OrthoClear: surgery clearance board for orthopedic practices

Idea Overview

TLDR

Source section: TLDR
01

ProblemOrthopedic practices lose $5,000–8,000 per same-day surgical cancellation, and 5–30% of elective orthopaedic cases are cancelled last-minute. The root cause is rarely the surgeon's schedule — it is missing pre-op clearance documentation, expired prior authorizations, incomplete H&P or cardiac clearance, and payer-rule changes that staff catch too late.

02

SolutionOrthoClear is a morning clearance board that ingests the surgical schedule, checks each case against a multi-layer readiness checklist (prior auth status, H&P, labs, EKG, cardiac clearance, implant pre-cert, patient financial clearance), and surfaces only the cases that are not yet operationally clear. Staff resolve blockers before the day of surgery instead of discovering them at the pre-op phone call.

03

Market opportunity30,000+ orthopedic practices in the US perform ~7M elective surgeries annually. The orthopedic software market is valued at $4.2B (2025) growing at 5.9% CAGR. At $200–500/provider/month, OrthoClear targets a $300M+ SAM within the pre-surgical operations layer that no incumbent practice management system adequately covers.

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