October 2024 Issue of Becker's Spine Review   ON THE COVER How single-specialty ASCs may have an advantage As the ASC market becomes increasingly competitive with more players vying for market share, a successful strategy may be the difference between ASCs that thrive and those that struggle. An overlooked issue with spine technology Enabling technologies are becoming more entrenched in and more widely adopted in spine surgery,  but there is a concern that the next generation of surgeons may rely too heavily on new technology to help them through complex surgeries. The meetings that keep Cedars-Sinai's spine faculty strong Los Angeles-based Cedars-Sinai has remained a leader in spine surgery on the West Coast, and its department co-directors said they focus on keeping their staff sharp. 2 OSF surgeons look to stand out with new endoscopic spine program Max Kahn, MD, and Sohail Syed, MD, said they're both optimistic about the direction endoscopic spine surgery is taking, and they see its growing potential in spinal care. The spine procedures eligible for UnitedHealthcare's new gold card program On Sept. 1, UnitedHealthcare released a list of procedures that will be eligible for its new physician gold card program, which aims to save patients and providers time by allowing qualifying providers to skip the prior authorization process for a number of procedure codes. Spine surgeon donates $120M to UCLA Spine surgeon and philanthropist Gary Michelson, MD, and his wife, Alya, donated $120 million to the University of California Los Angeles for its California Institute for Immunology and Immunotherapy. How 4 orthopedic leaders are addressing financial headwinds From Medicare pay cuts to inflation, spine and orthopedic leaders are constantly thinking about how to stay on top of the next financial challenge that comes their way. Spine surgeon alignment dropped screw price 67% at ASC More spine cases are moving to outpatient surgery centers as procedures become less invasive and payers recognize the value. But unless surgery centers are aligned with vendors on implant pricing, they will lose money. ASC leader pay soars ASC leaders reported big earnings growth in the last year with more than three quarters now earning six figures, according to OR Manager. CEO rebuilds Pennsylvania system after $440M loss West Reading, Pa.-based Tower Health's new-look leadership team, organizational structure and culture have helped the health system improve its financial performance by more than $160 million year over year while a debt refinancing deal has secured a longer runway to return to profitability.  SPINE The spine procedures eligible for UnitedHealthcare's new gold card program On Sept. 1, UnitedHealthcare released a list of procedures that will be eligible for its new physician gold card program, which aims to save patients and providers time by allowing qualifying providers to skip the prior authorization process for a number of procedure codes. Spine surgeon donates $120M to UCLA Spine surgeon and philanthropist Gary Michelson, MD, and his wife, Alya, donated $120 million to the University of California Los Angeles for its California Institute for Immunology and Immunotherapy. Where do spine robots shine, falter in lumbar pedicle screw placement? Facet joint violation by pedicle screws under robotic guidance was reduced at some parts of the lumbar spine compared to CT navigation during lumbar spine surgery, according to a study published Aug. 12 in The Spine Journal. How ASCs can unlock profits with outpatient spine migration The demand for outpatient spine surgery is growing as technological developments make high-acuity procedures more feasible in the ASC setting.  Lumbar spinal fusion reoperation rates: Does technique matter? Single-level lumbar spinal fusions had similar reoperation rates between anterolateral and posterior surgical techniques, according to a study in the September 1 issue of Spine. THOUGHT LEADERSHIP The meetings that keep Cedars-Sinai's spine faculty strong Los Angeles-based Cedars-Sinai has remained a leader in spine surgery on the West Coast, and its department co-directors said they focus on keeping their staff sharp. 2 OSF surgeons look to stand out with new endoscopic spine program Max Kahn, MD, and Sohail Syed, MD, said they're both optimistic about the direction endoscopic spine surgery is taking, and they see its growing potential in spinal care. NASS' next president to continue a collaborative mindset: 6 Qs with Dr. Kreiner D. Scott Kreiner, MD, who was named the next president of the North American Spine Society, said he plans to focus on collaboration. How 1 spine surgeon pitched – and won support for – endoscopic procedures Ryan Sauber, MD, began performing uniportal endoscopic spine surgery at Pittsburgh-based Allegheny Health Network in May and is navigating the successes and challenges coming along. PRACTICE MANAGEMENT The questions to ask yourself before starting a spine practice, per Dr. Arthur Jenkins About seven years ago, Arthur Jenkins, III, MD, left his post at New York City-based Mount Sinai to open his own private practice. How 4 orthopedic leaders are addressing financial headwinds From Medicare pay cuts to inflation, spine and orthopedic leaders are constantly thinking about how to stay on top of the next financial challenge that comes their way. Former Rothman CEO remembered for authenticity, being 'loved by everybody' Mike West, who led Philadelphia-based Rothman Orthopaedic Institute, for 22 years died Sept. 16 at age 65. Why orthopedic MSOs are the 'private practice version 2.0' David Fitzgerald, CEO of OrthoNY in Albany, is excited about the potential that strong partners can bring to independent physician practices. DEVICES & IMPLANTS Kevin Lobo 10th highest-paid healthcare CEO: WSJ Stryker CEO Kevin Lobo is the 10th-highest paid healthcare CEO, according to The Wall Street Journal. Spine surgeon alignment dropped screw price 67% at ASC More spine cases are moving to outpatient surgery centers as procedures become less invasive and payers recognize the value. But unless surgery centers are aligned with vendors on implant pricing, they will lose money. Stryker to acquire spine company Stryker signed a definitive agreement to acquire Vertos Medical, a pain management company. ASC How single-specialty ASCs may have an advantage As the ASC market becomes increasingly competitive with more players vying for market share, a successful strategy may be the difference between ASCs that thrive and those that struggle. ASC leader pay soars ASC leaders reported big earnings growth in the last year with more than three quarters now earning six figures, according to OR Manager. UnitedHealthcare releases gold-card eligible procedure codes On Sept. 1, UnitedHealthcare released a list of procedures that will be eligible for its new physician gold card program.  The 19 states facing a potential physician deficit by 2028 There are 19 states that are projected to have a shortage of physicians by 2028, according to a report from Mercer, a consulting firm. HEALTHCARE NEWS CEO rebuilds Pennsylvania system after $440M loss West Reading, Pa.-based Tower Health's new-look leadership team, organizational structure and culture have helped the health system improve its financial performance by more than $160 million year over year while a debt refinancing deal has secured a longer runway to return to profitability.  Health systems brace for the 'silver tsunami' Around 10,000 Americans turn 65 years old every day, gaining access to Medicare benefits. The number of Medicare beneficiaries is expected to continue growing in the next five years, and health systems are making changes to keep up.

July 2024 Issue of Becker's Spine Review   ON THE COVER New spine codes to further clarify back pain New updates in the family of ICD-10-CM codes will provide further specifications for back pain. What is the future of ACDF? Anterior cervical discectomy and fusion is considered a "gold standard" in spine surgery, but it will likely be eclipsed by disc replacement. What spine surgeons expect for the future of value-based care Value-based care has seen some growth in spine and orthopedics, with some groups embracing the payment model. Leave these trends in the past, spine surgeons say As spine surgery technology and practice operations evolve, there are some trends that are ready to be sunsetted. 1.26% of lumbar disc replacements needed revisions, Texas Back Institute surgeons find Over 20 years, only 1.26% of lumbar disc replacements have needed a follow-up revision surgery or removal, spine surgeons at Texas Back Institute found. 2 CMS spine proposals to know CMS is proposing two new developments in spine-related coding and payments, the International Society for the Advancement of Spine Surgery said April 17. What's holding back outpatient spine growth? Outpatient spine surgery has grown significantly in recent years thanks to new technologies and the adoption of minimally invasive techniques. However, some factors in the healthcare industry are slowing its trajectory. Why new ASCs could fall short Investing in ASCs presents healthcare professionals with opportunities that may not be available to players in other markets. Take the vacation, says Children's National CEO Michelle Riley-Brown is less than a year into her role as president and CEO of Children's National Hospital in Washington, D.C., and she brings a passion for well-being and addressing today's healthcare challenges to the role. SPINE New spine codes to further clarify back pain New updates in the family of ICD-10-CM codes will provide further specifications for back pain. Dr. Adam Kanter named executive medical director of neuroscience institute Adam Kanter, MD, was named executive medical director of Hoag's Pickup Family Neurosciences Institute in Newport Beach, Calif. Neurosurgeons and orthopedic spine surgeons see similar TLIF outcomes: Study A matched analysis published in the June issue of Spine found experienced neurosurgeons and orthopedic spine surgeons had similar outcomes after transforaminal lumbar interbody fusions. What is the future of ACDF? Anterior cervical discectomy and fusion is considered a "gold standard" in spine surgery, but it will likely be eclipsed by disc replacement. 1.26% of lumbar disc replacements needed revisions, Texas Back Institute surgeons find Over 20 years, only 1.26% of lumbar disc replacements have needed a follow-up revision surgery or removal, spine surgeons at Texas Back Institute found. THOUGHT LEADERSHIP What spine surgeons expect for the future of value-based care Value-based care has seen some growth in spine and orthopedics, with some groups embracing the payment model. Orthopedic smart implants can 'reestablish normals' in care, DISC surgeon says Orthopedic surgeon James Chen, MD, has been with DISC Sports and Spine Center since December and is bolstering its total joint replacement program. What's holding back outpatient spine growth? Outpatient spine surgery has grown significantly in recent years thanks to new technologies and the adoption of minimally invasive techniques. However, some factors in the healthcare industry are slowing its trajectory. Leave these trends in the past, spine surgeons say As spine surgery technology and practice operations evolve, there are some trends that are ready to be sunsetted. Spine surgeons should 'marry the best of business with the best of medicine' Spine and orthopedic surgeons may benefit from earning an MBA along with their medical training. PRACTICE MANAGEMENT Here's what to look out for when joining a spine practice Joining a spine practice takes more than finding a salary that's a good fit or managers you like. Physicians should also evaluate operational factors behind a prospective employer. OrthoCincy joins PELTO Health Partners PELTO Health Partners added its first new partner group, OrthoCincy, since forming in 2023. Precision analytics 'crucial' for driving clinical, financial performance in spine COEs The next phase of outpatient spine care could weigh on one practice model — the Center of Excellence. Orthopedic group deals accelerate in 2023: Report Orthopedic physician groups were among specialties with a higher volume of merger and acquisition deals in 2023, according to VMG Health's 2024 Healthcare M&A Report. Rebound Orthopedics & Neurosurgery adds bundled payments Vancouver, Wash.