Orthopedic Care Is Going Global — And HOPCo Is Leading the Way
By Jason Schifman | Host, Analyzing Healthcare | SCALE Community Podcast
In a market where most healthcare platforms focus on 5-year EBITDA targets and volume-based growth, HOPCo is building for the next 50 years — not just the next quarter.
In our latest podcast Jason Schifman (Host, Co-founder & President at SCALE Healthcare) with Dr. David Jacofsky, Chairman and CEO of HOPCo (Healthcare Outcomes Performance Company), explored how one of the largest value-based MSK platforms in the U.S. is transforming orthopedic care globally.
And the takeaway? HOPCo isn’t just an MSO. It’s a global infrastructure, technology, and outcomes company — with clinically integrated networks (CINs), ASC expansion initiatives, and a bold vision for the future of musculoskeletal care.
The Next Phase: Global Orthopedic Healthcare Transformation
HOPCo has moved beyond physician practice management to drive end-to-end orthopedic healthcare transformation. The company’s model integrates:
Value-based MSK care at scale
Ambulatory surgery center (ASC) expansion across U.S. and OUS (UK, Australia, Middle East)
Digital health tools like MyRecovery for post-op tracking, virtual PT, and triage
Global risk contracting models across commercial and Medicare populations
Hospital service line management, driving market share and contribution margin
With rising demand for outpatient joint replacements and ASC development trends accelerating globally, HOPCo’s international focus is timely. In countries like the UK and Australia — where average hospital length of stay for joint replacement is still 5–6 days — HOPCo is pioneering outpatient surgical models already mainstream in the U.S.
From Practice Management to Market Integration
What sets HOPCo apart is its vertically integrated MSK platform. It’s not just about owning practices or facilities. It’s about transforming them — and aligning every stakeholder around outcomes.
HOPCo’s four core verticals:
Physician Practice Management
Hospital Service Line Integration
Value-Based Care Contracting
HOPCo Digital: Tech Solutions & Analytics
This structure allows HOPCo to function as a plug-and-play solution for:
Payers seeking MSK carveouts
Hospitals needing better service line efficiency
Employers looking for direct-to-provider savings
International health systems adopting ASC and value-based models
Standardizing MSK Care — Globally
One of the most underappreciated challenges in global healthcare is care standardization. HOPCo's clinically integrated networks (CINs) take global risk for 26,000+ MSK-related ICD-10 codes. That means full cost accountability — from urgent care visits to post-op recovery — under one umbrella.
What makes that possible?
Deep actuarial and data science infrastructure
Evidence-based protocols shared across international markets
Multilingual tools like MyRecovery, now used in over six languages
Strategic partnerships with therapy providers, employers, and primary care MSOs
Where HOPCo Is Going Next
Jacofsky was candid: “The opportunity outside the U.S. is enormous.”
With value-based MSK care still nascent in many global markets, and ASC models largely untapped, HOPCo is expanding fast into:
🇬🇧 United Kingdom
🇦🇺 Australia
🇩🇪 Germany
🇸🇦 Middle East
HOPCo isn’t just exporting American models. They’re adapting to local best practices, particularly in evidence-based care as seen in NHS models, while introducing scalable ASC infrastructure and real-time analytics.
The Big Picture
HOPCo's evolution offers a preview of what mature specialty platforms can achieve:
✅ MSK care standardization
✅ Scalable CIN governance
✅ International ASC innovation
✅ Direct-to-employer contracting
✅ Integrated tech + service models
And perhaps most important — long-term thinking in a short-term world.
In David Jacofsky’s words, “You always have to provide more value than you attract in the relationship. If you don’t, you won’t be sticky — nor should you be.”
Want more?
Listen to the full episode on Analyzing Healthcare . Follow SCALE Community for future healthcare innovation stories. Share your thoughts below: How is your organization preparing for global specialty care transformation?
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Speakers in Spotlight
Jason Schifman- linkedin.com/in/jasonschifman
David Jacofsky- linkedin.com/in/david-jacofsky-md-4204419