Neurosurgeons Navigate Changing Landscape
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Neurosurgeons Navigate Changing Landscape: Balancing Costs, Reimbursements, and Private Equity

Neurosurgeons Navigate Changing Landscape: Balancing Costs, Reimbursements, and Private Equity

[West Harrison, NY] – In a rapidly evolving healthcare landscape, neurosurgery is undergoing significant transformations. The article titled “The Future of Private Practice Neurosurgery and the Pitfalls of Private Equity,” authored by John M. Abrahams, MD, sheds light on the changing dynamics in the field of neurosurgery.

Traditionally, neurosurgery prioritized surgical procedures, resections, and reconstructions. However, the focus has now shifted towards minimally invasive approaches and catheter-based treatments. Alongside this shift, neurosurgeons are grappling with rising malpractice costs, lower reimbursements, and a growing trend towards consolidation among hospital or large-group multispecialty practices.

One noteworthy change is the rise of Ambulatory Surgery Centers (ASCs) and the push to make many spine procedures outpatient rather than inpatient. This trend is putting financial pressure on neurosurgeons to consider joining ASCs. Furthermore, private equity, while more common in orthopedics, is now becoming commonplace in neurosurgery, leaving many neurosurgeons uncertain about how such deals could impact their practices.

The financial landscape of neurosurgery reflects the challenges faced by practitioners. The costs of maintaining a neurosurgeon in private practice range from $250,000 to $500,000 per year, including staffing, office space, malpractice insurance, technology, and supplies. The pressure to manage increasing expenses while maintaining quality care and financial stability is evident.

Private practice consolidation is another significant trend. A survey by the American Medical Association (AMA) showed a decline in physician-owned practices, with more neurosurgeons opting for hospital or multispecialty medical practice settings. Consolidation offers salary security and reduces the burden of managing private practice operations.

The article also highlights the impact of the No Surprises Act, which aims to protect consumers from unexpected medical bills. Private equity has played a significant role in the healthcare industry’s consolidation, with large-scale transactions involving billions of dollars.

Neurosurgeons are at a crossroads, balancing the changing dynamics of their profession with the need for financial stability and quality patient care. The article by Dr. John M. Abrahams provides insights into the challenges and opportunities in private practice neurosurgery.

For more information on this topic, please refer to the full article titled “The Future of Private Practice Neurosurgery and the Pitfalls of Private Equity,” published in upcoming issue of The Journal Of Neurosurgery, accessible.



Excellent
Based on 74 reviews
Angelo Troiano
Angelo Troiano
November 14, 2022
Very professional and thorough with my surgery.
Faith Schwenker
Faith Schwenker
March 22, 2022
Dr. Abraham’s did my surgery and it was a great success. After nearly 8 years of pain, I finally found a doctor who could help me. My sciatica nerve was compressing my L4 and L5 which was giving me pain and a very poor quality of life. Not only does Dr. Abraham’s have a great bedside manner, but also he certainly knows the complexities of the spine. Thank you so much for giving me my life back!! P.S. I have referred his name to several of my friends and they too have had a successful outcome!!
Kathleen Cully
Kathleen Cully
May 28, 2021
Dr. Abrahams is an extremely compassionate and highly skilled neurosurgeon who, along with Dr. C. Shannon, saved my husband's life by removing a complicated malignant metastatic brain tumor during a very long surgery. In addition, Dr. Abrahams has been my surgeon for several spinal procedures and I trust him with my life.
Kathleen Darcy
Kathleen Darcy
February 22, 2021
My experience was great 😊. Dr Abraham was fabulous.
Xavier Masi
Xavier Masi
February 15, 2021
Dr. Abrahams is the best, very caring and takes time out to listen instead of rushing!!! thanks Doc.. I might have to come see you again. Anthony
Dale
Dale
February 15, 2021
😷 Dr Abrahams is THE BEST! He is the absolute best brain & spine surgeon by far! His group is beyond excellent! My back & neck had been fractured in an accident, and I made the mistake of seeing a "spine doctor on Tarrytown Road," who did not want to see me again unless I needed more surgery! I was outright denied an appointment, even after this "doctor" performed a lumbar laminectomy on me!!!😡 I was miserable and in excruciating pain. Then everything changed.... 🙏THANK GOD I FOUND DR ABRAHAMS! He took all the time he needed with me to come up with a new plan and thoroughly explained the correct surgery I needed. I had a fractured sacrum, lower back S1, right up to L5, needing spinal fusion. I also had cervical herniations. My life changed after Dr Abrahams took care of my surgery, his office still checks up on me to make sure I'm doing well. The office and entire staff is so helpful, friendly and caring. I recommend Dr Abrahams on a regular basis to people I meet that have brain or spine problems. Dr Abrahams is also BRILLIANT. He is the creator of many medical devices that he received patents for. When you go in his office your eyes won't know what to look at first he has so many awards & patents. He's a MUST GO TO doctor! He changed my life, and I am forever grateful to him, Lisa (his personal coordinator), and his entire staff, fellow doctors that are also in group with Dr Abrahams. I HIGHLY RECOMMEND HIM as well as the doctors in practice within his group. You will get the best care by far.😊
Helena Mattis
Helena Mattis
January 12, 2021
Dr. Abrahams literally saved my life. I went to him back in 2004 in horrible shape after being misdiagnosed by my Primary Care Physician. He went above and beyond in saving my life. I highly recommend him for his skills, ability, his humanity and love he demonstrates for both his patients and his work. Helena Edwards
Farah Rubeo
Farah Rubeo
September 13, 2020
Dr. Abrahams performed back surgery on me 6 years ago . I was 38 yrs old and in excruciating pain, not able to walk for longer longer than 5 minutes, sleeplessness nights and constantly being put on pain medication , including countless rounds of PT. Surgery was my only option to return to the quality of life I had before my injury and I am beyond grateful for Dr. Abrahams and his team. I have been playing softball, exercising , walking my dog and enjoying everything that I have missed for years! Dr. Abrahams to me Is a lifesaver! The best of the best !