Becker's Spine Review

INDEX Table of Contents p. 6 Spotlight on Spine Surgeon Research p.11 New Trends in Post-Spine Surgery Pain Management p. 15 Spine Device & Innovation p. 39 Data Transparency p. 43 Practice Management p. 45 The Economics of Spine Surgery How postsurgical pain management can significantly improve outcomes and reduce costs after spine procedures. p. 15 Medicare Data Released, Spine Surgeons Under a Microscope How data transparency could positively and negatively impact your spine practice. p. 44 15 Fast-Growing Spine Device Companies See which companies have experienced significant growth over the past few years. p. 41 Stem Cells for Spine Mesoblast investigators share exciting preliminary results from their clinical trial. p. 12 The Volatile Spine Device Market: Mergers, IPOs & International Growth By Laura Dyrda The spine and orthopedic device markets have seen almost everything during the first six months of 2014: huge com- pany merger/acquisition deals, initial public offerings and announcements that even some of the smaller players in the market are going global. And by many accounts, the second half of the year will be no different. Frost & Sullivan's research estimates the 2014 global ortho- pedic implant market will reach $34.9 billion at a 2.8 percent compound annual growth rate. A few of the biggest company highlights since January include: Accountable Spine Care: Behind the Michigan Spine Surgery Improvement Collaborative By Laura Dyrda The Michigan Spine Surgery Improvement Collab- orative was launched in September 2013 as a col- laborative between Henry Ford Health System, eight Michigan hospitals, Blue Cross Blue Shield of Michi- gan and Blue Care Network to gather data that will help improve outcomes for spine surgery patients. The media has paid a lot of attention to physician compensation recently as a means to decrease the cost of care, but among spine patients — even surgical patients — the sur- geon's compensation is just a small piece of a huge pie. Other costs to consider in the global cost of care for spine surgery in- clude: • Hospital stays • Implant costs • Biologics • Staff salaries • Anesthesia • Postoperative care • Physical therapy/rehabilitation "The physician renumeration is among the smallest components of the total cost of care," says Kern Singh, MD, Co-Director of the Minimally Invasive Spine Institute at Rush in Chicago. "The hospital and nursing costs are fixed, and implant costs, instrumentation and biologics for fusion are expensive. For single- level lumbar fusion, costs are three to four times higher than what the sur- geon is paid. Ultimately the implant manufacturers are soaking up a big portion of the payment." continued on page 22 continued on page 19 continued on page 39 INSIDE: 17 Spine Surgeon Leadership Awards; 50 Spine-Focused ASCs to Know SPINE REVIEW July 2014 • Vol. 2014 No. 3 Deconstructing the Cost of Spine Care: Where Dollars Really Go By Laura Dyrda Becker's ASC 21st Annual Meeting The Business and Operations of ASCs October 23-25, 2014 • Chicago Keynotes: Terry Bradshaw, Co-Host and Analyst, FOX NFL Sunday and NFL Legend; Bill Taylor, Founding Editor, Fast Company and Best-Selling Author; Lolo Jones, 2-Time Olympic Hurdler and World Champion, 2014 Olympic Bobsledder For more information, call (800) 417-2035 30 Great Surgeons, 36 Leading Administrators and 80 Surgery Center Speakers in Total

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