Tahoe Fracture & Orthopedic Medical Clinic, an orthopedic and spine practice based in Carson City, Nevada, has merged with Reno, Nevada-based Spine Nevada to form Nevada’s largest integrated musculoskeletal care platform.
Introducing Nevada’s Largest MSK Platform
The merger will allow Tahoe Fracture to operate under Healthcare Outcomes Performance Company’s (HOPCo) Nevada care network. Additionally, Tahoe Fracture will be able to join Spine Nevada in utilizing HOPCo’s proprietary tools. HOPCo is a largely physician-owned healthcare management company. HOPCo and Spine Nevada recently partnered to form HOPCo Nevada. For OTW’s coverage of the partnership, see “HOPCo Expands Into Nevada.”
OTW discussed the partnership with Jeffrey R. Cummings, M.D., a physician and shareholder of Tahoe Fracture. Dr. Cummings told OTW, “As a strong practice, we wanted to align with the best and most progressive platform that, as a team, will accelerate our growth and advance our ability to lead value-based care programs in this region.”
The integrated group will offer more than 60 care providers and will provide services to patients throughout Reno, Carson City, and Lake Tahoe. Per the press release, the new practice will continue to operate under its existing brands including Tahoe Fracture, Spine Nevada, Swift Urgent Clinic, and Vein Nevada.
OTW also asked Dr. Cummings about the goals for the companies for the remainder of 2021. Dr. Cummings explained to OTW, “We are leveraging this infrastructure to integrate other physicians into the program and are already working with health systems and payors to develop and deploy MSK [musculoskeletal] clinically integrated networks and value-based care platforms for the region and state that improve outcomes and reduces the total cost of care.”
Founded in 1966, Tahoe Fracture provides orthopedic and spine care to patients from its nine Nevada locations. Per its website, its care providers include orthopedic surgeons, a podiatrist, and physical medicine and rehabilitation specialists.
Founded in 2004, Spine Nevada provides spine and musculoskeletal care. Per the press release, the “centers include fellowship-trained neurological surgeons, spine specialists board-certified in physical medicine and rehabilitation, interventional radiologists, specialty-trained physical therapists, physical therapy clinics and InMotion Diagnostics.”

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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