-based Rebound Orthopedics & Neurosurgery partnered with HealthME for bundled payments. DEVICES & IMPLANTS ZimVie spine business sells, rebrands as Highridge Medical ZimVie has closed on the sale of its spine business to global investment firm H.I.G. Capital. The spine business will now operate as Highridge Medical, based in Westminster, Colo.  Artificial disc replacement to crack $1B by 2030 The artificial disc replacement market is expected to grow at a compound annual growth rate of 12.3% between 2023 and 2030, according to Vantage Market Research. Zimmer Biomet partners with CBRE to develop ASCs Zimmer Biomet partnered with CBRE Group to develop orthopedic ASCs as part of a larger plan toward above-market growth, the devicemaker said May 29. Barrow Neurological Institute launches Neuralink study Phoenix-based Barrow Neurological Institute was chosen as the inaugural site for the Neuralink PRIME Study. Meet the CEOs of 5 spine device companies Here are the CEOs of five spine device companies worldwide:  ASC  The investments ASCs can't afford to skip As ASCs continue to face staffing shortages nationwide, many leaders are putting their money into retaining and recruiting talent.  ASCs grow with 'untapped' business line Jayehs Dayal, MD, an anesthesiologist and owner of White flint Surgery Center in Rockville, Md., was one of the first physicians to own a freestanding licensed, accredited, three-room ASC in Rockwell. Is ASC pay trending up or down? Physician pay is trending up in eight common ASC specialties this year, while it is trending down in three others, according to Medscape's 2024 "Physician Compensation Report." Why new ASCs could fall short Investing in ASCs presents healthcare professionals with opportunities that may not be available to players in other markets. HEALTHCARE NEWS Take the vacation, says Children's National CEO Michelle Riley-Brown is less than a year into her role as president and CEO of Children's National Hospital in Washington, D.C., and she brings a passion for well-being and addressing today's healthcare challenges to the role. Why Ardent isn't focusing on 'technology just for technology's sake' Nashville, Tenn.-based Ardent Health Services' chief digital information officer is focusing on three key pillars in 2024: cybersecurity, enhancing consumer experience and fostering purpose-driven initiatives. Large health systems may need to rethink growth: Moody's Scrutiny on nonprofit health system mergers and acquisitions is intensifying and Moody's warned it could become a tougher exit strategy for distressed hospitals, and affect growth of large systems, according to an April 18 2024 Healthcare Quarterly report. Health systems' hard line on insurers pays off Health systems are taking a tougher stance with commercial payers, arguing that they are not being adequately reimbursed for services provided to patients, and some providers have gone out of network if contract renewal offers have not been up to par.

April 2024 Issue of Becker's Spine Review   ON THE COVER Spine surgeon expects 'record year' for patient volume, revenue Los Angeles-based DOCS Surgery Center had a record year for case volume and revenue, Co-CEO Khawar Siddique, MD, told Becker's Why noncompetes are 'worthless' to Dr. Nicholas Grosso In his time at Bethesda, Md.-based Centers for Advanced Orthopaedics, Nicholas Grosso, MD, has found physician exits to be rare.  Surgeons warn of 'overutilization' of spinal fusion Spinal fusions are a common option for addressing back pain and spine conditions. But some spine surgeons worry that the procedure could be overdone. Spine surgeon vs. neurosurgeon salary – Does location matter in 2024? Spine surgeons and neurosurgeons sometimes have overlap in the type of care they offer. However their training paths are unique, along with having varying compensation. The tide is turning on healthcare megamergers Proposed healthcare mergers and acquisitions are continuing to face backlash from hospital and physician groups along with state and federal lawmakers — signaling a turn of the tide against megadeals.  What an ASC did to avoid room shutdowns Andrew Lovewell, CEO of Columbia (Mo.) Orthopaedic Group, realized his surgery center had a problem. The demand for services was high, but cases couldn't get scheduled because of gaps in anesthesia coverage. Complex spine surgery can work in ASCs. Here are the steps to get there More spine surgeries are migrating to ASCs, and the outpatient setting has been ideal for minimally invasive procedures. But work still needs to be done to optimize complex spine cases for ASCs.  CMS, Ozempic and more: 5 spine, orthopedic surgeon concerns in 2024 From noncompete clauses to GLP-1 weight loss drugs, several evolving policy and clinical issues are affecting spine and orthopedic surgeons headed into 2024. Value-based care hit a 'stumbling block': 1 orthopedic surgeon explains why Value-based care is a hot topic in orthopedic care, but its lack of consensus among payers, patients and physicians has been an obstacle, Michael Havig, MD, said. SPINE CMS, Ozempic and more: 5 spine, orthopedic surgeon concerns in 2024 From noncompete clauses to GLP-1 weight loss drugs, several evolving policy and clinical issues are affecting spine and orthopedic surgeons headed into 2024. Spine surgeon expects 'record year' for patient volume, revenue Los Angeles-based DOCS Surgery Center had a record year for case volume and revenue, Co-CEO Khawar Siddique, MD, told Becker's Spine surgeon vs. neurosurgeon salary – Does location matter in 2024? Spine surgeons and neurosurgeons sometimes have overlap in the type of care they offer. However their training paths are unique, along with having varying compensation. Cervical disc replacement on the rise, ACDF leveling out: A 10-year review Cervical disc replacement has increased significantly from 2011 and 2021 while anterior cervical discectomy and fusion plateaued, according to a study published Feb. 24 in The Spine Journal.  Yale appoints Dr. Ehud Mendel to 10-year neurosurgery professorship Ehud Mendel, MD, was named the Nixdorff-German Professor of Neurosurgery at Yale University in New Haven, Conn. THOUGHT LEADERSHIP Complex spine surgery can work in ASCs. Here are the steps to get there More spine surgeries are migrating to ASCs, and the outpatient setting has been ideal for minimally invasive procedures. But work still needs to be done to optimize complex spine cases for ASCs.  'Hospitals are scared to death': Why ASCs have the advantage in recruiting spine surgeons Allowing physicians to have ownership in the places they work can make ASCs more attractive in recruiting, spine surgeon Stephen Hochschuler, MD, said.  How emerging spine surgeons, value-based care can win Hyun Bae, MD, has his eyes on the evolution of outpatient spine surgery and value-based care. And one key element to their trajectories will be physician control. The new USOP CEO's pitch to payers Stephen Holtzclaw, MD, has spent the beginning of his year getting to know the people behind U.S. Orthopaedic Partners. The emergency medicine physician was named CEO of the management services organization, and he wants to help the MSO thrive. PRACTICE MANAGEMENT Orthopedic MSOs remain popular but other options show promise Musculoskeletal management organizations have been a popular avenue for orthopedic practices to find support amid economic, business and payer headwinds. But in the last year, some physicians have also found success in other consolidation models. Why noncompetes are 'worthless' to Dr. Nicholas Grosso In his time at Bethesda, Md.-based Centers for Advanced Orthopaedics, Nicholas Grosso, MD, has found physician exits to be rare.  Spine surgeons' 'new avenues' to reach patients Patient referrals and maintaining volumes is crucial for any strong spine practice. And as the healthcare landscape and technologies evolve, spine surgeons need to adapt. Value-based care hit a 'stumbling block': 1 orthopedic surgeon explains why Value-based care is a hot topic in orthopedic care, but its lack of consensus among payers, patients and physicians has been an obstacle, Michael Havig, MD, said. 2 factors advancing value-based care in spine — and 1 holding it back Value-based care has been embraced by some spine groups as an alternative to fee-for-service payments, and its prevalence hinges on multiple elements. DEVICES & IMPLANTS 'On the brink of transformative change': What's next for the spine device market Innovation has grown in the spine device market, and many companies are looking toward more minimally invasive and motion preserving options. Five spine surgeons discuss their expectations for the spine medtech market in the near future. Stryker, Zimmer Biomet, J&J execs among the most 'influential' in healthcare CEOWorld Magazine released its latest list of "World's Most Influential CEOs and Business Executives," and three orthopedic devicemaker leaders are on it. Augmedics CEO exits, interim leadership named Kevin Hykes stepped down as president and CEO of Augmedics, the company said Jan. 31. ZimVie to sell spine business for $375M ZimVie is selling its spine business to HIG Capital for $375 million.  NuVasive lays off 157 after merger NuVasive is laying off 157 employees at its San Diego headquarters, according to WARN notice data from the state of California. ASC  Hospitals target ASCs with new proposals Outpatient revenue for hospitals and health systems jumped 10.6% year over year in January, as hospitals continue to see more complex procedures become safe in the outpatient setting, according to Syntellis. ASC leaders remain wary of reimbursement trends Reimbursement challenges are among the biggest trends ASC leaders are watching. What an ASC did to avoid room shutdowns Andrew Lovewell, CEO of Columbia (Mo.) Orthopaedic Group, realized his surgery center had a problem. The demand for services was high, but cases couldn't get scheduled because of gaps in anesthesia coverage. ASCs offer anesthesiologists stipends as competition heats up Some ASCs have had their patient volumes and bottom lines affected by the inability to access anesthesia providers. HEALTHCARE NEWS The advice CEOs put to use in their 1st year on the job A number of hospitals and health systems appointed new CEOs early last year. Though these CEOs were new to the role and maybe even to the organization, they brought with them past experiences and lessons learned from others, which they were able to use to be a part of meaningful change during their first months on the job.  There's a new financial 'talent hub' — and it's not New York For finance experts looking for a place to launch, Dallas is the new New York, according to a recent report from Korn Ferry.  'Collaboration will reduce the cost': Penn Medicine CEO talks mergers, margin improvement From maintaining a positive ratings outlook to having an engaged workforce, Kevin Mahoney, CEO of the University of Pennsylvania Health System, part of Philadelphia-based Penn Medicine said overall, 2023 was great for the health system, and for 2024, it's about continued margin improvement. The tide is turning on healthcare megamergers Proposed healthcare mergers and acquisitions are continuing to face backlash from hospital and physician groups along with state and federal lawmakers — signaling a turn of the tide against megadeals. 

