Author Archives: Brian Klepper

About Brian Klepper

Brian Klepper is a health care analyst, commentator and a Principal in Health Value Direct.

Florida’s Governor Scott and the Public’s Trust

Brian Klepper Originally Posted 1/17/16 on The Doctor Weighs In A CNN investigation by Elizabeth Cohen and Katherine Grise asserts that Florida Governor Rick Scott’s administration has scuttled longstanding state hospital quality standards after two Republican political groups received large contributions … Continue reading

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Why Does The FDA Approve Cancer Drugs That Don’t Work

BRIAN KLEPPER Posted 10/23/15 on The Health Care Blog A new study in JAMA Internal Medicine finds that two-thirds of cancer drugs considered by the US Food and Drug Administration (FDA) over the past five years were approved without evidence that … Continue reading

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Posted in Analytics, Brian Klepper, Conflicts of Interest, Health Care Cost, Innovation, Life Sciences, Market Dynamics, Policy/Law/Regulation | Tagged , , | 3 Comments

Is Oncology Ground Zero For Reform?

…cancer professionals – physicians, researchers and society execs – have felt uncomfortably complicit with a paradigm that too often extracts exorbitant sums of money for miniscule clinical benefit. Continue reading

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The Goose and the Elephant

…striving for ever-higher earnings, drug companies large and small are relentlessly increasing pricing on old and new drugs because they can. They can because the industry successfully deployed lobbyists who persuaded a receptive Congress to heavily favor their interests, spinning laws away from regulatory controls and toward payment at any price. These circumstances, nurtured by pharma itself, make a 55-fold price increase possible and legal, if outrageous. And that’s the elephant in the room. Continue reading

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The Case for High Performance Health Care

Brian Klepper Posted 9/25/15 on The Employee Benefit News Blog Note to would-be health care reformers: don’t bother trying to drive change through policy, because you’re vastly outgunned. The industry you would reform owns Congress and the legislatures. Nearly every … Continue reading

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Will Specialty Drug Pricing Be The Straw?

Published 5/27/15 in Employee Benefit News Over the next few years, drug manufacturers will release a host of new drugs that are more complex and, in many cases, more effective than we’ve had access to in the past. There will be … Continue reading

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Posted in Analytics, Benefits, Brian Klepper, Health Care Cost, Innovation, Life Sciences, Market Dynamics, Medical Management, Policy/Law/Regulation, Politics, Quality | Tagged , , | Leave a comment

Marcus Welby, Dr. House and the Wizard of Oz

Elaine Waples At a recent dinner party my husband and I joined two other couples in a lively discussion on the frustrations of American health care. We rounded up the usual suspects: cost, quality, access, politics, and broken systems. At … Continue reading

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Elaine-Waples Klepper (Sept. 3, 1946 – Nov 22, 2014)

On Saturday, my precious wife Elaine finally succumbed to a long, protracted battle with  cancer. Below is her obituary, and I’ll also re-run several wonderful health care articles that she wrote over the past few years. Here is her obituary. … Continue reading

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Will Employers Favor Private Exchanges Over Coverage Sponsorship?

Brian Klepper Originally posted 10/17/14 on The Health Affairs Blog Over the past couple years, health care exchanges probably have consumed more of corporate benefits managers’ time and psychic energy than any other topic. An outstanding question is whether the rank … Continue reading

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Developing a Coordinated, Considered Response to Predatory Health Care

Brian Klepper Posted 9/21/14 on the NBCH Newsletter Blog In today’s New York Times, Elizabeth Rosenthal describes the growing and egregious over-treatment and overpricing practices by physicians and health systems, abetted by health plans. The excesses detailed in this article … Continue reading

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Posted in Analytics, Conflicts of Interest, Health Care Cost, Medical Management, Physicians, Policy/Law/Regulation, Quality | Tagged , , | 6 Comments

How Business Can Save America from Health Care

Brian Klepper Published 6/09/14 in Employee Benefit News One of America’s most enduring mysteries is why the organizations that pay for most health care don’t work together to force better value from the health care industry. We pay double for health … Continue reading

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Posted in Analytics, Benefits, Brian Klepper, Conflicts of Interest, Health Care Cost, Market Dynamics, Medical Management, Policy/Law/Regulation, Politics | Tagged , , | 5 Comments

Would A Single Payer System Be Good For America?

Brian Klepper On Vox, the vivacious new topical news site, staffed in part by former writers at the Washington Post Wonk Blog, Sarah Kliff writes how Donald Berwick, MD, the recent former Administrator of the Centers for Medicare and Medicaid Services and the … Continue reading

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Posted in Benefits, Brian Klepper, Conflicts of Interest, Health Care Cost, Medical Management, Policy/Law/Regulation, Politics | Tagged , , , , | 4 Comments

Klepper Interview, Midwest Business Group on Health Conference, Chicago, 4/30/14

http://www.hhnmag.com/display/HHN-news-article.dhtml?dcrPath=/templatedata/HF_Common/NewsArticle/data/HHN/Daily/2014/May/050114-weinstock-employers-valuebased

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Klepper Interview – World Health Care Congress 4/07/14, DC

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Getting Beyond Fee-For-Service

Brian Klepper Posted 12/02/13 on Medscape Connect’s Care and Cost Blog The catchy title of a recent Harvard Business Review Blog post, The Big Barrier To High Value Health Care: Destructive Self-Interest, suggested that the Institute for Healthcare Improvement (IHI) is forging arrangements … Continue reading

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Posted in Benefits, Brian Klepper, Conflicts of Interest, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Politics, Quality, Tools | Tagged , , , , | 6 Comments