Category Archives: Brian Klepper

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

Rate this:

Posted in Analytics, Brian Klepper, Health Care Cost, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Politics | Tagged , , , , , | 2 Comments

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

Rate this:

Posted in Analytics, Brian Klepper, Conflicts of Interest, Health Care Cost, Innovation, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Politics, Quality | Tagged , , , , | 6 Comments

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

Rate this:

Posted in Benefits, Brian Klepper, Consumerism, Health Care Cost, Innovation, Market Dynamics, Medical Management, Policy/Law/Regulation, Politics, Quality, Special, Tools | Tagged , , , | 5 Comments

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

Rate this:

Posted in Benefits, Brian Klepper, Consumerism, Health Care Cost, Market Dynamics, Policy/Law/Regulation | Tagged , , , | Leave a comment

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

Rate this:

Posted in Brian Klepper, Analytics, Health IT, Policy/Law/Regulation, Market Dynamics, Medical Management, Quality, Reform, Physicians, Politics, Health Care Cost | Tagged , , , , , , | 3 Comments

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

Rate this:

Posted in Brian Klepper, Special | Tagged , , | 15 Comments

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

Rate this:

Posted in Analytics, Benefits, Brian Klepper, Health Care Cost, Market Dynamics, Medical Management, Physicians | Tagged , , , , , | 5 Comments

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

Rate this:

Posted in Brian Klepper, Conflicts of Interest, Health Care Cost, Market Dynamics, Physicians, Policy/Law/Regulation, Politics, Quality, Reform | Tagged , , , | 1 Comment

Them, Not Us

Brian Klepper Posted 1/7/13 on Medscape Connect’s Care and Cost Blog “How many businesses do you know that want to cut their revenue in half? That’s why the healthcare system won’t change the healthcare system.” Rick Scott, Governor of Florida Former … Continue reading

Rate this:

Posted in Analytics, Benefits, Brian Klepper, Conflicts of Interest, Health Care Cost, Medical Management | Tagged , , , , , | 2 Comments

Following the Money

Brian Klepper Posted 12/06/12 on Medscape Connect’s Care & Cost Blog On The Health Care Blog, veteran analyst Vince Kuraitis reviews a report from the consulting firm Oliver Wyman (OW), arguing that the trend toward reconfiguring health systems to deliver more accountable care is … Continue reading

Rate this:

Posted in Analytics, Brian Klepper, Health Care Cost, Market Dynamics, Medical Management, Policy/Law/Regulation, Politics, Quality, Reform | Tagged , , , , , | 1 Comment

How Primary Care Became the Job Nobody Wanted (and How To Fix It))

Brian Klepper Posted 11/21/12 on Medscape Connect’s Care & Cost Blog Here a link on SlideServe to my plenary presentation on CMS’ relationship with the AMA’s Relative Value Scale Update Committee (RUC), and how/why it has undermined American primary care. … Continue reading

Rate this:

Posted in Brian Klepper, Health Care Cost, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Reform | Tagged , , , | 1 Comment

Irresistible Forces

Brian Klepper Posted 10/28/12 on Medscape Connect’s Care & Cost Blog At our first meeting years ago, Tom Emerick, Walmart’s then VP of Global Benefits, told me, “No industry can grow indefinitely at a multiple of general inflation. It will … Continue reading

Rate this:

Posted in Analytics, Brian Klepper, Conflicts of Interest, Health Care Cost, Market Dynamics, Medical Management, Policy/Law/Regulation, Politics, Quality, Reform | Tagged , , , | 1 Comment

Walmart Moves Health Care Forward Again

Brian Klepper Posted 10/12/12 on Medscape Connect’s Care & Cost Blog Walmart’s sheer size makes almost any of their initiatives newsworthy. That said, despite being a lightning rod for criticism on employee benefits and health care, they have introduced initiatives with … Continue reading

Rate this:

Posted in Analytics, Benefits, Brian Klepper, Consumerism, Health Care Cost, Market Dynamics, Medical Management, Physicians | Tagged , , , , | 9 Comments

Are You Ready for Intense Price Competition?

Note from Brian: The article below describes my recent keynote address to a large meeting of imaging center administrators, and appears in the Sept 2012 Radiology Today. I’m reposting it because it accurately reflects, in depth, the message that I tried … Continue reading

Rate this:

Posted in Brian Klepper, Health Care Cost, Imaging, Market Dynamics, Medical Management, Policy/Law/Regulation, Politics, Tools | Tagged , , , , , | 4 Comments

Strengthening Primary Care With a New Professional Congress

Brian Klepper Posted 10/01/12 on Medscape Connect’s Care & Cost Blog Three months ago a post on this blog argued that America’s primary care associations, societies and membership groups have splintered into narrowly-focused specialties. Individually and together, they have proved unable to resist decades … Continue reading

Rate this:

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