Chiropractic Clinics NAICS 621310

Apr 1, 2026 - Number of ACA Customers Paying $6,000 a Year Doubles

• The share of Affordable Care Act (ACA) insurance customers in plans that cost more than $6,000 a year doubled in 2026, according to the US Centers for Medicare and Medicaid Services (CMS). Total 2026 ACA enrollment decreased about 5% to 23.1 million. That figure doesn’t yet count people who still may cancel plans because they can’t pay premiums, so the decrease is expected to deepen. Some individual and small-group ACA plans include coverage for chiropractic services, so chiropractic clinics may be negatively impacted if plans are dropped due to affordability issues.
• US Secretary of Health and Human Services Robert F. Kennedy Jr. and the chiropractic industry have had a close relationship for years, and now it’s growing more important for both sides, according to Politico. Many of Kennedy’s most ardent chiropractic supporters are now at the forefront of his Make America Healthy Again (MAHA) movement, which is intended to spread his agenda to a larger audience and recruit more disciples, according to Politico. Kennedy has established a chiropractic liaison for MAHA to keep chiropractic organizations connected to the larger movement. The most consequential benefit Kennedy can give to chiropractic organizations may be reputational, according to Politico. The industry has long been shunned by the medical establishment and is seeking new influence in Washington through the MAHA movement, according to Politico.

• The chiropractic market, once dominated by solo entrepreneurs and chiropractic-specific groups, is now seeing larger institutional buyers entering the space, according to Chiropractic Economics. There are several different types of investors in the market for chiropractic. Private equity (PE) firms typically focus on buying larger, mature clinic groups, and will almost always partner with the existing owner to ensure that they keep the chiropractic and regional knowledge in the company. Incubator programs, a type of private equity, train business executives to lead new ventures formed by acquiring existing businesses, with PE support in funding and mentorship. This model allows for acquiring smaller businesses by sharing the costs of advisory resources across multiple organizations. Venture capital (VC) firms, a newer player in chiropractic, are interested in being disruptors. They look for industries with foundational challenges and inefficiencies and focus on building a better model that can revolutionize the space. Family offices manage high-net-worth family wealth with a long-term focus, prioritizing stability and legacy over quick resale. Being acquired by a family office can mean avoiding some of the pressured growth timelines typical of PE and VC institutional buyers.
• Chiropractic industry sales are forecast to increase at a 6.08% compounded annual rate from 2025 to 2029, faster than the growth of the overall economy, according to Inforum and the Interindustry Economic Research Fund, Inc. Chiropractic industry employment increased slightly and average wages for nonsupervisory employees decreased slightly during the first 11 months of 2025, according to the US Bureau of Labor Statistics.