Case Study
Peer-Reviewed · Published 2026

The Retention Gap Most Chiropractors Miss

Peer-reviewed results published in the Journal of Contemporary Chiropractic: how structured patient engagement between visits keeps patients in care.

The Problem Every Chiro Knows

You sign up a patient for a care plan. Life gets busy, pain decreases, they forget to book their next appointment, and without something keeping them accountable between visits, the care plan dies.

Research has a name for it: self-discharge. The patient walks away from care before the plan is complete—no discharge from you, no clinical resolution, just an appointment that never gets booked. It's the quiet leak in almost every practice's retention and revenue.

So we studied it—and published the results.

What Changes With EMBODI

EMBODI does one specific thing: it keeps patients engaged between visits. It's not replacing your care. It's supporting the patient's commitment to the care plan through check-ins, progress tracking, and accountability.

In a peer-reviewed study published in the Journal of Contemporary Chiropractic (2026), analyzing real billing data from a multi-location chiropractic practice (n = 2,378), the findings were clear:

  • Prescribed visits kept: 35% more among EMBODI users (P < .001)
  • Self-discharges: 8.9% fewer among EMBODI users (P = .03)
  • Even when patients did leave early: EMBODI users who self-discharged still generated 52.9% more revenue before leaving (P < .001)

This isn't theory, and it isn't marketing math. This is actual billing data, analyzed with a sample of 2,378, reviewed by independent peers, and published in a scientific journal.

35%
More prescribed visits kept
P < .001
8.9%
Fewer self-discharges
P = .03
52.9%
More revenue from patients who self-discharged
P < .001

The Questions Smart Chiropractors Ask

Objection: "These are just naturally compliant patients."
Fair question—patients who opt into an engagement platform are demonstrating some motivation up front. This is observational data, so patient self-selection can't be fully separated from product impact. What the study shows: the differences held across a sample of 2,378 at statistically significant levels on all three findings, and the methodology and its limitations went through independent peer review. We'd rather show you honest observational data than a polished claim.
Objection: "This is just one practice."
True—it's a single multi-location practice. But it's real billing records across multiple clinic locations, not surveys or projections, and the analysis was rigorous enough to pass peer review. It's some of the strongest real-world evidence available on engagement and retention in chiropractic. And you don't have to take our word for it: the full paper is published and citable.
Objection: "Vendor research is just marketing."
That's exactly why we submitted it to a journal instead of a slide deck. The study—Topp R, Greenstein J, Etnoyer-Slaski J—was independently peer reviewed and published in the Journal of Contemporary Chiropractic (2026;9(1):92-101). Every number on this page comes from that publication.

What This Means For Your Practice

The mechanism is simple: EMBODI keeps patients connected to their care plan between visits. Check-ins, progress tracking, accountability. Patients who engage this way keep more of their recommended visits—not because they're forced to, but because they're supported in following through on their own commitment.

Patients using EMBODI kept 35% more of their prescribed visits and were significantly less likely to walk away from care before completing it.

And here's the part most practices miss: even the patients who eventually left care early generated 52.9% more revenue when they were on EMBODI—because engagement kept them in care longer before they left. The retention lever pays off at every stage of the patient journey, not just for the patients who finish.

But the real win isn't the revenue. It's having patients actually show up for the care you prescribed—the thing every clinical result downstream depends on. The revenue follows naturally when your retention improves.

The Honest Summary

  • What the data shows: EMBODI users kept 35% more prescribed visits, self-discharged 8.9% less often, and generated 52.9% more revenue even when they did self-discharge.
  • What's verified: All three findings are statistically significant and published in a peer-reviewed journal.
  • What we can't claim: Causation—this is observational data—or that every patient will see these exact results.
  • What matters: The retention lever works. When you give patients a system for staying accountable between visits, they stay.

Research Credibility

These results come from a peer-reviewed study of real, de-identified billing records (n = 2,378) at a multi-location chiropractic practice, published in the Journal of Contemporary Chiropractic in 2026. Not surveys, not estimates, not projections.

Topp R, Greenstein J, Etnoyer-Slaski J. Journal of Contemporary Chiropractic. 2026;9(1):92-101. n = 2,378.

About EMBODI Health

EMBODI is a Remote Therapeutic Monitoring platform built specifically for musculoskeletal care. It combines patient engagement workflows with clinical monitoring and RTM billing, all inside your EHR or as a standalone app. It's used in chiropractic, physical therapy, and other MSK settings. Learn more at www.embodihealth.com.

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