In The News

The recent pivot in Congress towards a narrower focus in healthcare legislation marks a significant shift in policy-making dynamics, with immediate implications for healthcare providers across all specialties, including those within spine and orthopedic care. This transition from broad, ambitious reforms to a more streamlined legislative agenda reflects the challenges of reaching consensus in a diverse political landscape and underscores the critical importance for healthcare providers to stay informed and adaptive. Here's a closer look at how these changes affect providers and the healthcare industry at large.

In a significant stride towards improving healthcare access and transparency, Congress has once again entered the prior authorization debate. The aim is to streamline and enhance the process through which insurers can deny access to covered services. With the House Ways and Means lawmakers advancing a bill as part of a larger health package, the focus is on overhauling and accelerating prior authorization decisions for Medicare Advantage plans. This move has garnered widespread support from both House members and senators, signaling a potential breakthrough in the effort to reshape healthcare access in the United States.

Texas employers and healthcare providers are preparing for a significant transformation in health plans due to the recent passage of House Bill 711. This new legislation, which takes effect immediately, empowers employers to guide their employees towards higher-performing healthcare providers. While existing anti-steering and anti-tiering provisions in contracts will remain valid until the end of the year, brokers and benefits managers must incorporate the implications of this law into their upcoming health plans. In this blog post, we will delve into the details of the legislation and explore its potential impact on the healthcare landscape in Texas.

In the constantly evolving landscape of healthcare, two significant models of care have emerged as key strategies to manage cost while striving to improve patient outcomes: Managed Care, which rose to prominence in the 1990s, and today's Value-Based Care. With specific focus on Musculoskeletal (MSK) (Bone, Joint and Spine) care delivery in narrow networks, this blog post compares these two models, their evolution, and potential impact on healthcare.

Spinal surgeries are complex procedures that require the utmost precision and care to ensure optimal outcomes. Intraoperative neuromonitoring (IONM) has emerged as an essential tool for spinal surgeons, providing real-time feedback and monitoring of the nervous system during surgery. In this blog, we will explore the importance of IONM in spinal surgeries and its benefits for both surgeons and patients.

Transitional care management (TCM) is an increasingly vital aspect of healthcare delivery. As patients move between different healthcare settings, they need coordinated care that ensures a seamless transition from one provider to another. TCM aims to improve patient outcomes, reduce hospital readmissions, and provide continuity of care.