Iowa City, Iowa-based Steindler Orthopedics was first formed in 1950 and has since expanded to include seven practices.

January 2024 Issue of Becker's Spine Review   ON THE COVER Do spine patients prefer hospitals or ASCs? The number of spinal procedures performed in the ASC setting is on the rise, especially since the COVID-19 pandemic. Where can spine surgeons reduce costs? Amid economic headwinds, spine surgeons are exploring different ways to reduce costs in their practices. What the orthopedic surgery landscape will look like in 10 years The orthopedic surgery landscape of today may not look the same tomorrow.   Cervical disc replacements plateaued The volume of cervical disc replacements grew steadily for nearly a decade, but have leveled off in the last few years, according to a study published in the journal Spine. ASC execs are bullish on growth. Here are 5 strategies on their radar The year 2024 is around the corner and ASCs are employing several strategies to prepare for growth.   Walmart: Friend or foe to hospitals? When Walmart founder Sam Walton declared the retailer's healthcare ambitions in 1991, he had harsh words for hospitals. Will Ozempic alter spine, orthopedic fields? GLP-1 weight loss drugs like Ozempic and Wegovy are rising in popularity and evidence suggests their possible effectiveness for helping patients lose weight. Spine surgeons' next payer battleSpine surgeons saw a major victory in a yearslong payer battle this year when Aetna revised its lumbar disc replacement policy in February. Now, some surgeons are looking ahead to the next hurdle they could face from insurers. Employment vs. private practice: Factors influencing spine surgeons’ decisions Spine and orthopedic surgeons' decisions on where to practice is a consequential one whether they go to a hospital or a private group. Amid economic headwinds and workforce challenges in healthcare, the choice holds more weight than ever. SPINE Will Ozempic alter spine, orthopedic fields? GLP-1 weight loss drugs like Ozempic and Wegovy are rising in popularity and evidence suggests their possible effectiveness for helping patients lose weight. Do spine patients prefer hospitals or ASCs? The number of spinal procedures performed in the ASC setting is on the rise, especially since the COVID-19 pandemic. Cervical disc replacements plateaued The volume of cervical disc replacements grew steadily for nearly a decade, but have leveled off in the last few years, according to a study published in the journal Spine. Spine surgeon diversity isn't getting better Orthopedic spine surgery is dominated by white males, and that won't change any time soon, according to a study published in the journal Spine. Spine surgeons' next payer battleSpine surgeons saw a major victory in a yearslong payer battle this year when Aetna revised its lumbar disc replacement policy in February. Now, some surgeons are looking ahead to the next hurdle they could face from insurers. THOUGHT LEADERSHIP The best advice from 4 spine surgeons' younger peers Career mentorship can be a two-way street where both parties learn from each other. Here is what four spine surgeons have learned from younger physicians in the field. Where can spine surgeons reduce costs? Amid economic headwinds, spine surgeons are exploring different ways to reduce costs in their practices. The essential investments for spine practices While it's important for spine surgeons to strategize on cost savings and revenue boosts, it's just as vital to know where to invest money when it comes to running a strong practice. What the orthopedic surgery landscape will look like in 10 years The orthopedic surgery landscape of today may not look the same tomorrow. PRACTICE MANAGEMENT CMS cuts physician pay, adds 5 orthopedic codes to ASC payable list CMS released final rules for the 2024 Physician Fee Schedule and Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Nov. 2, and spine and orthopedic surgeons will see changes next year. Where spine practices are making, losing money There are several factors behind what's profitable for a spine practice and what could be putting one in the red.  Employment vs. private practice: Factors influencing spine surgeons’ decisions Spine and orthopedic surgeons' decisions on where to practice is a consequential one whether they go to a hospital or a private group. Amid economic headwinds and workforce challenges in healthcare, the choice holds more weight than ever. DOCS Health breaks ground on $123M hospital Los Angeles-based DOCS Health, which focuses on spine and orthopedics, is breaking ground on a $123 million surgical hospital, Los Angeles Business Journal reported Nov. 6.  The future of spine surgery & ASCs: 5 leaders' thoughts As spine surgeries increasingly become approved for the outpatient setting, ASC leaders are eyeing new procedure lines and growth opportunities.  DEVICES & IMPLANTS Former NuVasive, LimaCorporate exec to lead Orthofix Orthofix named Massimo Calafiore as its new president and CEO. M6-C disc superior to ACDF after 5 years: study New data from Orthofix found its M6-C cervical disc saw better outcomes than anterior cervical discectomy and fusion after 5 years. Why 3 spine devicemakers are laying off staff in 2023 Stryker, Medtronic and DePuy Spine all announced plans to lay off employees this year. Nevro acquires spine company Nevro acquired Vyrsa Technologis, a company focused on sacroiliac joint fusion, according to a Nov. 30 news release. The 1 factor that could propel AI in spine, orthopedics Artificial intelligence has been an increasingly popular talking point among spine and orthopedic leaders, but it might not take its hold as rapidly, one CEO said. ASC  ASC execs are bullish on growth. Here are 5 strategies on their radar The year 2024 is around the corner and ASCs are employing several strategies to prepare for growth.  ASC market expected to hit $53B+ by 2028: 5 notes The U.S. ASC market is expected to reach $53.67 billion by 2028, according to the "U.S Ambulatory Surgical Centers Market — Focused Insights 2023-2028" report released Dec. 11. Private practice isn't going anywhere Despite current trends, some physicians say private practice isn't going anywhere.  Is value-based care the key to ASC success? A report by Humana released Nov. 15 found that value-based care benefits physicians and patients. In light of that finding, is adopting a value-based care model going to make or break ASCs? How AmSurg is 'positioning for growth' as an independent company AmSurg has officially emerged under new ownership as a separate and independent entity from Envision Healthcare, its former parent company, which filed for bankruptcy earlier this year. HEALTHCARE NEWS Will employers put the squeeze on hospitals? Commercial reimbursement is poised for a fade-out and corporate giants may ramp up their demands and scrutiny. Are hospitals and health systems ready?  When Judy Faulkner has to tell customers 'no' Epic founder and CEO Judy Faulkner said she sometimes has to tell customers "no" when she feels her products aren't quite ready. Health systems turn to buyouts Hospitals and health systems are implementing various strategies as they look to drive efficiency and plan for short-term and long-term growth. One strategy seen at several systems in recent months: offering buyouts and voluntary separation to workers. Walmart: Friend or foe to hospitals? When Walmart founder Sam Walton declared the retailer's healthcare ambitions in 1991, he had harsh words for hospitals.

