Nailed It Ortho

OrthoBzi 24: How Ambulatory Surgery Centers (ASCs) Work w/ Dr. Spector


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Orthopedic surgery is in the middle of a quiet but powerful shift. Procedures that once required hospital admission are increasingly being performed in Ambulatory Surgery Centers (ASCs), and this change is transforming patient experience, physician autonomy, and the business of orthopedic care.

In our latest podcast episode, Dr. Spector joins us to discuss why ASCs are becoming a dominant force in modern orthopedics. In this episode, we break down:

  • Why more orthopedic procedures are moving out of hospitals.

  • How ASCs are transforming patient experience, efficiency, and recovery.

  • OrthoCarolina's bold strategy to double down on ASCs and physician-led care.

  • The real financial differences between ASCs and hospitals for patients, insurers, and providers.

  • Certificate of need, and the role it plays in ASCs.

  • How ASCs and hospital partnerships work.

A board-certified fellowship-trained Orthopedic spine surgeon, Dr. Spector has enjoyed a 17-year tenure with OrthoCarolina, holding multiple leadership positions, including Chief Executive Officer, Chief Quality Officer, member of the Executive Committee, chairman of the Quality/Value Committee, and co-fellowship director at the OrthoCarolina Spine Center. In 2020, Dr. Spector earned his MBA from Duke University Fuqua School of Business and was previously selected to participate in the American Orthopedic Association Leadership Program, conducted in collaboration with the University of Chicago Booth School of Business. Dr. Spector currently serves as a Board Member of the Lumbar Spine Research Society and previously held the position of President of the North Carolina Spine Society.

Dr. Spector began serving as CEO of OrthoCarolina in 2024. Dr. Spector has continued to practice orthopedic surgery while active as the OrthoCarolina CEO.

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