4 payers expanding coverage for orthopedic, spine care

Here are four commercial payers that have expanded patient access to musculoskeletal care since the beginning of 2024: 

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1. Blue Cross Blue Shield of Massachusetts expanded care options for members with back pain and musculoskeletal conditions through Vori Health. 

2. Independence Blue Cross extended its value-based care agreement with Philadelphia-based Rothman Orthopaedic for three more years. The agreement includes total hip, knee and shoulder replacements, knee arthroscopy, lumbar laminectomy and spinal fusion.

3. The largest commercial payer in Washington state implemented coverage for Centinel Spine’s Prodisc L implant.

4. Centinel Spine earned coverage from a large commercial payer in Tennessee for one- and two-level lumbar disc replacement.

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

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Is ambulatory care healthcare’s big margin engine? 4 leaders weigh in

Wednesday, July 29
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Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

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