November 2023 Issue of Becker's Spine Review   ON THE COVER OrthoIndy opens new hospital Indianapolis-based OrthoIndy opened a new hospital and facility in Brownsburg, Ind. Smaller devicemakers eye mergers in Q3 Large spine and orthopedic mergers have closed this year, and smaller device companies have sought to get their own slice of the pie during the third quarter. How one state is fighting scope creep This year, the Medical Society of the State of New York collaborated with state officials to defeat 15 pieces of legislation that would expand the scope of practice for nurse practitioners and physician assistants, allowing them to practice without physician supervision, according to a Sept. 6 report from the American Medical Association.  The cost of physician turnover Physician turnover rates are increasing as more clinicians experience burnout and decide to retire early, leave the field or refresh their practice setting. Leadership has its own retention problem Amid staffing shortages and dipping engagement levels, workforce retention is top-of-mind for many healthcare leaders. But oftentimes, the problem extends beyond frontline employees and into management — even C-suites.  Are insurance companies determining the future of orthopedics? As the orthopedic industry continues to innovate with new robotic, 3D-printed and GPS-guided navigation options, physicians are concerned that insurance companies won't be open to covering new care options.  Why this orthopedic leader thinks millennials are changing care delivery The needs and preferences of millennials may be the catalyst for change in healthcare delivery.  Why mediation is necessary in orthopedic practice?hospital partnership Smaller orthopedic practices may want to explore partnering with a hospital, but it should be done carefully, according to Bruce Prager, MD. SPINE Are insurance companies determining the future of orthopedics? As the orthopedic industry continues to innovate with new robotic, 3D-printed and GPS-guided navigation options, physicians are concerned that insurance companies won’t be open to covering new care options. Dr. Marinus de Kleuver named president of Scoliosis Research Society Marinus de Kleuver, MD, PhD, accepted the role of president of the Scoliosis Research Society. Dr. Todd Lanman launches disc replacement program for patients Todd Lanman, MD, launched the ADR Spine Top Doctors in Arthroplasty Program to connect patients with disc replacement surgeons in their regions. Dr. Joseph Schwab to lead Cedars-Sinai spineoncology program Joseph Schwab, MD, will lead Los Angeles-based Cedars-Sinai's spine-oncology program and the Center for Surgical Technology and AI Research, according to a Sept. 11 news release shared with Becker's. Dr. Michael Gallizzi on opportunities, challenges for endoscopic spine Spine surgeon Michael Gallizzi, MD, has had his eye on endoscopic spine surgery for years.  THOUGHT LEADERSHIP Why this orthopedic leader thinks millennials are changing care delivery The needs and preferences of millennials may be the catalyst for change in healthcare delivery.  ‘Patients don’t like it, physicians don’t like it’: What 1 orthopedic surgeon would change about the industry The orthopedic industry is not without its flaws. PRACTICE MANAGEMENT Why mediation is necessary in orthopedic practicehospital partnerships Smaller orthopedic practices may want to explore partnering with a hospital, but it should be done carefully, according to Bruce Prager, MD. American Medical Administrators acquires Midwest Bone and Joint, ASC American Medical Administrators acquired Macon, Mo.-based Midwest Bone and Joint Center and its ASC, according to a Sept. 22 news release. OrthoIndy opens new hospital Indianapolis-based OrthoIndy opened a new hospital and facility in Brownsburg, Ind. Spire Orthopedic Partners names chief legal officer Spire Orthopedic Partners named JoAnna Nicholson as its chief legal officer, the management services organization said Sept. 5. Orthopedic and Spine Centers of Wisconsin to open ASC in 2024 Madison-based Orthopedic and Spine Centers of Wisconsin plans to open a surgery center by November 2024, The Wisconsin State Journal reported Oct. 30. DEVICES & IMPLANTS Smaller devicemakers eye mergers in Q3 Large spine and orthopedic mergers have closed this year, and smaller device companies have sought to get their own slice of the pie during the third quarter. Texas Back Institute debuts 3D-printed ALIF implant Two spine surgeons with Plano-based Texas Back Institute debuted DeGen Medical's Solar AM implant, the medtech company said Sept. 18. Centinal Spine’s global fusion business acquired Centinel Spine's global fusion business will be acquired by Silony Medical. Artificial disc market to crack $1B by 2030 The artificial disc replacement market is expexted to surpass $1.3 billion by 2030, according to Vantage Market Research. ASC   HOPDs still outpace ASCs for many common outpatient procedures Even as the popularity of ASC procedures rise and the costs remain lower than hospital outpatient departments in most cases, hospital outpatient departments are still outpacing ASCs in the number of procedures performed, according to Blue Cross Blue Shield affiliate Blue Health Intelligence's "Rising Prices for Hospital Outpatient Care" brief, published in September.  ASCs could have edge in race for anesthesia staff, 1 executive says Physician shortages are prevalent in every healthcare specialty, causing worry for patients and executives alike. One major concern for practices is a decline in available anesthesia providers. How one state is fighting scope creep This year, the Medical Society of the State of New York collaborated with state officials to defeat 15 pieces of legislation that would expand the scope of practice for nurse practitioners and physician assistants, allowing them to practice without physician supervision, according to a Sept. 6 report from the American Medical Association.  HEALTHCARE NEWS How Twin Cities Orthopedics’ physician president is thinking about staffing, AI and more Christopher Meyer, MD, is optimistic about the future of Edina, Minn.-based Twin Cities Orthopedics. Recently named president of the practice, he's strategizing about ways the group can grow in the coming year. Leadership has its own retention problem Amid staffing shortages and dipping engagement levels, workforce retention is top-of-mind for many healthcare leaders. But oftentimes, the problem extends beyond frontline employees and into management — even C-suites The cost of physician turnover Physician turnover rates are increasing as more clinicians experience burnout and decide to retire early, leave the field or refresh their practice setting.  

September 2023 Issue of Becker's Spine Review   ON THE COVER MedVanta adds 3 leaders Orthopedic management services organization MedVanta added three leaders to its team. 7 big orthopedic device companies paid hundreds of millions to physicians last year Orthopedic device companies paid millions to surgeons in 2020 despite the pandemic, according to the CMS Open Payments database. The state with the most top-ranked neurosurgery hospitals New York has the most top-ranked neurology and neurosurgery hospitals for 2023 and 2024, according to new data from U.S. News and World Report. Inpatient spinal fusion costs vs. cervical spinal fusion costs in all 50 states Spinal fusion tends to cost more compared to cervical spinal fusion, according to Sidecar Health's care calculator. Stark law changes ramp up in 2023 Here are four Stark law changes Becker's has reported on since Feb. 15: Where does spine need a disruptor most? The spine surgery industry has seen major shifts through the years. But some areas may be due for a serious shakeup. ‘Most tone-deaf move to date’: Spine surgeons react to CMS’ proposed 3.34% pay cut CMS on July 13 released its proposed 2024 Medicare physician fee schedule, and it includes a decreased conversion factor of 3.34 percent. Could spine practices implement 4-day work weeks? The five-day long work week is common for many professions, but reducing it by a day has become a new idea. SPINE Unnecessary spine, orthopedic surgeries on the rise The number of unnecessary surgeries performed in the field of spine and orthopedic care is on the rise, with an estimated 50 percent of lumbar spine surgeries deemed unnecessary, according to an Aug. 2 report from Forbes based on a Harvard Business Review study. The state with the most top-ranked neurosurgery hospitals New York has the most top-ranked neurology and neurosurgery hospitals for 2023 and 2024, according to new data from U.S. News and World Report. Spine surgeon gets 33 months for accepting $315K+ in kickbacks David Payne, MD, was sentenced to 33 months in prison after he was found guilty of accepting bribes for performing surgeries at the now-defunct Pacific Hospital in Long Beach, Calif. AAOS renews call to protect healthcare workers in wake of fatal shooting Following the fatal shooting of a Tennessee hand surgeon, the American Academy of Orthopedic Surgeons expressed support for stronger protections for physicians and other healthcare professionals Tennessee orthopedic surgeon killed by patient A 29-year-old man was charged in the July 11 death of Benjamin Mauck, MD, at Campbell Clinic’s Collierville, Tenn., office, Action News 5 reported. THOUGHT LEADERSHIP ‘Most tone-deaf move to date’: Spine surgeons react to CMS’ proposed 3.34% pay cutCMS on July 13 released its proposed 2024 Medicare physician fee schedule, and it includes a decreased conversion factor of 3.34 percent. Where does spine need a disruptor most? The spine surgery industry has seen major shifts through the years. But some areas may be due for a serious shakeup. Awake spinal fusion, posterior cervical laminoplasty and more: Spine procedures best poised for the ASC ASCs and outpatient surgery have the benefit of letting patients recover at home the same day they go to the operating room. While many spine techniques are becoming less invasive, migrating cases to ASCs can take time. Rothman Orthopaedics’ strategy to ‘grow intelligently’: Q&A with Dr. Alex Vaccaro Forty-one clinic locations across four states. One hundred thousand surgeries completed and 22 new physicians hired in 2022. Revenue growth of 8.2 percent year over year. From the classroom to the board room: Rothman Orthopaedics’ DEI initiatives to diversify the field The disparity between men and women in orthopedics remains stark; however, Philadelphiabased Rothman Orthopaedic Institute has formed initiatives to address it. PRACTICE MANAGEMENT The top priorities for Rothman Orthopaedic Institute’s interim CEO Stabilizing the revenue cycle was the first priority for Ed Tufaro, interim CEO of Philadelphia-based Rothman Orthopaedic Institute, Philadelphia Business Journal reported Aug. 7. OrthoNebraska takes private equity investment from InTandem Capital PartnersOmaha-based OrthoNebraska and InTandem Capital Partners completed a strategic equity investment, the firm said Aug. 2. Hospital for Special Surgery appoints associate surgeons-in-chief New York City-based Hospital for Special Surgery named Answorth Allen, MD, and Mathias Bostrom, MD, as associate surgeons-in MedVanta adds 3 leaders Orthopedic management services organization MedVanta added three leaders to its team. Dr. Daniel Kim joins Andrews Sports Medicine & Orthopaedic Center Spine surgeon Daniel Kim, MD, joined Andrews Sports Medicine & Orthopaedic Center in Birmingham, Ala. DEVICES & IMPLANTS 7 big orthopedic device companies paid hundreds of millions to physicians last year Orthopedic device companies paid millions to surgeons in 2020 despite the pandemic, according to the CMS Open Payments database. Genesys Spine launches new SI joint fusion system Genesys Spine launched the SIros O transfixing sacroiliac joint fusion system, the devicemaker said June 26. Stryker’s Q system launches with cranial guidance software S tryker launched its Q Guidance System with cranial guidance software, the devicemaker said July 11. Augmedics raises $82.5M in financing, reaches 4,000th case Augmedics closed $82.5 million in series D financing to support the growth of Xvision, the medtech company said June 27. Dr. Kamaldeep Momi performs 1st procedure with standalone ALIF system Kamaldeep Momi, MD, an orthopedic surgeon specializing in neck and spine procedures, has performed the world’s first procedure using Altus Spine’s lumbar standalone interbody fusion system at the Fellowship Surgical Center in Mount Laurel, N.J. ASC   Physician groups are being snapped up — 5 reasons why As costs rise and the industry increasingly consolidates, physician practices are increasingly looking to hospitals, health systems and commercial groups for financial security, according to a report published June 7 by the American Hospital Association. Stark law changes ramp up in 2023 Here are four Stark law changes Becker's has reported on since Feb. 15: The fate of private practices The number of private practice physicians in the U.S. is declining, but why? And what does this mean for the future of private practice as a whole? The future of ASCs in 1 word The future of ASCs may prove to be simultaneously bright and challenging.  ASC margins can’t take it anymore For many ASCs, margins can't tighten anymore. But cost pressures persist and insurance companies haven't adjusted to reflect rising supply and labor costs. HEALTHCARE NEWS The 15-minute meeting that transformed Cleveland Clinic When Tom Mihaljevic, MD, took over as president and CEO of Cleveland Clinic five years ago, something began to weigh heavily on his mind. Healthcare’s tedious work is also dangerous The U.S. healthcare system is one of extremes, in which the same patient on the same day can experience herculean efforts to return to health while being denied a $12 medication, according to one physician's op-ed in The New York Times.

