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Health News From KHN- IRS Scandal, HHS Fundraising Stir The Health Law Political Pot May 20, 2013
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- CBO: Obama's Budget Would Reduce Medicare Spending By $364B May 20, 2013
- State Rejections Of Medicaid Expansion Likely To Widen Health Disparities May 20, 2013
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Category Archives: Medical Management
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
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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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
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
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
Posted in Analytics, Benefits, Health Care Cost, Innovation, Medical Management
Tagged Brian Klepper, Eau Claire, Health Care Cost
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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
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
Posted in Brian Klepper, Health Care Cost, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Reform
Tagged Cost, Primary Care, RUC, RVS Update Committee
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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


