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May / June 2019 Issue of Becker's Spine Review

Written by Super User | September 12, 2019 | Print  |

May / June 2019 Issue of Becker's Spine Review

 

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ON THE COVER

The spine devices with the most potential
Four spine surgeons discuss the devices and techniques that will have a significant effect on patient care.

What drives orthopedic, spine device company M&A today and what to watch for through 2020
Over the past year, the orthopedic and spine device industry has experienced significant consolidation, including 11 acquisitions so far in 2019.

Penn Medicine opens $10M spine center with Dr. William Welch as medical director
Penn Medicine opened a new $10 million spine center at Pennsylvania Hospital, both based in Philadelphia.

Spinal fusion with stem cells vs. BMP: 4 key findings
A study published in the February 2019 issue of the International Journal of Spine Surgery compares fusion rates between rhBMP-2 and mesenchymal stem cells for minimally invasive transforaminal lumbar interbody fusion.

Humana launches bundled payment for spinal fusions at 4 practices, expands joint replacement program
Humana is expanding its value-based orthopedic care program by offering Humana Medicare Advantage members access to bundled payments for spinal fusion surgery.

Awake spinal fusion - 5 key findings
The Journal of Neurosurgery published an article outlining "awake spinal fusion" using the endoscopic transforaminal lumbar interbody fusion technique without general anesthesia.

4 things to know about orthopedic surgeons: 36% still in private practice
The 2018 American Academy of Orthopaedic Surgeons census report provides demographic and specialty information on its membership.

Orthopedic surgeons earn $482,000 average annual compensation
Medscape released its Physician Compensation Report 2019, and orthopedic surgeons lead the pack.

How well is Walmart’s spine center of excellence program working?
Danville, Pa.-based Geisinger joined Walmart's center of excellence network in 2017 for spine surgery, providing Walmart employees access to Geisinger's spine team without additional out-of-pocket costs.

Dr. Roger Hartl: The biggest opportunity in spinal biologics
Roger Hartl, MD, professor of neurological surgery and director of spine surgery at Weill Cornell Medicine in New York City, as well as director of the Weill Cornell Medicine Center for Comprehensive Spine Care, discusses the key trends in spine technology to consider in the future.

Neurosurgeon-generated revenue for hospitals jumps 40.5% in 3 years to $3.4M
Physicians and surgeons generate millions of dollars in revenue for affiliated hospitals each year, with neurosurgeons ranking No. 3 among the top revenue generators, according to a new survey from Merritt Hawkins and AMN Healthcare.

SPINE SURGEONS

Dr. Todd Albert completes surgeon-in-chief term, maintains spine practice at Hospital for Special Surgery
Todd Albert, MD, will conclude his term as surgeon-in-chief and medical director of New York City-based Hospital for Special Surgery in June, and orthopedic surgeon Bryan Kelly, MD, will succeed him.

Munson Health settles $7M lawsuit with neurosurgeon: 5 things to know5 things to know
Traverse City, Mich.-based Munson Healthcare settled a $7 million lawsuit filed by neurosurgeon Kenneth M. Louis, MD, according to the Traverse City Record-Eagle.

Orthopedic surgeons generate $3.3M for hospitals — 4 details
A Merritt Hawkins survey examined the proportion of revenue physicians generate for hospitals, finding on average, physicians accounted for $2.3 million in revenue.

Penn Medicine opens $10M spine center with Dr. William Welch as medical director – 4 things to know4 things to know
Penn Medicine opened a new $10 million spine center at Pennsylvania Hospital, both based in Philadelphia.

Neurosurgeon-generated revenue for hospitals jumps 40.5% in 3 years to $3.4M
Physicians and surgeons generate millions of dollars in revenue for affiliated hospitals each year, with neurosurgeons ranking No. 3 among the top revenue generators, according to a new survey from Merritt Hawkins and AMN Healthcare.

Surgeons complete 1st cases with NuVasive’s lateral PEEK implant — 4 insights4 insights
Surgeons at hospitals across the U.S. completed the first cases using NuVasive's Cohere XLIF.

Spinal fusion with stem cells vs. BMP: 4 key findings
A study published in the February 2019 issue of the International Journal of Spine Surgery compares fusion rates between rhBMP-2 and mesenchymal stem cells for minimally invasive transforaminal lumbar interbody fusion.

ISASS releases statements on bone graft substitutes, vertebral augmentation
The International Society for the Advancement of Spine Surgery released two new statements: one focused on bone graft substitutes and the other examining vertebral augmentation.

California neurosurgeon charged with billing fraud: 3 points
A neurosurgeon in Carmichael, Calif., has been charged in billing fraud, according to a report from KCRA 3, a local NBC affiliate.

Surgeons perform 1.62M instrumented spinal fusions per year in the US: 5 notes
There are more than 1 million instrumented spinal procedures performed in the U.S. annually, according to an iData Research report.

Indiana spine, neurosurgeon group refuses to become employed at IU Health, jeopardizing relationship: 5 details
Goodman Campbell Brain and Spine is at odds with IU Health, both based in Indianapolis, over a future relationship and agreements, according to the Indianapolis Business Journal.

