OrthoNOW is building a network of immediate orthopedic care centers and OrthoNOW Doral is the flagship location.
Dr. Alejandro Badia, an orthopedic surgeon, OrthoNOW Founder and Chief Medical Officer, was frustrated seeing patients for the first time long after their injury, sometimes a month later. That’s because they often went to the emergency room or a general urgent care center first.
Too often, by the time the patients were referred to him, the injury worsened because it didn’t have the right attention early on. And patients wasted a lot of time and money seeing general doctors when what they needed was a specialist, he said.
That’s why five years ago he started OrthoNOW in Doral, a specialized walk-in orthopedic urgent care center for assessing and treating a range of orthopedic and sports injuries. Now OrthoNOW is licensing the concept, with territories available across the United States and abroad.
“Why would you go to the hospital for an ankle sprain?” Badia asked. He hopes consumers will ask themselves that, too, the next time they trip while jogging, get hurt at work, or tend to their children’s injuries. “We are an extremely reasonable alternative to emergency rooms. These injuries just happen, and you can’t plan on it,” he said.
The appeal: While an ER visit could mean a four-hour wait in the waiting room, OrthoNOW says it can be treating a patient in 80 minutes or less.
Patients can even use our free app that will herald the center, and we will be waiting for them with the X-ray machine ready,” said Badia, speaking about the “On My Way NOW” feature.
OrthoNOW accepts most major insurance plans, including Medicare and Medicaid. For the uninsured, an ankle sprain could easily end up costing more than $800 going to the ER, whereas it could be well significantly less at OrthoNow, said Justin Irizarry, OrthoNOW’s chief financial officer. And while there are some excellent urgent care centers, they likely won’t have the orthopedic specialists that OrthoNOW has, Badia said.
The model
OrthoNOW Doral is 3,000 square feet and part of a 14,000-square-foot facility that also includes Badia’s practice and surgery center. While most of the franchises are about 2,400 square feet, the Doral facility is equipped to be a model for the company with state-of-the-art equipment, Badia said while giving a tour of the facility.
In May, for instance, the Doral location added OrthoNOW Rehab, a room of treatment stations that was very active on a recent weekday. “It’s been proven that care is vastly improved when therapy is conducted in the same facility, and it is unusual to find an orthopedic urgent care center that offers all these services under the same roof,” Badia said when the new feature was announced.
By integrating the clinic with a rehab center, orthopedic surgeons and specialists are able to track patients from the moment they come to the center through to recovery. Services include anything related to the foot, ankle, knee, hip, wrist, elbow, shoulder and spine. The center also offers Electro Neuro Muscular Therapy (ENMT), which alleviates acute and chronic pain.
“It’s traditionally used by elite athletes. In a nutshell, what it does is get to the origin of the pain. This technology works at the nerve level,” Badia said. OrthoNOW has been demonstrating the technology at events and will be at the upcoming Miami Iron Man.
It was at a CrossFit event, on a day when he had lower back pain, where Omar F. Cordero first tried out the ARPwave: He said he felt better nearly immediately. So when he experienced acute shoulder pain recently, he went to OrthoNOW Doral. A few treatments later, he was feeling almost 100 percent better.
“I train a lot; I put my body through a lot of physical demands,” said Cordero, who owns and runs StrongerRX. “I love the way OrthoNOW can take care of you. They know what they are doing, and they are results-oriented. They put a plan in place, and you follow the plan.”
Hardcore trainers like Cordero, as well weekend warriors, are one of OrthoNOW’s key target markets, but a growing area of focus is workers’ comp casesBadia said Miami-Dade County has recently included OrthoNOW as one of the places employees can go at the time of injury. That could save the county $9.7 million yearly, according to his calculations.
Market size
To be sure, the market is large. Work-related musculoskeletal disorders accounted for a third percent of all injury and illness cases in 2013, according to the Bureau of Labor Statistics, and have been estimated to cost the U.S. economy $45 billion to $54 billion annually. Orthopedic urgent care centers are beginning to proliferate around the country — there are more than 170 of them, but most are independent players or units attached to practices. Badia believes OrthoNOW is the first franchised brand.
The general urgent care industry is exploding, too, growing into a $17 billion industry this year, with an average growth rate of 8.1 percent, according to IbisWorld research. It is also a fragmented marketplace with few big players.
Badia’s idea for OrthoNOW was actually born out of a failed franchise attempt. A year after he opened his surgical practice, Badia Hand to Shoulder Center, in Doral in 2008, he became a franchisee of DoctorsNow. The franchise didn’t work out.
While he wanted to focus on orthopedic injuries, “the franchise was focused on general urgent care centers and the concept of ortho urgent care hadn’t evolved at that time,” he said. “But that was pretty valuable for me to be a franchisee and see it from that perspective.”
Badia closed that business in 2010 and reopened later that year as OrthoNOW in Doral.
Irizarry joined OrthoNOW about that time to work with Badia “to perfect the OrthoNOW model to get it cash-flowing and profitable.” In 2013 and 2014, Irizarry, who has an MBA from the University of Pennsylvania’s Wharton School, has been sharply focused on getting the franchise model off the ground. He began commercializing it this year.
OrthoNow’s Doral location, at 3650 NW 82nd Ave. in Doral, has about 15 employees, including doctors, physician assistants and nurse practitioners trained in sports medicine and orthopedics. It also has partner surgeons in specialties such as foot, spine and elbow. One of the biggest challenges has been public awareness because people and workplaces don’t realize an ortho-specific urgent care facility is out there, said Irizarry.
Looking forward
NOW is the time for orthopedic leaders and innovators to step forward and collaborate to drive change in our healthcare industry. Get the licensing agreement you need.
Follow Nancy Dahlberg on Twitter @ndahlberg.
OrthoNOW Licensing
OrthoNOW is the first immediate orthopedic care licensing opportunity in the nation. Territories available across the United States and abroad.
- Founder and CEO: Dr. Alejandro Badia.
- Flagship location: 3650 NW 82nd Ave., Suite 201, Doral
- Number of employees (Doral location): 15.
Awards and honors: Legacy Award by the Doral Business Council; ‘Top 100 Power Leaders in Healthcare’ by the South Florida Business Journal, ‘Top 100 Under 50 Diverse Executive Leader’ by Diversity MBA Magazine; ‘Top Ten Franchise Opportunity’ in healthcare by Entrepreneur magazine; Legacy Award by Today’s Work Comp Professionals.
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