Dr. Dan Mazanec
Chief Medical Officer
Board certified in internal medicine
and rheumatology, Dan has been
a leader in the development of the
emerging specialty of spine medicine.
A frequent lecturer at international and national
meetings, he has authored more than 70 book chapters
and papers and is an active member of the North
American Spine Society, with a particular focus on the
development of evidence-based clinical guidelines.
Prior to joining Dorsata, Dan was the Associate Director
of the Center for Spine Health at the Cleveland Clinic.
He led the development of the Cleveland Clinic Spine
CarePath, which merges evidence-informed clinical
management of spine disorders with patient-entered
clinical outcome data.
Dorsata gives healthcare providers the tools to
streamline the way they document their encounters.
Clinicians can quickly build and modify encounter-specific workflows that facilitate robust, accurate
documentation, guide decision-making, and automate
Group Director, WCG
Scott is a self-described medtech
enthusiast and currently serves as
Group Director for WCG, a W2O
company. Prior to his work with
WCG, Scott held sales and marketing
leadership positions for some of the
largest medical device companies in
the world, including Covidien, Boston Scientific, C.R.
Bard, and ConMed. In addition, Scott is the Founder
of Medsider, which helps ambitious doers learn from
proven medtech thought leaders. His work with
Medsider has been featured in publications like Forbes,
Mass Device, MedCity News, and MD+DI. Scott is
also an advisor to the Medical Devices Group, which
includes over 300,000 members worldwide.
munication between hospitals and
surgeons and all other participants
in the post-acute phase. In this era of
value-based care, these things will be
MACRA: Another influencing factor is the Medicare Access and CHIP
Reauthorization Act (MACRA), which
includes two different reimbursement models for physicians (MIPS
vs. APMs). This is part of the trend
of moving away from fee-for-service
toward value-based care. The focus is
shifting to performance, and starts us
moving toward integrated practice.
One model is MIPS, the Merit-based
Incentive Payment System, which
applies to 85-90% of doctors. Reimbursement is based on four categories:
quality, resource use, clinical practice
improvement, and meaningful use of
certified EHR technology. Efficient,
high-quality practices will succeed
under this program, but smaller ones
may struggle to meet its requirements:
The other option is the Alternative
Payment Model , which is more of
a pilot. This reorganizes care where
there are multiple touchpoints—social
workers, behavioral specialists, nurses,
coordinated care—for reduced costs
and improved quality.
CMS (the Centers for Medicare and
Medicaid Services) estimates that 80%
of solo practices will face negative adjustments in reimbursement. They’re
going to have to acquire the technology to meet the requirements. They
may stop seeing Medicare patients,
and this will have major implications
for these smaller practices.
Dan also offered that his favorite nonfiction business book is Redefining
Healthcare by Michael E. Porter and
Elizabeth Olmsted Teisberg*. And he
left us with this advice: wherever you
are in the healthcare system, bundling
of care is where we’re going, and smart
healthcare IT is the glue in this process
that will help meet the demands for efficiency and quality. •