Bundled payments can be used as an alternative to fee-for-service in spine surgery. Some spine surgeons believe in their potential for patient access, while others are more cautious about the arrangement.
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Orthopedic surgeons are facing several challenges that could be leading them to step away from the field.
Challenges with insurance reimbursement and authorizations could be contributing to orthopedic surgeons leaving the field, according to Jonathan Koenig, MD.
Innovation with new technology such as augmented reality and robotics will have a great impact on competition in the orthopedic surgery industry, according to Alex Vaccaro, MD, PhD.
Spine surgery competition is evolving this year thanks to changes in workforce saturation and the addition of new spine centers.
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In February 2023 Durham, N.C.-based EmergeOrtho, Indianapolis-based OrthoIndy and Seattle-based Proliance Surgeons came together to form PELTO Health Partners, an orthopedic group free of outside capital.
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.
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.
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.
Awake spine surgery, which uses regional anesthesia instead of general anesthesia, has gained more interest and adoption in recent years, and the momentum is unlikely to abate.