Stryker Q1 spine sales up 38.6% in US after K2M acquisition: 6 things to know
Stryker reported 8.5 net sales growth in the first quarter of 2019.

Medicare ACOs and spine surgery: 5 things to know
A new study published in The Spine Journal examines how Medicare ACOs affect spine surgery patients.

UnitedHealthcare to expand bundled payments to Medicare Advantage beneficiaries, including total joints and spine
UnitedHealthcare will expand BPCI Bundled Payments to include Medicare Advantage beneficiaries in 2020.

Louisiana neurologist allegedly defrauded government of nearly $1.7M
Louisiana neurologist Anil Prasad, MD, was charged with conspiring to dispense controlled substances and commit healthcare fraud, according to the Department of Justice.

FDA reclassification of posterior cervical screw systems to cost companies $13K: 5 things to know
The FDA issued a final rule cementing posterior cervical screw systems as a class 2 device and will maintain the premarket notification requirement.

Spine bundled payments – 12 things to know
Here are 12 key trends and findings on bundled payments in spine surgery as well as thoughts from four surgeons who believe bundling will become more prevalent in the future.

Awake spinal fusion — 5 key findings
The Journal of Neurosurgery published an article outlining "awake spinal fusion" using the endoscopic transforaminal lumbar interbody fusion technique without general anesthesia.

ISASS names Dr. Jack Zigler president for 2019-20
The International Society for the Advancement of Spine Surgery named Jack Zigler, MD, president for 2019-20.

Forest Park Medical Center kickback trial ends in convictions for 4 physicians
The kickback trial involving Forest Park Medical Center owners and physicians ended yesterday with seven defendants receiving convictions and one acquittal, according to a report in the Dallas Business Journal.

Spine reimbursement from CMS dropped 27% since 2000: 5 key notes
A team of researchers at Mayo Clinic, Arizona, calculated average reimbursement rates for neurosurgeons since 2000 and outlined the key trends at the American Association of Neurological Surgeons Annual Meeting.

UC San Francisco cuts patients’ spine surgery recovery times in half — How? By keeping them awake
UC San Francisco is cutting patient recovery times by offering to perform the procedure while they're still awake.

DEVICES & IMPLANTS

The spine surgery devices, techniques that won’t stand the test of time
Nine spine surgeons discuss the technology and techniques that will fade over the next few years, and factors driving the disappearance.

Brainlab buys robotics platform company: 5 key notes
Brainlab acquired an application-specific robotic technologies developer to strengthen its cranial and spine surgery offerings.

DePuy claims Orthofix compelled sales reps to break contracts — 5 lawsuit details
Orthofix allegedly persuaded employees to break their contracts with DePuy Synthes, damaging the latter's ability to conduct business in Texas and Alabama, according to a lawsuit filed Feb. 14.

11 big acquisitions for spine, orthopedic device companies in 2019 so far
Here are the big acquisitions in the orthopedic and spine device space announced so far in 2019.

Have some PODs violated the Sunshine Act reporting requirements? Senate Finance Committee seeks answers
On March 19, Chairman of the Senate Finance Committee Charles Grassley, R-Iowa, and Senate Finance Committee Ranking Member Ron Wyden, D-Ore., penned a letter to CMS Administrator Seema Verma and Inspector General Daniel Levinson addressing concerns with physician-owned distributorships adhering to the Sunshine Act.

What drives orthopedic, spine device company M&A today and what to watch for through 2020
Over the past year, the orthopedic and spine device industry has experienced significant consolidation, including 11 acquisitions so far in 2019.

NuVasive Board Chairman Gregory Lucier partners with private equity firm to launch new company: 5 things to know
Former NuVasive CEO Gregory Lucier partnered with Chicago-based private equity firm GTCR to form a new company in the healthcare space.

Stryker strengthens sports medicine line with up to $220M acquisition — 5 key notes
Stryker acquired OrthoSpace, an Israel-based company focused on technology to treat irreparable rotator cuff tears.

Zimmer Biomet earns FDA 510(k) clearance for Rosa One Spine System — 4 insights
The FDA granted Zimmer Biomet FDA 510(k) clearance for the minimally invasive Rosa One Spine System.

The spine devices with the most potential
Four spine surgeons discuss the devices and techniques that will have a significant effect on patient care.

DOJ charges 24 in $1.2B+ medical device kickback scheme — 5 insights
The Department of Justice charged 24 individuals in connection with a massive kickback scheme that resulted in more than $1.2 billion in losses.

PRACTICE MANAGEMENT

How well is Walmart’s spine center of excellence program working? 5 takeaways
Danville, Pa.-based Geisinger joined Walmart's center of excellence network in 2017 for spine surgery, providing Walmart employees access to Geisinger's spine team without additional out-of-pocket costs.

Venture capital firm invests in orthopedic device company — 4 insights
Genesis Innovation Group invested in Embody through its early-stage healthcare development group cultivate(MD) Capital Fund II.

