As shoulder surgery technology grows, rotator cuff procedures still need developments for long-term outcomes, Andrew Green, MD, said.

Louis Shapiro, president and CEO of New York City-based Hospital for Special Surgery, outlined the five focuses that can help make an organization great for the "Becker's Healthcare Spine and Orthopedic Podcast" May 25.

Spine and orthopedic experts and leaders spoke with Becker's Spine Review on key topics in May from competition with large physician groups to threats in orthopedics.

Considering site of care and using constructive payment plans are ways patients without insurance are able to get care at Denver-based Orthopedic Centers of Colorado, orthopedic surgeon and Chief Medical Officer Brian Larkin, MD, said.

The top challenges neurosurgeon Ciro Randazzo, MD, expects in 2022 include reimbursement and hospital pressures.

A key part of culture strategy is connecting values to employees, said Mike Boblitz, CEO of Tallahassee (Fla.) Orthopedic Clinic.

In 2016, four orthopedic groups merged to form Durham, N.C.-based EmergeOrtho, which added a fifth group the following year. Since then, the statewide orthopedic group has expanded to more than 140 physicians and 46 locations.

Collective decision-making will be an important factor when it comes to the future of regenerative medicine in orthopedics, said Brian Larkin, MD, an orthopedic surgeon and chief medical officer of Denver-based Orthopedic Centers of Colorado.

Grant Zarzour, MD, is observing private equity, management service organizations and other forms of partnerships in orthopedics closely.

While some practices are looking to expand across state lines, Spine Center Atlanta plans to focus on the Georgia market, founder and spine surgeon James Chappuis, MD, said.

Spine and orthopedic experts and leaders spoke with Becker's Spine Review on key topics in April from consolidation to artificial disc replacement.

Bridging the gap between payers and healthcare providers has been a key strategy for Karl Hess, interim CEO of Arlington-based Texas Health Aetna.

Philadelphia-based Rothman Orthopaedic Institute is on a rapid growth trajectory with its eyes set on becoming a national brand in the next decade. 

Since 2016, Bruce Cohen, MD, has served as CEO of Charlotte, N.C.-based OrthoCarolina, which has more than 135 physicians and more than 30 orthopedic locations.

Philadelphia-based Rothman Orthopaedic Institute is growing rapidly and has set its sights on evolving into a national brand with a presence in several states across the country.

Outpatient surgery is an inevitable area for spine and orthopedic surgeons to explore. From the potential of innovation to the business outlook for hospitals, here's what five surgeons are saying about outpatient migration in 2022:

Texas Back Institute in Plano was at the forefront of artificial disc replacements, with Scott Blumenthal, MD, performing the first case in the U.S. More than 20 years later, the practice completed its 3,000th lumbar artificial disc replacement in January.

Julius Oni, MD, a joint replacement specialist, said he's excited by robotic technology and how data analytics can be used to improve care. 

Jeff Gittins, DO, believes outpatient orthopedics will be the next major growth opportunity in the industry.

Spine and orthopedic experts and leaders spoke with Becker's Spine Review on key topics in March from tough career decisions and the benefits of awake procedures.