The Power Shift After CON Reform

EPISODE · Feb 24, 2026 · 36 MIN

The Power Shift After CON Reform

from This Week in Surgery Centers · host This Week In Surgery Centers

Dr. Leo Spector, MD, MBA, is the CEO of OrthoCarolina, where he leads strategy across a growing network of ASCs while continuing to practice as a spine surgeon. With decades of experience navigating joint ventures and certificate-of-need restrictions, Dr. Spector brings a physician-leader perspective on what it takes to successfully own and operate ASCs today. In this episode, he shares OrthoCarolina’s journey from hospital joint ventures to wholly owned surgery centers, how CON reform is reshaping growth opportunities, and what independent groups should consider as they evaluate their ownership options.In our news recap, we’ll cover five ways CMS is continuing to impact the ASC industry, two HCA medical centers that sold, cybersecurity concerns around generative AI, and how Amazon's same-day delivery can help your ASC with patient outcomes.One other note: our other host, Alex Larralde, unfortunately, needed to step away from HST so she could help with personal family needs full-time. That means this will be the last episode she’s included in. I’m sure she’d appreciate a kind message from you if you’re up to it.Resources Mentioned: 5 CMS moves shaping the ASC industry Montecito Buys Two HCA Medical Centers How the generative AI boom changes healthcare cybersecurity Amazon Pharmacy to expand same-day delivery to 4,500 citiesBrought to you by HST Pathways.

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The Power Shift After CON Reform

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