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INDEX Sustainable Spine Care p.9 Meet these Products at NASS p. 14 Spine Device p. 30 Practice Management p. 40 Spotlight on Spine Research p. 38 Rising Stars: 35 Spine Surgeon Leaders Under 40 This list features the next generation of spine surgeon leaders. p. 21 5 Ways Spine Surgeons Impact the Cost of Care Here is how spine surgeons can lower costs while maintaining quality care. p. 25 Dr. Alexander Vaccaro A key discussion on how the best orthopedic surgeons balance clinical quality, cost and patient satisfaction. p. 8 10 Statistics on Orthopedist Salary Orthopedic surgeon salary and bonus statistics. p. 42 What Spine Surgeons Stand to Gain and Lose From Risk-Sharing Payment Models By Laura Dyrda The Medicare pilot program for risk-sharing among or- thopedic and spine surgeons is scheduled to begin January 2015. Participants are already signed up for the Medicare Bundled Payment Care Initiative, which provides surgeons with data about their costs to decide whether they want to assume the risk for bundled payments. Spine Device Market Report: 5 Key Concepts for Future Growth By Laura Dyrda There are several big factors impacting medical device technology field today. Key trends include consolidation, focused research spending and inter- national strategy. However, even as the field tightens and becomes tougher, spine device companies are growing larger, going public and launching their products on a global scale. As healthcare shifts from fee-for- service to pay-for-performance and risk-sharing compensation models, specialists are developing new and innovative ways to ensure their field's sustainability in the future. Spine is no different — and in many ways, spine surgeons have an uphill battle. "Spine surgery can be looked at as his- torically one of the largest offenders of non-sustainable care," says Robert S. Bray Jr., MD, Founder of DISC Sports & Spine Center in Marina del Rey, Calif. "There has been too much done without enough evidence behind it and physicians are paid a straight fee- for-service for doing so. That's not sustainable. We are all trying to figure out how to transition into a system that accounts for providing quality care for a large number of people in a cost-efficient manner." When deconstructed, overall spine care costs include the required con- servative care, imaging, physician consultations, anesthesia, preopera- tive care, surgery, implants, hospital stays, postoperative care and phy- sician fees. Fixed costs amount to more than half the total bill, while implant costs account for 20 percent to 25 percent of the bill on average. The total cost varies depending on continued on page 30 continued on page 10 continued on page 40 List Inside: 226 Spine Surgeons to Know p. 44 SPINE REVIEW October 2014 • Vol. 2014 No. 4 How Spine Surgery Will Thrive in a Data- Driven World By Laura Dyrda 13th Annual Spine, Orthopedic and Pain Management-Driven ASC Conference + The Future of Spine June 11-13, 2015 Westin Michigan Avenue Hotel • Chicago, IL 80+ Surgeons Speaking & 108 Sessions For more information, visit www.beckersspine.com or call (800) 417-2035. SPINE REVIEW