Becker’s Healthcare Podcast EJ Ledesma, Chief Executive Officer of 360 Orthopedics
Nov 13, 2025
In this conversation, EJ Ledesma, CEO of 360 Orthopedics, shares insights from his leadership of a midsize orthopedic practice. He highlights the transformative role of AI in enhancing patient access and operational efficiency. EJ discusses the rising trend of outpatient procedures and innovative revenue strategies, including launching a vein program and developing affiliate partnerships for smaller practices. He emphasizes the importance of prioritizing patient care while navigating the complexities of reimbursement in the evolving healthcare landscape.
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Three Macro Trends Reshaping Orthopedics
- AI, outpatient shift, and revenue diversification are reshaping orthopedics and ASCs.
- Market specifics like CON rules and system dominance change how these trends play out locally.
Apply AI To Improve Access And Experience
- Use AI to improve patient access and the in-clinic experience by automating scheduling, authorizations, and call-center responses.
- Prioritize customer-facing AI that reduces wait times and frees providers for better face-to-face interactions.
Prioritize Case Value Over Volume
- Focus on quality of earnings per case rather than raw volume when managing ASC partnerships.
- Optimize case mix and margins to prefer fewer high-margin cases over high-volume low-margin throughput.