumer-driven health plans (CDHPs) with high deductibles.

Main Methods:

Analysis of commercial insurance claims data.
Included 105,501 individuals who accessed in-network acupuncturists between 2012 and 2021.

Main Results:

Acupuncture utilization was higher in plans with lower overall out-of-pocket spending.
Plans with $0 copays and CDHPs demonstrated lower acupuncture use compared to plans with higher copays and non-CDHPs.

Conclusions:

Cost sharing demonstrated an inconsistent effect on acupuncture utilization.
Ensuring access to in-network acupuncturists appears to be a more significant driver of utilization than cost-sharing policies alone.