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Industry Landscape
The orthopedic healthcare industry is experiencing significant growth driven by an aging population, rising prevalence of musculoskeletal disorders, and advancements in medical technology. There's a strong emphasis on personalized care, minimally invasive procedures, and comprehensive rehabilitation. Telemedicine and urgent care clinics are expanding access, while value-based care models are influencing reimbursement. Competition is high with integrated health systems and specialized clinics vying for market share, especially in urban centers.
Total Assets Under Management (AUM)
Orthopedic Devices Market Size in United States
~Approximately $50 billion USD
(5-7% CAGR)
Driven by an aging population and increasing demand for joint replacements. Advances in biomaterials and surgical techniques are also key factors. Growing prevalence of sports injuries fuels demand for related orthopedic devices.
Total Addressable Market
350 billion USD
Market Growth Stage
Pace of Market Growth
Emerging Technologies
AI-Powered Diagnostics & Treatment Planning
AI and machine learning are enabling more accurate diagnosis, personalized treatment plans, and predictive analytics for patient outcomes in orthopedics.
Augmented Reality (AR) in Surgery
AR technologies provide surgeons with real-time, overlayed anatomical data and guidance during complex orthopedic procedures, enhancing precision and reducing invasiveness.
3D Printing of Custom Implants
Additive manufacturing allows for the creation of patient-specific orthopedic implants and prosthetics, leading to better fit, reduced complications, and improved functional outcomes.
Impactful Policy Frameworks
CMS Medicare Physician Fee Schedule (MPFS) Final Rule (e.g., 2024)
The Centers for Medicare & Medicaid Services (CMS) annually updates the MPFS, which dictates reimbursement rates for physician services, including orthopedic procedures and telehealth services.
Changes in MPFS directly affect the revenue and profitability of orthopedic centers like DMOS by altering reimbursement for services provided to Medicare patients.
21st Century Cures Act (2016) - Information Blocking Rule
This act, particularly the information blocking rule, mandates that healthcare providers facilitate the electronic exchange and access of health information, preventing practices that obstruct patient access to their data.
DMOS must ensure its systems and processes comply with rules for patient data access and interoperability, impacting their digital health infrastructure and patient portal functionalities.
Medicare Access and CHIP Reauthorization Act (MACRA) (2015)
MACRA established new ways to pay clinicians for quality and value, moving away from fee-for-service through programs like the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs).
DMOS's reimbursement and operational strategies are influenced by MACRA's emphasis on quality measures, patient outcomes, and cost efficiency to maximize their Medicare payments.
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