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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.

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Center for Cognitive Health
4 Westchester Park Drive, Suite 325
West Harrison, NY 10604
(914) 618-4446
https://www.cognitive-centers.com/

Dr. Abrahams developed an interest in Cognitive Treatment since as a Neurosurgeon he commonly evaluates concussion patients. Although concussion is on the rise within contact sports, there still remains a question regarding the best treatment options for the condition. In addition, after the Covid Pandemic, patients began complaining of Brain Fog and related cognitive ailments. Over the past year, he researched the area in preparation for the launch of a new and innovative program.

This past September, Dr. Mark Herceg, a clinical Neuropsychologist with a background in Traumatic Brain Injury (TBI), was hired as a Co-Director with Dr. Abrahams. The Center evaluates a number of different patient profiles besides TBI and Concussion. This includes those patients with mild cognitive impairment secondary to brain tumors, stroke, cancer, cardiovascular disease, multiple sclerosis, seizure disorders, dementia, Alzheimer’s disease, and Parkinson’s disease to name some of the more common ones.

He also recruited Dr. Timonthy Pulverenti who obtained his doctorate in Neuromodulation and was hired as Director of Research and Data Science. Dr. Pulverenti manages testing modalities, data acquisition, and Neuromodulation research in all new patients evaluated by the Center.

The program offers evaluations from a Neurobehavioral and Neuropsychological perspective. Patients are then entered into a full testing program and depending on their results, can be remediated through a computer therapy program in the office or at home.
This is one of the first programs in the region and we are looking to expand north to Poughkeepsie and east to Stamford, CT. The Center is focused on data and providing the best care models available with a goal of making as much of the care remote to make it easier on patients who may not have transportation to the center.

Please call (914) 618-446 or email [email protected] for questions, appointments or referrals.

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Previously, Dr. Abrahams was President of Brain & Spine Surgeons of New York growing the practice from 6 providers to 26 providers over 7 years. The changing healthcare environment and rising costs made it difficult to support such a large group, and he decided to create his own practice.

In conjunction with NYBASS, he will direct the Brain & Spine Research Institute to continue to collect and analyze their outcome data. He recently hired a director of the Institute to manage the data research and develop the overall program to compete with other larger institutions.

As the practice develops, it will integrate a 24-hour communication portal into the website for patients to contact their team for any urgent matters. In addition, the website will soon have features allowing easy access to the patient’s chart for your medical information.

Dr. Abrahams brings over 20 years of experience taking care of complex problems in patients who fail conservative treatment. The practice focused on the disorders of the brain and spine, and has developed specialty programs in the Cervical Center, Lumbar Center, and the Center for Cognitive Health. Patients can reach the new office using the same phone number, (914) 948-3008, or email at [email protected] for further information. The practice will remain at the current location, 4 Westchester Park Drive, Fourth Floor, West Harrison, NY.

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The Ignite Healthcare Network, a nonprofit organization, supports female entrepreneurs in the health tech industry and held its competition on November 9th at the Ion in Houston. It featured 19 accelerated startup leaders, presenting to an audience of judges and esteemed guests.

Dr. John M. Abrahams founded the Company with Weiliam Chen, Ph.D. in 2006 to develop hydrogels in surgery. To date, they with company have filed over 10 patents related to their technology.

EndoMedix, based in New Jersey, was selected as one of the eight exceptional finalists amid tough competition. Modak presented the PlexiClotTM Absorbable Hemostat technology, which was developed to address pressing clinical needs, demonstrating the promise it holds for improving surgical outcomes in critical brain and spinal procedures.

“We are delighted to have been part of Ignite Healthcare Network’s annual Fire Pitch Competition,” Piyush Modak said. “It was an enriching experience sharing the stage with such incredible health tech startups, all working towards making a significant impact on healthcare. We believe that the PlexiClotTM Absorbable Hemostat has the potential to revolutionize the future of biosurgery devices and patient outcomes. This recognition reaffirms our commitment to make that future a reality.”

EndoMedix is dedicated to developing high-quality, innovative products that can fundamentally change surgical procedures for the better.

For more information about EndoMedix and PlexiClotTM Absorbable Hemostat, visit https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fwww.endomedix.com&c=E,1,1OlUyHCX7QGQPR5dX3mHhzpktzB8tCayiUS1Jaf0zr2a0EK3gP8JfvZwGi3LNtnNq91fxz_Ko2ZuC6fLXa1L9GJlUj0PpScIBTaWyZYTZRAcIc,&typo=1

About EndoMedix: EndoMedix, based in New Jersey, is a health tech startup developing engineered biosurgery devices providing solutions to unmet clinical needs. Their premier device, PlexiClotTM Absorbable Hemostat is set to change the field of brain and spinal surgeries.

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