Alan H. Daniels, MD

speaker
133 appearances 1 recordings 1 series first heard Jan 2026 last heard 30 Jan

Alan H. Daniels, MD’s voice in public audio — every appearance, attributed to the second.

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Recordings per month over the last 12 months — 1 in all, peaking in Jan 2026 with 1.

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And somehow, we as a field need to figure out how to help the insurance companies and help the payers
with outcome-driven care and value-based care.
And it's really hard because measuring outcomes is difficult.
Centers like ours that take care of really complex spine problems, you know, we'll take patients from all over the region that have already had failed spine surgery.
And the reality is though patients don't always do well.
And so if we are purely in an outcome-driven care model and we take those really tough cases on,
There may be payers who don't want to reimburse us well for that because our outcomes are poor.
And so I think it's going to take some collaborative effort between spine specialists, practice, hospital systems, and the insurers to figure out what that really means for outcome-based care.
The second would be also something we briefly touched on, which is data integration and AI-enabled decision support, basically meaning that
We just must use data better to help deliver more evidence-based care.
Because if we don't do it, that variability is what's going to kill us.
Because it makes us look like we don't know what we're doing.
And the people with poor outcomes can keep basically delivering that poor care at very high cost levels.
And eventually, as we know, the payers are going to look and say, we're paying way too much for spinal fusion and the patients are doing poorly.
When in reality, if you look at the subset who are doing great,
It's excellent care that's delivered at a very reasonable value.
But I think we're going to need AI to do that.
I think the last thing is probably just the sustainability of the workforce.
And that's not just the spine surgeons and coming from both neurosurgery and orthopedics.
It's really figuring out how to keep nursing staff, administrative staff, all the support staff basically engaged
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