DISC Sports & Spine Center Blog

How Outpatient Orthopedic Care Is Evolving: Insights from Dr. Brett Shore

Written by discmdgroup | Aug 14, 2025 5:09:23 PM

At the 22nd Annual Spine Orthopedic and Pain Management Conference, Dr. Brett Shore — a leading sports medicine orthopedic surgeon at DISC Sports & Spine Center and founder of Shore Orthopedics — shared valuable insights on the future of orthopedic care.

From shifting procedures to outpatient settings, to staffing strategies and payer partnerships, here’s what Dr. Shore sees ahead for the field — and what it means for patients and providers alike.

PODCAST: Dr. Brett Shore on Becker's Healthcare Podcast

Moving More Procedures to Outpatient Settings

Advancements in minimally invasive techniques have transformed how and where patients recover. Dr. Shore noted:

“It’s clear that more and more procedures are being moved to the ambulatory setting. I think back to some of the surgeries that were two to three night or more overnight stays when I was in my training … and now a lot of those surgeries [are] done as twenty-three-hour observation or same-day discharges.”

- Dr. Brett Shore

This shift allows patients to heal at home, often with faster recoveries and lower costs, which is a win for patients and payers alike.

Meeting Staffing and Anesthesia Challenges

Orthopedics is particularly well-positioned to benefit from the outpatient shift. Dr. Shore shared:


“Orthopedics is in some ways going to be a leader and a pioneer in bringing the majority of surgeries into the ambulatory setting — both as a way to improve patient outcomes, but also to reduce healthcare costs associated with inpatient stays.”

- Dr. Brett Shore

By embracing newer techniques and innovative care models, orthopedic practices can help deliver value while maintaining excellent patient outcomes.

Smart Partnerships Benefit Everyone

Another key trend: stronger partnerships between surgery centers and insurance providers.

“When you can provide safe and effective care at a cost savings for the surgery center and the insurance company and also improve physician reimbursement … then it ends up being a really promising development in the ambulatory surgery model.”

- Dr. Brett Shore

Collaboration and alignment across all stakeholders can ensure that quality care stays affordable — and sustainable.


The Medicare Challenge

One challenge Dr. Shore highlighted is how Medicare reimbursement impacts outpatient care:

“Understanding how to incorporate — or choosing not to incorporate — Medicare into the ambulatory model … is going to be critical for the success of surgery centers going forward.”

- Dr. Brett Shore

Balancing access and financial sustainability will remain an important consideration for leaders across the field.

Looking Ahead

Dr. Shore’s perspective is clear: the future of orthopedic surgery is increasingly outpatient, patient-centered, and built on collaboration. Practices and centers that adapt with smart staffing, innovative partnerships, and a focus on value will be best positioned to thrive — and deliver the highest quality care to the patients who count on them.