Joining a health system vs. an orthopedic MSO: Does practice size matter?

Practice Management

Some independent orthopedic groups will join a management service organization or a health system to support themselves. 

Since the start of 2023, orthopedic practices of all sizes — including ones operated by a single physician — teamed up with MSOs. Hospital and health system partnerships tended to attract smaller practices with fewer than 10 physicians.

Here are MSO and health system partnerships with orthopedic groups, along with the number of physicians each practice has:

Management service organization partnerships

Orthopedic Care Partners affiliated with Advanced Pain Medical Center in Gainesville, Fla. It is led by Brent Stewart, MD.

OCP affiliated with the American Spine & Orthopaedic Institute in Orlando, Fla., which has one spine surgeon.

OCP affiliated with the practice of Nathan Mall, MD.

OCP affiliated with Erol Yoldas, MD, an orthopedic surgeon in Fort Lauderdale, Fla.

OCP affiliated with George Paletta, MD, and Steven Stahle, MD, and announced the formation of the Performance Sports Medicine Institute in Kirkwood, Mo.

OCP marked its 20th practice affiliation with Orthopaedics of Brevard in Rockledge, Fla. The practice has two physicians.

Orthopedic Care Partners has affiliated with The Orthopedic Partners in Park City, Utah. The Park City-based practice has 12 physicians.

Orthopedic Care Partners affiliated with Palm Beach Hand to Shoulder in Palm Beach, Fla. It is led by Veronica Diaz, MD.

Spire Orthopedic Partners added Poughkeepsie, N.Y.-based Orthopedic Associates of Dutchess County and the practice's affiliated ASC, The Surgery Center at Orthopedic Associates. The practice has 24 physicians.

Cincinnati-based OrthoAlliance added South Bend (Ind.) Orthopaedics. The practice has 21 physicians.        

Precision Orthopaedic Specialties in Chardon, Ohio, joined OrthoAlliance. The practice has 11 physicians.     

OrthoAlliance added Indianapolis-based Midwest Center for Joint Replacement of Central Indiana. The practice has five physicians.

U.S. Orthopaedic Partners added two practices in Louisiana — Alexandria-based Mid State Orthopaedic & Sports Medicine Center and Orthopaedic Associates of New Orleans. Mid State Orthopaedic & Sports Medicine Center has nine physicians, and Orthopaedic Associates of New Orleans has six physicians.

United Musculoskeletal Partners added two practices in Texas: All-Star Orthopaedics in Irving and OrthoTexas in Plano. OrthoTexas has 13 physicians, and All-Star Orthopaedics has 10 physicians.

United Musculoskeletal Partners has added Orthopedic Associates, an 11-physician group, to its network.

Dallas-based Texas Spine Consultants, a group specializing in spine surgical management, has partnered with musculoskeletal management group United Musculoskeletal Partners. The practice has five spine surgeons and an anesthesiologist.

Unity MSK partnered with Chicago-based Orthopaedic Associates of Riverside. The practice has four physicians.

Physician-led orthopedic management services organization Orthopaedic Solutions Management has expanded into two new cities in Florida: Gainesville and Ocala. The move added nine physicians.

Danbury-based OrthoConnecticut partnered with HOPCo. OrthoConnecticut has 48 providers across nine locations in the state.

Phoenix-based Arizona Neurosurgery and Spine Specialists partnered with HOPCo and is now part of The CORE Institute. Arizona Neurosurgery and Spine Specialists has six physicians.

Health Plus Management partnered with Somers Orthopaedic Surgery & Sports Medicine Group in Danbury, Conn. The practice has 13 physicians.

Hospital, health system partnerships

NeuroCare Long Island in West Islip, N.Y., joined New Hyde Park, N.Y.-based Northwell Health. It has four neurosurgeons.

Teaneck, N.J.-based Holy Name Medical Center added North Jersey Orthopaedic Specialists, which is based in the same city. North Jersey Orthopaedic Specialists has seven physicians.

Los Angeles-based Cedars-Sinai added Congress Orthopaedic Associates and Risser Orthopaedic Group. The practices combined and joined Cedars-Sinai to provide orthopedic care to patients in Pasadena and Arcadia, Calif. Together the practices have 29 specialists.

Rexburg, Idaho-based Upper Valley Orthopedics is now a part of Rexburg-based Madisonhealth. Upper Valley Orthopedics has two physicians.

Cincinnati-based Mercy Health has finalized its planned acquisition of Paducah-based Orthopedic Institute of Western Kentucky. The practice has seven physicians.

Yonkers, N.Y.-based Saint Joseph's Medical Center has added Southern Westchester Orthopedics and Sports Medicine and its orthopedic surgeons David Lent, MD, and Eric Spencer, MD.

East Providence, R.I.-based University Orthopedics has added family-owned practice Cranston, R.I.-based Orthopaedic Associates to its network of facilities. The practice has seven physicians.

Bethesda, Md.-based The Centers for Advanced Orthopaedics acquired Winchester (Va.) Orthopaedic Associates. Orthopaedic Associates has seven physicians. 

The Atlanta-based Northside Hospital network has added a spine and pain specialty practice, now called Northside Interventional Pain and Spine Care. The practice has five physicians. 

Note: This article was updated May 7.

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