July 2023 Issue of Becker's Spine Review ON THE COVER The future of orthopedics in 1 word Ten surgeons connected with Becker's to describe the future of orthopedics in one word. OrthoIllinois, Rockford Spine Center integrate OrthoIllinois, a division of OrthoMidwest, will integrate with Rockford (Ill.) Spine Center on June 1. 10 private equity giants behind the ASC industry Private equity has seen a huge growth opportunity in the ASC industry and the specialties the facilities offer, including gastroenterology and ophthalmology. Spine surgeon performs spinal fusion on 95-year-old patient Vijay Yanamadala, MD, of Hartford (Conn.) HealthCare spoke with Becker's about a recent spine case he performed on an older patient. Here's what 3 spine surgeons are doing to keep practice costs lean Between inflation and rising costs and reimbursement woes facing physicians, many spine surgeons are strategizing to manage finances at their practices. Where are the women in orthopedics? The orthopedic industry is ever-changing, with new robots and surgical techniques seemingly always around the corner. But one aspect of this vibrant industry hasn't changed much since its conception — the lack of women in the operating rooms. Spine surgeons on the screen: What entertainment gets right, wrong about the job The words "medical drama" make many people think of Grey's Anatomy and its beloved neurosurgeon Dr. Derek Shepherd. Many shows on the big and small screens have tried to provide a glimpse into what spine surgeons and neurosurgeons do. Why spine surgeons should make investing a 2nd 'microcareer' Physicians are up against several financial challenges in 2023, including recession fears and inflation that is ruining savings and retirement plans for many Americans.  SPINE Good news, bad news for spine and orthopedic surgeons in 2023 Spine and orthopedic surgeons are seeing positive changes in the industry this year, but some challenges still remain. Person of interest identified in neurosurgeon's death released from custody A person of interest in the death of neurosurgeon Devon Hoover, MD, was released from custody, Detroit police said May 2. 2 pro golfers have orthopedic surgeries Two pro golf stars underwent orthopedic surgeries in April. Where are the women in orthopedics? The orthopedic industry is ever-changing, with new robots and surgical techniques seemingly always around the corner. But one aspect of this vibrant industry hasn't changed much since its conception — the lack of women in the operating rooms. Who is the best spine surgeon in the US? ChatGPT answers ChatGPT, an artificial intelligence chatbot from OpenAI, has become popular for its practical and entertaining applications. THOUGHT LEADERSHIP The future of orthopedics in 1 word Ten surgeons connected with Becker's to describe the future of orthopedics in one word. Why spine surgeons should make investing a 2nd 'microcareer' Physicians are up against several financial challenges in 2023, including recession fears and inflation that is ruining savings and retirement plans for many Americans. Spine surgeons on the screen: What entertainment gets right, wrong about the jobThe words "medical drama" make many people think of Grey's Anatomy and its beloved neurosurgeon Dr. Derek Shepherd. Many shows on the big and small screens have tried to provide a glimpse into what spine surgeons and neurosurgeons do. Why Dr. Alexander Vaccaro is optimistic about the spine, orthopedic industries Longer life expectancies, increased adoption of value-based care and the streamlining of practices are some of the reasons why Alexander Vaccaro, MD, PhD, says he is optimistic about the spine and orthopedic industries. PRACTICE MANAGEMENT Here's what 3 spine surgeons are doing to keep practice costs lean Between inflation and rising costs and reimbursement woes facing physicians, many spine surgeons are strategizing to manage finances at their practices. Rothman Orthopaedics partners with insurance brokerage firm Philadelphia-based Rothman Orthopaedic Institute and Conner Strong & Bucklew, an insurance brokerage and employee benefits consulting firm are partnering to form Rothman Direct. Virtua Health to acquire Reconstructive Orthopedics Marlton, N.J.-based Virtua Health inked a deal to acquire Moorestown, N.J.-based Reconstructive Orthopedics, NJ Biz reported April 19. Dr. Thomas Graham named 1st physician in chief of Lehigh Valley Orthopedic Institute Lehigh Valley Orthopedic Institute in Allentown, Pa., appointed Thomas Graham, MD, as its first physician in chief. Athens Orthopedic Clinic breaks ground on 23.6K-square-foot facility Athens (Ga.) Orthopedic Clinic has broken ground on a 23,600-square-foot facility in Greensboro, Ga., according to a May 10 report from the Lake Oconee Breeze. DEVICES & IMPLANTS What's next for AI, augmented reality in orthopedics? Six orthopedic surgeons connected with Becker's to discuss what is next for artificial intelligence and augmented reality in the orthopedic industry. Medtronic set to cut jobs globally in effort to reduce spending Medical device company Medtronic is planning to begin layoffs in an attempt to cut costs, according to an April 18 report by the Star Tribune. ZimVie to lay off 5% of its workforce Spine and bone solution manufacturer ZimVie plans to lay off 5 percent of its global workforce in 2023, according to data presented in its first quarter financial results. Physician advocacy group warns against Neuralink trials The Physicians Committee for Responsible Medicine on May 26 released a statement urging Elon Musk and his company Neuralink to pivot clinical trials for a brain implant. ASC   Behind Optum's physician acquisition strategy UnitedHealth Group's Optum, parent company of ASC chain SCA Health, is on a spending spree, scooping up physician groups and expanding its portfolio. 10 private equity giants behind the ASC industry Private equity has seen a huge growth opportunity in the ASC industry and the specialties the facilities offer, including gastroenterology and ophthalmology. The healthcare disruptors scaring physicians Six healthcare leaders recently joined Becker's to discuss the biggest disruptors concerning physicians. HEALTHCARE NEWS 11 highest paid CEOs in healthcare Pharmaceutical and health insurance CEOs were among the highest-paid executives of the largest U.S. companies in 2022, according to Equilar. CVS, Amazon shutting down their health businesses Amazon and CVS have been trying their hand at the healthcare industry for years, but not without fail —  the two healthcare disruptors recently announced that they would be shuttering some of their healthcare initiatives. Who gets to go by 'Dr.'? 3 medical associations answer Guidelines for education and clinical hours as well as testing on the pathway to licensure are clearly defined for physicians, nurse practitioners and physician associates.Kaiser Permanente acquiring Geisinger to launch Risant Health Oakland, Calif.-based Kaiser Permanente has agreed to acquire Geisinger Health in a deal that will make the Danville, Pa.-based health system the first to join Risant Health, a new nonprofit organization created by the Kaiser Foundation Hospitals.

