Alexander Vaccaro

I am a professor of orthopedic surgery and neurosurgery.

spinal care, and we serve the southeastern Pennsylvania community, northern Delaware, southern New Jersey, and those that want to travel far and near to have service at the Rothman Institute.

That's my current role at the present time.

So here's the battle.

not interested in an employed model, who understands the concept of risk.

And I'm not sure that's in the best interest

specialty hospitals, ancillary lines, and there's so many different creative, productive ancillary lines all the way up until concierge medicine that you can provide.

productivity standards are.

So have everyone in our group work at the level of their license.

If you're a PA and you're licensed to do certain things in my group, you should be doing those things.

I mean, if you want to be part-time teaching, part-time research, that's fine.

But the times that you have allocated to these roles, we want to make sure that

you're efficient and you get things done and we have to make it so you can be efficient.

And then the last opportunity I think is really taking advantage of advanced technology.

insurance companies immediately responding, saying, here's the information, any type of appeal process, making sure we follow what the patients require in terms of the different offices we have, make sure we're full, make sure we're maximizing our staff.

So that is what I think is the best in terms of our opportunities.

In terms of our headwinds, that's a challenging thing.

The biggest problem we have as providers is that we

Those individuals not educated in the fields that they oversee, those that do the prior authorizations, abiding by certain clinical practice guidelines that don't really take into consideration the individual patient.

And sometimes you have to think out of the box because at times it may lead to worse patient care and things that are not in the patient's interest.