{"podcast":{"title":"AAOS Now Podcast","slug":"aaos-now-podcast-1219022","podcast_index_feed_id":1219022,"rss_url":"https://feeds.megaphone.fm/aaos-advocacy","website_url":"https://www.aaos.org/publications/the-bone-beat-orthopaedic-podcast-channel/the-bone-beat-advocacy-podcast/","image_url":"https://megaphone.imgix.net/podcasts/114d8b04-edc2-11ec-89f9-c3b636f467e4/image/d676b1b6b10871304b24e24cddb9d561.png?ixlib=rails-4.3.1&max-w=3000&max-h=3000&fit=crop&auto=format,compress","author":"AAOS","episode_count":70,"summary":"The AAOS Now podcast is a monthly series that spotlights hotly debated issues and controversial trends in orthopaedic surgery. Each episode presents nuanced perspectives to inspire further discourse, inform your decision-making — and maybe even change your mind. Part of The Bone Beat Orthopaedic Podcast Channel. Brought to you by the American Academy of Orthopaedic Surgeons and the American Association of Orthopaedic Surgeons.","last_synced_at":"2026-09-12T08:17:20.673978+00:00","page_url":"https://stenobird.com/podcast/aaos-now-podcast-1219022"},"episode":{"title":"#54 The Real-World Cost of Payment Reform for Orthopaedic Surgeons","slug":"54-the-real-world-cost-of-payment-reform-for-orthopaedic-surgeons","published_at":"2025-06-10T10:00:00+00:00","page_url":"https://stenobird.com/podcast/aaos-now-podcast-1219022/54-the-real-world-cost-of-payment-reform-for-orthopaedic-surgeons","show_page_url":"https://stenobird.com/podcast/aaos-now-podcast-1219022","url":"https://www.podtrac.com/pts/redirect.mp3/traffic.megaphone.fm/DHT1086044450.mp3?updated=1749495929","audio_url":"https://www.podtrac.com/pts/redirect.mp3/traffic.megaphone.fm/DHT1086044450.mp3?updated=1749495929","summary":"This episode explores the ongoing challenges and potential solutions surrounding Medicare physician payment reform and the sustainability of orthopedic practices. Dr. Robert Orfaly, editor in chief of AAOS Now, is joined by Dr. Adam Bruggeman, Chair of the AAOS Advocacy Council, to discuss the history of payment models from the sustainable growth rate (SGR) to MACRA, the impact of budget neutrality, and the consequences of stagnant reimbursement rates. Dr. Bruggeman shares insights into how these financial pressures are threatening the viability of independent and group practices, driving consolidation, and affecting patient access to care. The conversation highlights current advocacy efforts to secure inflationary updates for physician payments and emphasizes the importance of physician engagement and storytelling in influencing health policy. Host: Robert Orfaly, MD, Editor in Chief, AAOS NowGuest: Adam Bruggeman, MD, Chair, AAOS Advocacy Council","meta_description":"This episode explores the ongoing challenges and potential solutions surrounding Medicare physician payment reform and the sustainability of orthopedic pr…","key_points":[],"chapters":[],"topics":[],"duration_seconds":1458,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/aaos-now-podcast-1219022/episodes/54-the-real-world-cost-of-payment-reform-for-orthopaedic-surgeons/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/aaos-now-podcast-1219022/54-the-real-world-cost-of-payment-reform-for-orthopaedic-surgeons.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}