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Integrative Medicine on the Rise and How Brokers Can Step In

A Growing Market Insurers Can’t Ignore

Integrative and complementary health care isn’t fringe—it’s booming. More than one-third of U.S. adults now turn to treatments like acupuncture, chiropractic care, and naturopathy to manage pain, chronic illness, and overall well-being. Between 2002 and 2022, the use of these approaches nearly doubled. And while clinical acceptance is growing, insurance coverage hasn’t kept pace.

The U.S. complementary and alternative medicine (CAM) market is projected to expand from $28 billion to over $229 billion by 2033. That signals opportunity—not just for providers, but for the brokers and insurers who serve them.


Coverage Gaps—and Client Frustrations

Despite rising demand, traditional carriers often limit or deny coverage for integrative medicine providers. Here’s where things break down:

  • Licensing inconsistencies make underwriters wary. A naturopath in Oregon may hold a medical license, while one in New York may not be recognized at all.
  • Limited standardization means treatment plans vary dramatically—even within a single discipline.
  • Evidence gaps can make it difficult for carriers to quantify outcomes or justify reimbursable procedures.
  • High out-of-pocket costs continue to define the patient experience: Americans spend an estimated $30 billion annually on complementary care, most of it uncovered.

Even common services like acupuncture and chiropractic care are subject to visit limits, narrow networks, or administrative hurdles. For providers trying to build sustainable practices—and for patients seeking whole-person care—this is more than a nuisance. It’s a barrier to access.

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Opportunities for Brokers and Carriers

While traditional coverage often lags, some forward-thinking carriers and brokers are finding ways to adapt. Here’s where the smart money is going:

  1. Custom Endorsements
    Work with underwriters to develop endorsements tailored to integrative health practices—especially those that combine functional medicine, nutrition, and licensed manual therapies.
  2. Educated Risk Profiling
    Not all providers are alike. Brokers who understand the regulatory landscape and credentialing differences across states can help match providers with the right carrier appetite.
  3. Professional Liability for Multidisciplinary Practices
    Clinics that blend conventional and integrative care may fall through the cracks of traditional med-mal coverage. Brokers who can evaluate multidisciplinary risk exposure will offer critical value.
  4. Navigating Billing and Claims Complexity
    Integrative practices often lose revenue due to administrative errors or coverage denials. Offering guidance on pre-authorization, network participation, and billing best practices can help brokers win trust—and retain clients.


The Bigger Picture

Integrative care isn’t going away. In fact, it’s likely to become more central to how Americans manage chronic illness, stress, and preventive health. Brokers who understand the evolving risk landscape—and who advocate for smarter, more inclusive coverage—can position themselves at the forefront of a growing market.