May 2023 Issue of Becker's Spine Review ON THE COVER Geisinger Medical Center performs 1st lumbar spinal fusion with ‘lifetime guarantee’ Edward DelSole, MD, has performed the first lumbar spinal fusion surgery with a lifetime guarantee at Danville, Pa.-based Geisinger Community Medical Center.  Dr. Michael Gallizzi completes his 200th robotic spine surgery Spine surgeon Michael Gallizzi, MD, completed his 200th robotic case on April 4, according to The Steadman Clinic. OrthoVirginia to open $50M facility Tune in for today's industry updates. Surgalign sells spine portfolio for $17M Xtant Medical has acquired Surgalign's Coflex product line for $17 million. Private equity is a mainstay in orthopedics. This group aims to change that. Durham, N.C.-based EmergeOrtho, Indianapolis-based OrthoIndy and Seattle-based Proliance Surgeons banded together to form an orthopedic group free of private equity, and its leaders hope others will follow their lead. Here’s how 6 spine surgeons prepare before a busy day For many people, a morning and night routine can help with preparing for a busy day, and the same goes for spine surgeons. Here's how six spine surgeons say they like to prepare ahead for their workdays: Does ChatGPT have a future in spine? 3 surgeons weigh in ChatGPT has already been used by some health systems to ease clinical burdens. However, not all spine surgeons are keen to utilize the artificial intelligence software in their own practice.  SPINE Prior authorization reform ‘long overdue,’ says 1 spine surgeon Prior authorization can be a long process for physicians and patients, resulting in time delays, increased paperwork and disrupted patient care. Geisinger Medical Center performs 1st lumbar spinal fusion with ‘lifetime guarantee’ Edward DelSole, MD, has performed the first lumbar spinal fusion surgery with a lifetime guarantee at Danville, Pa.-based Geisinger Community Medical Center.  Dr. Michael Gallizzi completes his 200th robotic spine surgery Spine surgeon Michael Gallizzi, MD, completed his 200th robotic case on April 4, according to The Steadman Clinic. Neurosurgeons back legislation to improve Medicare physician pay system The American Association of Neurological Surgeons and the Congress of Neurological Surgeons praised lawmakers for introducing HR 2474, a bill aiming to improve Medicare's physician pay system. Dr. Michael Verdon partners to offer spine surgery warranty Neurosurgeon Michael Verdon, DO, partnered with Marvel Group to provide a spine surgery warranty at his practice in Dayton, Ohio.  THOUGHT LEADERSHIP Top healthcare trends 5 surgeons are following Consolidation, artificial intelligence advancements and the rise in robotic-assisted procedures are three healthcare trends that spine and orthopedic surgeons are closely following. Does ChatGPT have a future in spine? 3 surgeons weigh in ChatGPT has already been used by some health systems to ease clinical burdens. However, not all spine surgeons are keen to utilize the artificial intelligence software in their own practice.  What the shift to outpatient care means for the orthopedic industry Eight orthopedic surgeons connected with Becker's to discuss what the shift to outpatient care means for the orthopedic industry. Here’s how 6 spine surgeons prepare before a busy day For many people, a morning and night routine can help with preparing for a busy day, and the same goes for spine surgeons. Here's how six spine surgeons say they like to prepare ahead for their workdays: PRACTICE MANAGEMENT Private equity is a mainstay in orthopedics. This group aims to change that. Durham, N.C.-based EmergeOrtho, Indianapolis-based OrthoIndy and Seattle-based Proliance Surgeons banded together to form an orthopedic group free of private equity, and its leaders hope others will follow their lead. Connecticut orthopedic practice implements AthenaOne HER Advanced Orthopedics New England, which is based in Hartford, Conn., added AthenaOne as its electronic health record system, AthenaHealth said April 6. Rothman Orthopaedics’ CEO exits Christopher Olivia, MD, is leaving his post as CEO of Philadelphia-based Rothman Orthopaedic Institute, effective immediately, according to a statement shared with Becker's March 30. 2 California orthopedic practices form 25+ physician group San Diego Sports Medicine and Orthopedic Center is joining Synergy Orthopedic Specialists in San Diego to form a group with more than 25 physicians. Medical office portfolio leased to Hope Orthopedics sells for $20M A four-building medical office portfolio in Salem, Ore., that is 100 percent leased to Hope Orthopedics has sold for $20 million, according to a March 6 email sent to Becker's.  DEVICES & IMPLANTS What 5 Stryker execs were paid since 2020 Stryker CEO Kevin Lobo's total compensation grew to about $18.6 million in 2022, according to a recent Securities and Exchange Commission proxy filing. DePuy Synthes to restructure orthopedic segments DePuy Synthes plans to restructure to grow its sports medicine and shoulder surgery businesses, former executive Rajit Kamal said in a March 5 LinkedIn post. BEAR implant to be distributed within veteran’s health medical supplyMiach Orthopaedics struck a deal with Veteran’s Health Medical Supply to distribute the Bridge-Enhanced ACL Restoration implant across the Department of Defense and Department of Veterans Affairs, the devicemaker said March 7. Surgalign sells spine portfolio for $17M Xtant Medical has acquired Surgalign's Coflex product line for $17 million. New AI software aims to reduce unnecessary orthopedic, spine surgery Sword Health unveiled an artificial intelligence platform designed to reduce unecessary spine and orthopedic surgeries. ASC  UnitedHealthcare to cut prior authorization usage by 20% UnitedHealthcare plans to cut back on its use of prior authorization, removing procedures and medical devices from its list of services requiring signoff and reducing the number of authorizations from 13 million to 10 million annually, according to a March 29 report from The Wall Street Journal. SCA Health names new CEO SCA Health's CEO Caitlin Zulla has been promoted to CEO of Optum Health's east region, according to a March 10 statement. AmSurg ASCs have new deal with Aetna AmSurg's more than 250 surgery centers are now in-network with Aetna after Envision Healthcare signeda multiyear deal with the insurer. Physicians see income drop — what happens next? From skyrocketing inflation to CMS pay cuts, physicians are facing compensation declines affecting their practices and livelihoods.  HEALTHCARE NEWS Penn Medicine eliminates administrative jobs in cost-cutting move Philadelphia-based Penn Medicine is eliminating administrative positions as part of a reorganization plan to save the health system $40 million annually, the Philadelphia Business Journal reported March 13.  29 physician specialties ranked by happiness Physicians' happiness varies greatly by specialty, with plastic surgeons reporting the most contentment outside of work, a Feb. 24 Medscape report found. 20 hospitals with smallest CEO-to-worker pay ratios CEO pay at large has been a target of criticism by workers in recent months, including physicians and travel nurses, and the issue has surfaced as healthcare professionals negotiate their own pay.  

May 2023 Issue of Becker's Spine Review ON THE COVER Geisinger Medical Center performs 1st lumbar spinal fusion with ‘lifetime guarantee’ Edward DelSole, MD, has performed the first lumbar spinal fusion surgery with a lifetime guarantee at Danville, Pa.-based Geisinger Community Medical Center.  Dr. Michael Gallizzi completes his 200th robotic spine surgery Spine surgeon Michael Gallizzi, MD, completed his 200th robotic case on April 4, according to The Steadman Clinic. OrthoVirginia to open $50M facility Tune in for today's industry updates. Surgalign sells spine portfolio for $17M Xtant Medical has acquired Surgalign's Coflex product line for $17 million. Private equity is a mainstay in orthopedics. This group aims to change that. Durham, N.C.-based EmergeOrtho, Indianapolis-based OrthoIndy and Seattle-based Proliance Surgeons banded together to form an orthopedic group free of private equity, and its leaders hope others will follow their lead. Here’s how 6 spine surgeons prepare before a busy day For many people, a morning and night routine can help with preparing for a busy day, and the same goes for spine surgeons. Here's how six spine surgeons say they like to prepare ahead for their workdays: Does ChatGPT have a future in spine? 3 surgeons weigh in ChatGPT has already been used by some health systems to ease clinical burdens. However, not all spine surgeons are keen to utilize the artificial intelligence software in their own practice.  SPINE Prior authorization reform ‘long overdue,’ says 1 spine surgeon Prior authorization can be a long process for physicians and patients, resulting in time delays, increased paperwork and disrupted patient care. Geisinger Medical Center performs 1st lumbar spinal fusion with ‘lifetime guarantee’ Edward DelSole, MD, has performed the first lumbar spinal fusion surgery with a lifetime guarantee at Danville, Pa.-based Geisinger Community Medical Center.  Dr. Michael Gallizzi completes his 200th robotic spine surgery Spine surgeon Michael Gallizzi, MD, completed his 200th robotic case on April 4, according to The Steadman Clinic. Neurosurgeons back legislation to improve Medicare physician pay system The American Association of Neurological Surgeons and the Congress of Neurological Surgeons praised lawmakers for introducing HR 2474, a bill aiming to improve Medicare's physician pay system. Dr. Michael Verdon partners to offer spine surgery warranty Neurosurgeon Michael Verdon, DO, partnered with Marvel Group to provide a spine surgery warranty at his practice in Dayton, Ohio.  THOUGHT LEADERSHIP Top healthcare trends 5 surgeons are following Consolidation, artificial intelligence advancements and the rise in robotic-assisted procedures are three healthcare trends that spine and orthopedic surgeons are closely following. Does ChatGPT have a future in spine? 3 surgeons weigh in ChatGPT has already been used by some health systems to ease clinical burdens. However, not all spine surgeons are keen to utilize the artificial intelligence software in their own practice.  What the shift to outpatient care means for the orthopedic industry Eight orthopedic surgeons connected with Becker's to discuss what the shift to outpatient care means for the orthopedic industry. Here’s how 6 spine surgeons prepare before a busy day For many people, a morning and night routine can help with preparing for a busy day, and the same goes for spine surgeons. Here's how six spine surgeons say they like to prepare ahead for their workdays: PRACTICE MANAGEMENT Private equity is a mainstay in orthopedics. This group aims to change that. Durham, N.C.-based EmergeOrtho, Indianapolis-based OrthoIndy and Seattle-based Proliance Surgeons banded together to form an orthopedic group free of private equity, and its leaders hope others will follow their lead. Connecticut orthopedic practice implements AthenaOne HER Advanced Orthopedics New England, which is based in Hartford, Conn., added AthenaOne as its electronic health record system, AthenaHealth said April 6. Rothman Orthopaedics’ CEO exits Christopher Olivia, MD, is leaving his post as CEO of Philadelphia-based Rothman Orthopaedic Institute, effective immediately, according to a statement shared with Becker's March 30. 2 California orthopedic practices form 25+ physician group San Diego Sports Medicine and Orthopedic Center is joining Synergy Orthopedic Specialists in San Diego to form a group with more than 25 physicians. Medical office portfolio leased to Hope Orthopedics sells for $20M A four-building medical office portfolio in Salem, Ore., that is 100 percent leased to Hope Orthopedics has sold for $20 million, according to a March 6 email sent to Becker's.  DEVICES & IMPLANTS What 5 Stryker execs were paid since 2020 Stryker CEO Kevin Lobo's total compensation grew to about $18.6 million in 2022, according to a recent Securities and Exchange Commission proxy filing. DePuy Synthes to restructure orthopedic segments DePuy Synthes plans to restructure to grow its sports medicine and shoulder surgery businesses, former executive Rajit Kamal said in a March 5 LinkedIn post. BEAR implant to be distributed within veteran’s health medical supplyMiach Orthopaedics struck a deal with Veteran’s Health Medical Supply to distribute the Bridge-Enhanced ACL Restoration implant across the Department of Defense and Department of Veterans Affairs, the devicemaker said March 7. Surgalign sells spine portfolio for $17M Xtant Medical has acquired Surgalign's Coflex product line for $17 million. New AI software aims to reduce unnecessary orthopedic, spine surgery Sword Health unveiled an artificial intelligence platform designed to reduce unecessary spine and orthopedic surgeries. ASC  UnitedHealthcare to cut prior authorization usage by 20% UnitedHealthcare plans to cut back on its use of prior authorization, removing procedures and medical devices from its list of services requiring signoff and reducing the number of authorizations from 13 million to 10 million annually, according to a March 29 report from The Wall Street Journal. SCA Health names new CEO SCA Health's CEO Caitlin Zulla has been promoted to CEO of Optum Health's east region, according to a March 10 statement. AmSurg ASCs have new deal with Aetna AmSurg's more than 250 surgery centers are now in-network with Aetna after Envision Healthcare signeda multiyear deal with the insurer. Physicians see income drop — what happens next? From skyrocketing inflation to CMS pay cuts, physicians are facing compensation declines affecting their practices and livelihoods.  HEALTHCARE NEWS Penn Medicine eliminates administrative jobs in cost-cutting move Philadelphia-based Penn Medicine is eliminating administrative positions as part of a reorganization plan to save the health system $40 million annually, the Philadelphia Business Journal reported March 13.  29 physician specialties ranked by happiness Physicians' happiness varies greatly by specialty, with plastic surgeons reporting the most contentment outside of work, a Feb. 24 Medscape report found. 20 hospitals with smallest CEO-to-worker pay ratios CEO pay at large has been a target of criticism by workers in recent months, including physicians and travel nurses, and the issue has surfaced as healthcare professionals negotiate their own pay.  

