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Author Archives: Brian Klepper
Physicians, Health Systems and the Drive For Market Dominance
Brian Klepper Posted 5/23/13 on Medscape Connect’s Care & Cost Blog Several physicians have reached out recently to discuss attractive employment offers from health systems. They are invariably conflicted. They understand the trade-offs, that they’ll give up the autonomy they’ve … Continue reading
On Compassion
Dov Michaeli Posted 5/12/13 on The Doctor Weighs In For Joel Klepper, who can do it all My friend’s son, Joel Klepper, a student at the University of Oregon, sent his father a summary of a talk by the Dalai … Continue reading
Posted in Analytics, Life Sciences
Tagged compassion, Dalai Lama, Dov Michaeli, Joel Klepper
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On Seeing The Dalai Lama
Joel Klepper Brian’s Note: My son Joel is a 34 year old 2nd-round student studying conflict resolution at Portland State University in Oregon. On Saturday, he went to an all day event that featured the Dalai Lama. Here is his … Continue reading
Using Strong Carrots and Sticks To Drive Health Care That Works
Brian Klepper Posted 5/09/13 on Medscape Connect’s Care & Cost Blog On a recent call with a large manufacturer, my company’s team expected to describe how we develop primary care medical homes that become platforms for managing comprehensive health care clinical and financial … Continue reading
Why Aren’t Primary Care Physicians More Ticked off about the RUC? An Interview with Brian Klepper
Brandon Glenn Published 4/30/13 in Medical Economics If primary care physicians have a bigger enemy than the RUC, Brian Klepper, PhD, hasn’t heard about it. The American Medical Association’s (AMA) Relative Value Scale Update Committee (RUC) is a 31-physician panel that wields enormous influence … Continue reading
How Physician Practices Can Prepare for a Health Care Marketplace
Brian Klepper Posted 4/21/13 on Medscape Connect’s Care and Cost Blog What is the path forward for physicians who want to remain in private practice, outside the constraints of health system employment? How will the environment change and what new demands … Continue reading
Seriously Testing The ACO Waters
Brian Klepper Published April 2013 in Accountable Care News If necessity is the mother of invention, then tentativeness and ambiguity are the parents of procrastination. In health care, fee-for-service remains the dominant paradigm, so the ACO movement, lacking almost any … Continue reading
When Employers Get Serious About Managing Health Care Risk
Brian Klepper Posted 4/07/13 on Medscape Connect’s Care & Cost Blog Last week I visited with Gary Rost, an unassumingly knowledgeable man and the Executive Director of the Savannah Business Group (SBG), arguably one of the most effective health care coalitions … Continue reading
The Reality of Health Care Cost
Brian Klepper This beautifully written letter was forwarded after an interview with me on health care cost appeared in a Florida newspaper. Many of us with coverage often think in abstract terms about working families that do not have access to employer-sponsored … Continue reading
Why EHRs Really Haven’t Made Us Healthier: A Response To Glen Tullman
Brian Klepper Recently-fired Allscripts CEO Glen Tullman waxed progressive in a self-promotional Forbes article last week, describing the ways past and forward for electronic health records (EHRs) and health information technology (HIT). He may have been trying to recover from a damning New York … Continue reading
Posted in Analytics, Brian Klepper, Health Care Cost, Health IT, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Politics, Quality, Reform
Tagged Allscripts, Brian Klepper, David Kibbe, Electronic Health Records, Glen Tullman, Health Information Technology, Mark Leavitt
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Truth at the End of Life
Elaine Waples Posted 3/5/13 on TEDMED Most of us have spent some time thinking about our own deaths. We do it with a sense of dreadful curiosity, but then we push it aside with “well, we’ve all got to go sometime.” … Continue reading
A Broader Approach To Managing Health Care Risk
Brian Klepper Posted 2/15/13 on Medscape Connect’s Care & Cost Blog Health care’s purchasers crave certainty. But complexity – and therefore uncertainty – rules. Assurances are hard to come by. The most common question asked by prospective clients of my onsite clinic/medical … Continue reading
The RUC, Health Care Finance’s Star Chamber, Remains Untouchable
Brian Klepper Posted 2/1/13 on The Health Affairs Blog On January 7, a federal appeals court rejected six Georgia primary care physicians’ (PCPs) challenge to the Centers for Medicare and Medicaid Services’ (CMS) 20-year, sole-source relationship with the secretive, specialist-dominated federal advisory … Continue reading
Hospitals: Are We All Talking?
Elaine Waples Complications from my cancer sent me to the hospital again recently. The news that I was in trouble came unexpectedly from my oncologist’s office Thanksgiving eve, following a routine blood test. “Your liver numbers are out of whack.” … Continue reading
Posted in Consumerism, Physicians
Tagged Communicating, Coordination of Care, Elaine Waples, Patients
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