Humana launches bundled payment for spinal fusions at 4 practices, expands joint replacement program — 6 insights
Humana is expanding its value-based orthopedic care program by offering Humana Medicare Advantage members access to bundled payments for spinal fusion surgery.

CHI Franciscan settles antitrust suit after orthopedic group acquisition, physician network affiliation: 4 key notes
Court records indicate Tacoma, Wash.-based CHI Franciscan and two physician groups, including an orthopedic practice, will settle a lawsuit the state of Washington filed against them, alleging antitrust violations, according to a Kitsap Sun report.

3 orthopedic groups combine to form OrthoSouth
Three orthopedic groups in Memphis, Tenn., joined forces to form OrthoSouth, according to the Daily Memphian.

Midwest Orthopaedics at Rush acquires spine robot: 5 things to know
Midwest Orthopaedics at Rush surgeons have incorporated the Mazor X Robotic Guidance Platform into the spine practice.

Orthopedic surgeons earn $482,000 average annual compensation, top Medscape’s 2019 survey
Medscape released its Physician Compensation Report 2019, and orthopedic surgeons lead the pack.

OUTPATIENT SURGERY

Leapfrog launches inaugural ASC quality & safety survey: 4 details
The Leapfrog Group launched a survey evaluating ASC quality and safety April 1.

Florida hospital closes ASC due to lack of specialists; may reopen in the fall: 4 key notes
An ASC operated by The Villages (Fla.) Regional Hospital has closed due to a lack of specialists, according to a report from Villages-News.

Humana adds 100+ SurgCenter Development facilities to national network — 3 things to know
Humana and Towson, Md.-based SurgCenter Development entered an agreement adding more than 100 SurgCenter Development locations to Humana's national provider network, effective Feb. 1.

Laser Spine Institute shuts its doors, patients from 4 ASCs diverted: 5 things to know
Tampa, Fla.-based Laser Spine Institute was unable to secure financing to continue operations and closed March 1.

These are the most common ASC specialties — 8 statistics8 statistics
MedPAC's 2019 commission report to Congress outlined data on ASC characteristics, including what specialties are the most common.

Columbia Surgical Specialists of Spokane pays nearly $15K to resolve ransomware attack affecting 400,000 patients: 4 details
Columbia Surgical Specialists of Spokane (Wash.) reported a ransomware attack affecting 400,000 patients to the HHS' Office for Civil Rights Breach portal Feb. 18.

10 things to know about spine surgery in ASCs for 2019
Here are 10 key facts and studies on outpatient spine surgery and spine procedures in ASCs:

OrthoNY opens $5.3M surgery center — 5 insights

Albany, N.Y.-based OrthoNY opened OrthoNY Surgical Suites, a $5.3 million outpatient surgery center in Clifton Park, N.Y., Albany Business Review reports.

HEALTHCARE NEWS

Walmart’s centers of excellence program cut joint replacement costs by 15% — 5 things to know
Walmart's centers of excellence program, which pays for employees to travel and receive care at designated facilities, was expanded in 2014 to include hip and knee replacements.

BPCI Advanced loses 252 providers, 35% of lower extremity major joint replacement participants
The Bundled Payments for Care Improvement Advanced Program saw a 16 percent drop in participants since October 2018, CMS reported.

Vanderbilt hit with $25.5M suit over wrong-site surgery
A Tennessee woman filed a lawsuit against Nashville-based Vanderbilt University Medical Center March 19, claiming surgeons operated on her wrong kidney, reports The Tennessean.

HCA accused of billing fraud: 3 things to know
A former nurse at Regional Medical Center in San Jose, Calif., filed a federal lawsuit alleging the hospital and its owner, Nashville, Tenn.-based HCA Healthcare, submitted false claims to Medicare.

CMS cuts payments to 800 hospitals for patient safety incidents
CMS will trim 800 hospitals' Medicare payments in fiscal year 2019 for having the highest rates of patient injuries and infections.

The 10 challenges, opportunities healthcare executives expect to face in 2019
Healthcare Executive Group outlined the top challenges, opportunities and issues healthcare executives will face this year.

Nicklaus Children’s Hospital to freeze wages, lay off staff
Miami-based Nicklaus Children's Hospital is making cutbacks in response to industry pressures, including dwindling reimbursement, according to the Miami Herald.

Why Novant Health partners with Microsoft, Google & others to bring AI to orthopedics
Bryan Edwards, MD, senior vice president of Winston-Salem, N.C.-based Novant Health Orthopedics & Sports Medicine, and David Homesley, MD, chief of total joint replacement at Novant Health, discuss the big trends and opportunities for artificial intelligence and robotics in orthopedics today.

Orthopedic surgeon pays $84,666 to settle kickback allegations over pain cream medical directorship arrangement: 4 things to know
Brandon Claflin, DO, paid $84,666 to settle allegations of accepting illegal kickbacks in exchange for writing prescriptions.

Medtronic reaches 2nd ASC with spine robot
Muskegon (Mich.) Surgery Center is the state's first ASC to use Medtronic's Mazor X Stealth Edition robotic guidance platform for spine surgery.

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