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After 15 years at Pittsburgh-based UPMC, Adam Kanter, MD, left the 40-hospital academic health system, where he was chief of spine surgery and a tenured professor, to become associate executive medical director of the Hoag Pickup Family Neurosciences Institute in Orange, Calif. 

Showing the value proposition of deals and having physician leadership from the top down can help management service organizations draw interest from independent practices, according to Emil Engels, MD, CEO of Aligned Orthopedic Partners.

Spine and orthopedic experts and leaders in September spoke with Becker's Spine Review about topics from payer negotiations to skills they want to accomplish.

Addressing the stigma of private equity partnerships is a challenge top of mind for Raj Bhole, MD, chair of Resurgens Orthopedics and board member of United Musculoskeletal Partners. 

Payer relationships and physician autonomy are two things that need to be improved in the orthopedic and spine surgery industries, according to three surgeons. 

Data analytics is an important aspect for Eric Wieser, MD, vice president of Dallas-based Arlington Orthopedic Associates and board member of United Musculoskeletal Partners, to consider in his position.

Maintaining culture is a crucial yet challenging aspect of growing an orthopedic group, according to Mark Conklin, MD, of Golden, Colo.-based -based Panorama Orthopedics. 

Although private equity has the ability to increase inefficiency and growth at orthopedic and spine practices, many surgeons still believe there could be disadvantages to these deals.

Spine and orthopedic experts and leaders in August spoke with Becker's Spine Review on topics from private equity to total disc replacements.

Irvine, Calif.-based Hoag Orthopedic Institute has grown its robotic arsenal in 2022, installing its fourth system in August.