March 2023 Issue of Becker's Spine Review ON THE COVER No. of active orthopedic surgeons dips 3.7% from 2016-2021: report Orthopedic surgery as a specialty saw a dip between 2016 and 2021, while sports medicine saw a significant jump, according to the Association of American Medical College's "2022 Physician Specialty Data Report." Robotics will be ‘standard of care’ in joint replacements by 2030: 3 surgeon insights Robotics in total joint surgery has grown in 2022. By the next decade, surgeons predict continued growth, along with the further integration of artificial intelligence and augmented reality. Hoag opens 2nd ASC in Los Angeles Orange County, Calif.-based Hoag Orthopedic Institute has opened its second ASC in the Los Angeles area in Beverly Hills, Calif., according to a Dec. 14 press release sent to Becker's.  Spine, orthopedic hospital reaches 50K surgery milestone Addison, Texas-based Methodist Hospital for Surgery, a hospital specializing in spine, joint and orthopedic surgery, has performed its 50,000th surgery since its opening in December 2010. 10 states with more ASCs than hospitals As the popularity of outpatient surgery continues to grow, 10 states, including California, Florida and Nebraska, now have more ASCs than hospitals, according to data from the Ambulatory Surgery Center Association and Definitive Healthcare. Why Florida’s competitive environment is good for orthopedics: Q&A with Dr. Alex Vaccaro Florida offers several benefits for orthopedic patients and practices that has made it an increasingly competitive state for surgeons, according to Alex Vaccaro, MD, PhD, president of Philadelphia-based Rothman Orthopaedic Institute. AI, regenerative medicine and more: What 11 spine surgeons would do with a $5M grant Research grants can be key to helping surgeons and scientists uncover new developments and innovations in patient care. Here's how 11 spine surgeons told Becker's they would use a $5 million grant. Dr. Bryan Kelly to lead Hospital for Special Surgery as CEO Bryan Kelly, MD, will succeed Louis Shapiro as president and CEO of New York City-based Hospital for Special Surgery. SPINE Dr. J. Richard Steadman dies at 85 J. Richard Steadman, MD, who founded the Steadman Clinic in Vail, Colo., died at age 85, the practice said Jan. 22. Dr. Bryan Kelly to lead Hospital for Special Surgery as CEO Bryan Kelly, MD, will succeed Louis Shapiro as president and CEO of New York City-based Hospital for Special Surgery. Orthopedic surgeon among 2 convicted in $31M Medicare fraud scheme An orthopedic surgeon was convicted for his role in a $31 million Medicare fraud scheme, the U.S. Justice Department said Jan. 30. Dr. Chad Prusmack performs back surgery on National Hockey League Player Chad Prusmack, MD, performed back surgery on Mark Stone, a winger for the Vegas Golden Knights in the National Hockey League, on Jan. 31 in Denver, according to a report from vegashockeynow.com.  No. of active orthopedic surgeons dips 3.7% from 2016-2021: report Orthopedic surgery as a specialty saw a dip between 2016 and 2021, while sports medicine saw a significant jump, according to the Association of American Medical College's "2022 Physician Specialty Data Report." THOUGHT LEADERSHIP Why Florida’s competitive environment is good for orthopedics: Q&A with Dr. Alex Vaccaro Florida offers several benefits for orthopedic patients and practices that has made it an increasingly competitive state for surgeons, according to Alex Vaccaro, MD, PhD, president of Philadelphia-based Rothman Orthopaedic Institute. What the future holds for independent orthopedic surgeons Wael Barsoum, MD, president and chief transformation officer at Healthcare Outcomes Performance Company, recently connected with Becker's to discuss what the next five years will look like for independent orthopedic practices. AI, regenerative medicine and more: What 11 spine surgeons would do with a $5M grant Research grants can be key to helping surgeons and scientists uncover new developments and innovations in patient care. Here's how 11 spine surgeons told Becker's they would use a $5 million grant. Robotics will be ‘standard of care’ in joint replacements by 2030: 3 surgeon insights Robotics in total joint surgery has grown in 2022. By the next decade, surgeons predict continued growth, along with the further integration of artificial intelligence and augmented reality. PRACTICE MANAGEMENT Lawsuit targets Michigan orthopedic practice, alleges monopoly Trinity Health and four surgeons have sued Grand Rapids-based Orthopaedic Associates of Michigan, accusing the practice of holding a monopoly in Kent County. How one of the nation’s largest orthopedic MSOs plans to grow in 2023 U.S. Orthopaedic Partners, one of the largest orthopedic management services organizations in the U.S., made major strides in 2022.  22 of the largest orthopedic groups in the US by number of physicians Here are more than 20 of the largest orthopedic practices in the U.S., listed by the number of physicians on the staff. Hoag opens 2nd ASC in Los Angeles Orange County, Calif.-based Hoag Orthopedic Institute has opened its second ASC in the Los Angeles area in Beverly Hills, Calif., according to a Dec. 14 press release sent to Becker's. 3 orthopedic practices joining health systems Becker's has reported on three orthopedic groups joining health systems since Dec. 21: DEVICES & IMPLANTS DePuy Synthes pays $9.75M to settle kickback allegations involving spine implants DePuy Synthes, Johnson & Johnson's orthopedic company, is paying $9.75 million to resolve allegations that it gave an orthopedic surgeon free spinal implants that were used in overseas cases, the Justice Department said Jan. 20. ZimVie’s cervical disc surpasses 200,000 implantationsZimVie, Zimmer Biomet's spine and dental company, reached a milestone with its Mobi-C cervical disc implant, the devicemaker said Jan. 30. Zimmer Biomet COO expects to beat Stryker to market for shoulder robot Zimmer Biomet's robotic shoulder application could come sooner than Stryker's, COO Ivan Tornos said in a Feb. 3 earnings call. Stryker expects Mako spine application to launch in 2024 Stryker's spine and shoulder applications for the Mako robot are expected to launch in 2024,  according to a Jan. 31 earnings call. Johnson & Johnson’s orthopedics sales dip in Q4: 5 notes Johnson & Johnson on Jan. 24 posted $23.7 billion in 2022 revenue, a 4.4 percent decrease. Its orthopedic sales remained flat year-over-year, and its fourth-quarter orthopedic sales fell slightly. ASC FTC moves to ban non-competes: What it could mean for physicians In January, the Federal Trade Commission proposed a rule that would keep employees free from non-compete contracts. The rule would apply to full-time employees and independent contractors, both paid and unpaid.  USPI CEO, president to retire Brett Brodnax, president and CEO of United Surgical Partners International, will retire at the end of 2023. 2 Tennessee ASCs removed from BCBS network Blue Cross Blue Shield of Tennessee has ended its relationship with Memphis-based Methodist Le Bonheur Healthcare, and two ASCs are affected, local ABC affiliate ABC24 reported Jan. 5 BCBS leans into site-neutral payments The Blue Cross Blue Shield Association released a policy statement backing site-neutral payments as a key focus for saving billions of dollars in the next decade. Former NFL player sues medical malpractice insurers following surgery at ASC Former NFL player Sharrif Floyd has sued a slew of medical malpractice insurers and brokers for an alleged $10 million insurance shortfall following a career-ending knee surgery, Business Insurance reported Jan. 20.  HEALTHCARE NEWS 5 trillion-dollar questions hanging over hospitals Big questions tend to have no easy answers. Fortunately, few people would say they went into healthcare for its ease. ‘Operation Nightingale’: Feds charge 25 in sweeping nurse diploma scheme Twenty-five people have been charged for their alleged participation in a coordinated scheme to sell aspiring nurses thousands of fake nursing degree documents, the Justice Department said Jan. 25. Trinity Health plans to institute virtual nurses across its 88 hospitals in 26 states Livonia, Mich.-based Trinity Health plans to roll out virtual nurses at its hospitals around the state of Michigan — and nationwide. Number of active physicians by specialty Internal medicine boasts the highest number of physicians of any specialty, according to the Association of American Medical College's "2022 Physician Specialty Data Report." 3 HCA hospital executives resign Three executives at hospitals affiliated with Nashville, Tenn.-based HCA Healthcare have resigned, Becker's has learned.

