Earlier this month, the private practice physicians who were behind the creation of The Centers for Advanced Orthopaedics (CAO) launched MedVanta.
CAO Founders Launch MedVanta
CAO is one of the largest and most prominent independent groups of orthopedic surgeons in the country with approximately 57 locations in and around the Baltimore/Washington, DC area.
As of the day of its launch, because of its ability to leverage CAO’s existing network, according to the company, MedVanta became “the nation’s largest physician-owned and operated musculoskeletal management services organization (MSO).”
MedVanta is a new venture focused on preserving private practice medicine. However, the team responsible for MedVanta has nearly a decade of experience from building and expanding CAO.
OTW chatted with MedVanta President Nicholas Grosso, M.D. about the lessons he learned from CAO and how he is going to bring those to MedVanta. Dr. Grosso told OTW, “I like to say that MedVanta is a brand-new company with nine years of experience. We are bringing all the lessons learned from launching and growing CAO over the past nine years forward into MedVanta.”
Dr. Grosso continued, “We understand and support the private practice model of care delivery, and we are hyper focused on preserving the independent practice of medicine while increasing efficiency for musculoskeletal providers.”
“We have seen and solved many of the challenges facing large integrated musculoskeletal groups. We pioneered a unique Revenue Cycle that was the first of its kind, and we created our own Centralized Billing Company that meets or exceeds all MGMA [Medical Group Management Association] benchmarks.”
“Most recently, CAO transitioned from 14 different EMR/PM systems to a single EMR system. These and many, many other CAO initiatives have given our leaders and our team invaluable experience that we believe will serve MedVanta and all its clients well.”
According to the company, its solutions are “designed by independent physicians, for independent physicians.” Its suite of services includes care navigation, centralized billing and revenue cycle management, compliance and legal, value-based care design, and much more.
OTW also spoke with MedVanta’s Chief Transformation Officer Subir Jossan, M.D. about what sets MedVanta apart from its competitors. Dr. Jossan explained to OTW, “MedVanta is unique to the market in that it is totally physician-owned and operated, allowing private practices working with MedVanta to retain their independence and not become answerable to financiers or hospital administrators. Instead, it’s doctors working with doctors to provide the highest quality, most efficient care for patients.”
Dr. Jossan continued, “We are uniquely positioned to leverage our knowledgeable management team that has gained significant experience over nine years to manage both fee-for-service and risk-based medicine. Lastly, individual physicians within private practice groups working with MedVanta can acquire equity in the company. Our philosophy is that all physicians, not just those who started the company, should benefit from any financial success that MedVanta may achieve.”

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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