Surgical Spinal Care: Removing Barriers to Patient Access Agenda

12:00-12:10 p.m.Opening Remarks by Alex Vaccaro, MD, MBA, Rothman Institute
12:10-1:25 p.m. Delivering Value in Spine Care
Moderated by Alex Vaccaro, MD, MBA, Rothman Institute

  • The Critical Role of Specialists in Value Based Healthcare: Anthony Coletta, Tandigm Health
  • How a hospital can limit the cost of spine care while still maintaining excellent outcomes: Richard Webster, Thomas Jefferson University Hospital
  • Transitioning from Volume to Value—how a spine practice can thrive in the changing healthcare landscape: Mike West, MBA, Rothman Institute
  • Panel Discussion:How Medical Policy decisions are made regarding new technology -the role of scientific literature, Society policy statements, patient complaints in determining/changing policy
1:25-2:15 p.m.Medicare and commercial bundles
Moderated by Alex Vaccaro, MD, MBA, Rothman Institute

  • Spine Bundles for the Medicare patient
  • Spine Bundles for the commercial patient: Dave Janiec, MBA, Rothman Institute
  • Spine Population Health Management: Peter Slate, MBA, Healthcare Outcomes Performance Company
  • Q and A (5 minutes)
2:15-2:30 p.m.Break
2:30-3:15 p.m.Keynote: Is There an Avatar in the House: Changing the DNA of Healthcare in the Age of AI
Stephen Klasko, MD, MBA, President and CEO of Jefferson University Hospitals
3:20-4:25 p.m.Pain management
Moderated by Dom Coric, MD, Carolina Neurosurgery & Spine Associates

  • How we got here, the opioid epidemic: Heeren Makanji, MD, Rothman Institute
  • Law enforcement perspective on the opioid epidemic: Ed Delsole, MD, Thomas Jefferson University
  • The future of chronic pain management: Jeremy Simon, MD, Rothman Institute
  • Perioperative pain management: Safdar Khan, MD, Spine Research Institute
  • Q and A
4:25-4:45 p.m.The Future of Surgeon Education

  • An Innovative Model for Teaching new MIS Techniques to Surgeons—AO RealSpine Project: Roger Hartl, MD, Weill Cornell Medicine
4:45-5:00 p.m.Closing remarks by Alex Vaccaro, MD, MBA, Rothman Institute
Saturday, Dec. 7

8:00-8:50 a.m.


Coding in spine care
Moderated by Frank Phillips, MD, Rush University

  • How the AMA CPT and RUC process works: Matt Twetten, Twetten Healthcare Consulting
  • What’s new in Spine Coding? What keeps ISASS awake at night? Morgan Lorio, MD, Advanced Orthopedics, ISASS Coding and Reimbursement Committee Chairman
  • AANS/CNS: How do we look at the politics of spine coding: Katie Oricco, AANS/CNS
  • Q/A 10 min
8:50-9:40 a.m.Treatment of Complex patients in a changing world
Moderated by Sheeraz Qureshi, MD, Hospital for Special Surgery

  • Economics of Spine Trauma: Gregory Schroeder, MD, Rothman Institute
  • Cost Effectiveness of Adult Deformity Surgery: Isadore Lieberman, MD, Texas Back Institute
  • Is MIS more cost effective than open surgery for single level lumbar pathology? Sheeraz Qureshi, MD, Hospital for Special Surgery
  • Q&A
9:40-10:00 a.m.Break
10:00-10:55 a.m.Ambulatory Spine Surgery
Moderated by Frank Phillips, MD, Rush University

  • Economics of an ASC: Dan Murrey, Surgical Care Affiliates
  • Is spine surgery safe in an ASC? Arash Emami, MD, St. Joseph Hospital
  • Future of ASCs in a value-based system: Scott Becker, Becker Healthcare
  • Q&A
10:55-12:05 p.m.Why Are Insurance Company Medical Policies a Moving Target?
Moderated by Jack Zigler, MD, Texas Back Institute

  • The Journey toward Lumbar and Cervical TDR coverage: Kim Norton, Aesculap Implant Systems
  • My reimbursement battles and lessons going forward: Does having the
    data help? Mark Viscogliosi, Viscogliosi Brothers LLC
  • Coverage recommendations: An insurance perspective: Brian Justice, MD, Excellus
  • Using the legal system: Class Action Lawsuits as a Mechanism to Improve Patients’ Access to New Technologies: Rob Gianelli, ESQ, Gianelli & Morris
  • Q&A
12:05-12:35 p.m.Measuring Outcomes in Spine Care: What’s Important and What Isn’t?
Moderated by Gregory Schroeder, MD, Rothman Institute

  • What are the current outcomes required and monitored by the government: Chris Vanello, Rothman Institute
  • Which outcomes should a spine surgeon collect, and how to effectively collect outcomes in a spine practice: Tom Cha, MD, Harvard Medical School
  • Who is looking at my outcomes, and what do they see: Greg Schroeder, MD, Rothman Institute
  • Q&A
12:35-12:45 p.m.Closing remarks by Alex Vaccaro, MD, MBA, Rothman Institute