January 2023 Issue of Becker's Spine Review ON THE COVER Proposed wRVUs for 9 spine procedure The International Society for the Advancement of Spine Surgery shared CMS' 2023 proposed work relative value units for nine spine procedures compared to expert recommendations. Safety grades at 10 of the best US hospitals for orthopedics Ten hospitals ranked as the top orthopedic hospitals in 2022 by Newsweek have been given safety grades between "A" and "F" from health safety and quality organization The Leapfrog Group. 10 orthopedic surgeons join Crystal Clinic Fairlawn, Ohio-based Crystal Clinic added 10 orthopedic surgeons, and nine were previously affiliated with Cleveland-based St. Vincent Charity Medical Center.CMS adds 4 new ASC covered procedures The No Surprises Act has created financial challenges for anesthesiologists, the American Society of Anesthesiologists said Nov. 15. Aetna settles 239-person class suit over spine surgery coverage Aetna Life Insurance reached a settlement to resolve a 239-person class action lawsuit over its coverage of lumbar artificial disc replacements. The challenge with valuebased care for orthopedic surgeons Orthopedic surgeons face a unique challenge in the transition to value-based care as a procedure-driven specialty, one industry leader says.  Building a spine practice in the ‘outcomes economy’: Q&A with Dr. Alok Sharan Alok Sharan, MD, in October left NJ Spine and Wellness in East Brunswick, N.J., and established his own practice, Spine and Performance Institute, the next month. SPINE Proposed wRVUs for 9 spine procedure The International Society for the Advancement of Spine Surgery shared CMS' 2023 proposed work relative value units for nine spine procedures compared to expert recommendations. Aetna settles 239-person class suit over spine surgery coverage Aetna Life Insurance reached a settlement to resolve a 239-person class action lawsuit over its coverage of lumbar artificial disc replacements. Indianapolis Colts linebacker has back surgery after consultation with Dr. Robert Watkin Shaquille Leonard, a linebacker with the Indianapolis Colts, had season-ending back surgery after meeting with Robert Watkins, MD. Dr. Alex Vaccaro retains No. 1 spine expert status Alex Vaccaro, MD, PhD, president of Philadelphia-based Rothman Orthopaedic Institute was recognized as the world's top-rated spine care expert for the second consecutive year by Expertscape. Spine surgeon develops liposuction technique Steven Cyr, MD, who has dual fellowship training in orthopedic and cosmetic surgery, developed a new liposuction technique called OrthoSculpt. THOUGHT LEADERSHIP Building a spine practice in the ‘outcomes economy’: Q&A with Dr. Alok Sharan Alok Sharan, MD, in October left NJ Spine and Wellness in East Brunswick, N.J., and established his own practice, Spine and Performance Institute, the next month. Hospital for Special Surgery to collaborate with Florida nonprofit system New York City-based Hospital for Special Surgery will collaboratewith Naples, Fla.-based NCH Healthcare System to bring orthopedic care to Naples and Southwest Florida.  10 orthopedic surgeons join Crystal Clinic Fairlawn, Ohio-based Crystal Clinic added 10 orthopedic surgeons, and nine were previously affiliated with Cleveland-based St. Vincent Charity Medical Center. 1st complex spine case under Rothman, CarePoint Health partnership completed Philadelphia-based Rothman Orthopaedic Institute and Bayonne, N.J.-based CarePoint Health's partnership celebrated the completion of its first complex case at Hoboken (N.J.) University Medical Center, ROI-NJ reported Nov. 23. Orthopedic Center of Florida partners with HOPCo Fort Myers-based Orthopedic Center of Florida is partnering with Healthcare Outcomes Performance Company and plans to open a new location in Naples, Fla. PRACTICE MANAGEMENT Building a spine practice in the ‘outcomes economy’: Q&A with Dr. Alok Sharan Alok Sharan, MD, in October left NJ Spine and Wellness in East Brunswick, N.J., and established his own practice, Spine and Performance Institute, the next month. Hospital for Special Surgery to collaborate with Florida nonprofit system New York City-based Hospital for Special Surgery will collaboratewith Naples, Fla.-based NCH Healthcare System to bring orthopedic care to Naples and Southwest Florida.  10 orthopedic surgeons join Crystal Clinic Fairlawn, Ohio-based Crystal Clinic added 10 orthopedic surgeons, and nine were previously affiliated with Cleveland-based St. Vincent Charity Medical Center. 1st complex spine case under Rothman, CarePoint Health partnership completed Philadelphia-based Rothman Orthopaedic Institute and Bayonne, N.J.-based CarePoint Health's partnership celebrated the completion of its first complex case at Hoboken (N.J.) University Medical Center, ROI-NJ reported Nov. 23. Orthopedic Center of Florida partners with HOPCo Fort Myers-based Orthopedic Center of Florida is partnering with Healthcare Outcomes Performance Company and plans to open a new location in Naples, Fla. DEVICES & IMPLANTS Globus Medical to turn to augmented reality As Globus Medical's robotic footprint grows, the medtech company has its eyes on augmented reality in spine surgery, executive vice president and CEO Dan Scavilla said in a Nov. 8 earnings call. Stryker developing spine, shoulder applications for Mako robot Stryker is working on more applications for its flagship surgical robot, CEO Kevin Lobo said in an Oct. 31 third-quarter earnings call. Dr. Jeffrey Carlson debuts intervertebral cage he designed Jeffrey Carlson, MD, performed the first case with the Align Peek TLIF and PLIF intervertebral cage, his practice said Dec. 6 Inside SeaSpine’s 3rd quarter From a major merger to four device releases, here are six major SeaSpine moves Becker's has reported on in the third quarter of the year.  There is going to be a fundamental shift from fusion to motion preservation,’ says Centinel Spine CEO Steve Murray joined privately held spinal tech company Centinel Spine as its CEO on March 16, 2020, just days before the COVID-19 pandemic shut down the U.S. ASC ASC chains to know going into 2023 Here are eight ASC chains to know going into 2023: Florida physician pleads guilty to receiving kickbacks in $2.7M fraud scheme Tampa, Fla.-based physician Sean Patrick O'Rourke, MD, has pleaded guilty to soliciting and receiving kickbacks and bribes, the U.S. Justice Department said Nov. 18.  Surgical Care Coalition on proposed pay cut: ‘A disregard for vulnerable seniors’ The Surgical Care Coalition issued a statement advocating for the nation's older adults in response to Congress' proposed $1.7 trillion year-end spending bill, saying the legislation will adversely affect that population. USPI’s $1.2B SurgCenter deal: How one of the industry’s biggest acquisitions is unfolding In November 2021, Dallas-based Tenet Healthcare, parent company of ASC chain United Surgical Partners International, said it would acquire SurgCenter Development and its more than 90 ASCs for approximately $1.2 billion Physician pay is increasing in these specialties Physician pay is increasing in eight specialties, according to Merritt Hawkins and AMN Healthcare's 2022 "Review of Physician and Advanced Practitioner Recruiting Incentives." HEALTHCARE NEWS Why more physicians are unionizing While labor actions during the pandemic have more often involved nurses and other healthcare professionals, physicians are increasingly involved in union activities, including votes to unionize. Federal judge declines 14 states’ challenge to CMS vaccine mandate A federal judge in Louisiana on Dec. 2 declined a case brought by 14 states challenging the Biden administration's rule that requires COVID-19 vaccination for eligible staff at healthcare facilities participating in Medicare and Medicaid programs On the ‘brink of financial collapse’: California system CEO implores governor for funding Visalia, Calif.-based Kaweah Health is a busy hospital with a robust emergency room seeing more than 81,000 patients per year. The hospital is among Healthgrades' top 250 hospitals in the nation and had a financially strong position pre-pandemic with an A3 Moody's Investors Service rating. ‘Career cushioning’ replaces ‘quiet quitting’ in a more uncertain job market While the trend of "quiet quitting" gained traction on social media earlier this year, there is another workforce trend being discussed recently: "career cushioning," according to Bloomberg News. Does prestige belong in medicine? An air of prestige has accompanied a career in medicine for centuries. Today, those in medicine are still largely respected, but different factors — including the democratization of information, an increasingly polarized society and new care models — are changing the public's view of physicians and the patient-provider relationship.

November 2022 Issue of Becker's Spine Review

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