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Pressures related to payers and overhead have made maintaining an orthopedic practice increasingly difficult, says Matthew Harb, MD of The Centers for Advanced Orthopaedics in Washington, D.C.

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The advancements in total disc replacement and minimally invasive spine surgery pose strong opportunities for the specialty amid ongoing healthcare challenges, Robert McLain, MD, said.

Payer frustrations and anesthesia coverage are among the headwinds facing spine and orthopedic leaders in 2025. But growing outpatient case volume and integrating new technologies is becoming easier for many practices.

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