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Spine


Patient-specific spinal implants have often been associated with complex deformity surgery at academic and tertiary centers. Jonathan Hobbs, MD, believes their potential extends to appropriately selected patients undergoing surgery for degenerative conditions — and that access will be a central…

The American Society of Pain and Neuroscience on Oct. 2 called for a national minimally invasive spine credential that ties a physician’s scope of practice to demonstrated competence rather than the specialty in which the physician trained. In a position…

The spine industry keeps producing new technology. Bilal Butt, MD, wants to know how much of it actually makes surgery better. At Cleveland Clinic, where surgeons have access to advanced implants, robotics and navigation systems, the challenge is no longer…

When Pat Bovonratwet, MD, traveled to South Korea to study endoscopic spine surgery, he wasn’t there to learn how to operate through an endoscope. He already knew how. What he needed to learn was what to do when something went…

Medicare is changing the financial equation for spine surgeons, and reimbursement cuts are only part of it. With thousands of specialists entering mandatory payment models, prior authorization expanding in traditional Medicare and new performance requirements ahead, surgeons face growing financial…

Spine surgery has more options than ever, but more choices have not necessarily made the biggest decisions any easier. From the push to avoid fusion to the rapid adoption of endoscopy, surgeons are confronting questions about how much intervention is…

Physicians and practice leaders increasingly point to payers as one of the biggest obstacles to running a sustainable practice. From CMS policy changes and declining Medicare reimbursement to private payer prior authorization requirements and coverage denials, administrative and financial strain…

A spine patient can wait months to see a surgeon only to learn at the appointment that surgery is not the next step. They may need physical therapy first. They may need pain management or an injection. They may not…

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