Category Archives: Innovation

DOTmed – An Interview with Brian Klepper

Loren Bonner , DOTmed News Online Editor August 15, 2013 DMN: After Steven Brill’s blockbuster article in Time Magazine came out a few months ago, it feels like everyone is interested to know the real scoop on hospital pricing and what’s … Continue reading

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

How TPAs Can Win

Brian Klepper Published August 1, 2013 in the Self-Insurer One of health care’s deeper mysteries is why third party administration (TPA) firms remain minor health plan players and, to a large degree, have been all but uncompetitive with the major … Continue reading

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Posted in Analytics, Benefits, Brian Klepper, Conflicts of Interest, Health Care Cost, Innovation, Market Dynamics, Medical Management, Quality | Tagged , , , , , | Leave a comment

Why Congress Should Pass The Accuracy In Medicare Physician Payment Act

Brian Klepper and Paul Fischer Posted 8/09/13 on The Health Affairs Blog With the recent release of two mainstream exposes, one in the Washington Post and another in the Washington Monthly, the American Medical Association’s (AMA) medical procedure valuation franchise, the Relative Value … Continue reading

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Posted in Analytics, Brian Klepper, Conflicts of Interest, Health Care Cost, Innovation, Market Dynamics, Physicians, Policy/Law/Regulation, Politics, Quality | Tagged , , , , , | Leave a comment

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

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Posted in Health Care Cost, Innovation, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Politics, Quality, Reform | Tagged , , , , , , , , | 2 Comments

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

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Posted in Benefits, Conflicts of Interest, Health Care Cost, Innovation, Market Dynamics, Medical Management, Policy/Law/Regulation, Quality | Tagged , , , , , , | 4 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

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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

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

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Posted in Analytics, Conflicts of Interest, Health Care Cost, Innovation, Medical Management, Politics, Quality, Reform | Tagged , , , , | 2 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

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Posted in Benefits, Brian Klepper, Consumerism, Health Care Cost, Innovation, Market Dynamics, Medical Management, Policy/Law/Regulation, Politics, Quality, Special, Tools | Tagged , , , | 6 Comments

When Employers Collaborate To Manage Health Care Costs

Brian Klepper Published 12/09/12 in the Eau Claire, WI Leader-Telegram Note from Brian: This piece appeared last weekend in the Eau Claire, WI newspaper, and was written with the encouragement of employers in that community who, rightly, believe they’ve been … Continue reading

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Posted in Analytics, Benefits, Health Care Cost, Innovation, Medical Management | Tagged , , | Leave a comment

Primary Care’s Dilemma

Brian Klepper Posted 9/12/12 on Medscape Connect’s Care and Cost Blog Early in the new documentary, Escape Fire, which provides detailed portraits of US health care’s craziness, we meet Erin Martin MD, a young primary care physician in The Dalles, OR, … Continue reading

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

Demanding More From Medical Homes

Brian Klepper Published 9/4/12 in Medical Home News  Never confuse motion with action.  Benjamin Franklin A reporter called the other day to tell me that several local health systems now had medical homes. “I don’t think so,” I said.  She was emphatic. … Continue reading

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Posted in Health Care Cost, Innovation, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Politics, Quality | Tagged , , , | 4 Comments

Will the Bubble Burst?

Brian Klepper Posted 8/19/12 on Medscape Connect’s Care and Cost Blog My recent 3-hour outpatient prostate biopsy generated nearly $25,000 in charges. My health plan will probably settle for four to five thousand dollars – this is the real market value – … Continue reading

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

Patent Pools Pushed To Make Drugs Affordable in Developing World

Merrill Goozner Published 5/9/12 in The Fiscal Times Amid a growing crisis in financing treatments for AIDS, tuberculosis and malaria in the developing world, an arm of the World Health Organization will meet in Geneva later this month to consider … Continue reading

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Posted in Health Care Cost, Innovation, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Politics, Tools | Tagged , , , , | Leave a comment

Whatever It Is, It’s Not Insurance

Tom Emerick Posted 5/9/12 on Cracking Health Costs Discussions about covering “pre-existing” health conditions occur frequently among health policy people. One frequent thread is that health insurers should not be allowed to deny coverage to people with pre-existing health condition. … Continue reading

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Posted in Analytics, Benefits, Health Care Cost, Innovation, Market Dynamics, Policy/Law/Regulation | Tagged , , | 1 Comment

Looking Beyond the Money: Crucial Steps to Getting Vaccines to Children

Lois Privor-Dumm Posted 5/8/12 on Disruptive Women in Health Care Without money, many nations can’t afford to tackle health care issues and introduce the life-saving vaccines that are critical to child survival in the developing world.  But even after a … Continue reading

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Posted in Health Care Cost, Innovation, Market Dynamics, Medical Management, Physicians, Politics | Tagged , , , | Leave a comment