
 Becker’s Healthcare Podcast Advancing Non-Surgical Spine Care with Dr. Susan Sorosky
 Nov 3, 2025 
 Dr. Susan Sorosky, a board-certified physiatrist and Chief Medical Officer at Desert Spine and Sports, dives into the pivotal role of regenerative medicine in spine care. She discusses the implications of Medicare's pre-authorization pilot and how it could create delays for patients. Additionally, Dr. Sorosky highlights her fellowship program's impact on training interventional spine physicians and the importance of standardized skills in image-guided procedures. The conversation also touches on trends in non-surgical therapies and collaborative care models with surgeons. 
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Regulatory Pressure Is A Major Headwind
- Rising administrative and reimbursement pressures are a major headwind for growing practices.
 - Medicare pre-authorization pilot will likely increase back-office burden and risk care delays.
 
Proactively Manage Prior Authorization
- Prepare patients and strengthen authorization operations now to reduce surprises and potential delays.
 - Publish transparent cash prices and offer low-cost in-office procedures for patients who cannot wait.
 
Fellowship Grew Into A Recruitment Engine
- Dr. Sorosky and her husband started an accredited interventional spine fellowship in 2011 that grew into a North American Spine Society program.
 - They now train 2–4 fellows yearly and have placed 22 graduates into practice, using the fellowship to recruit aligned physicians.
 
