Category Archives: Medical Management

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

Facilitating Interoperability

October 18th, 2013 Cross-Posted 10/18/13 from The Health Affairs Blog A Health Affairs report on health information interoperability by staffers of the Office of the National Coordinator for Health Information Technology (ONC) provides a good enough summary of the situation. But it also is not … Continue reading

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

A Better Way To Manage Care and Cost

Brian Klepper http://boards.medscape.com/forums?128@864.cQ5Savfkkqo@.2a59c1b3!comment=1  Posted 10/10/12 on Medscape Connect’s Care & Cost Blog When an employer sits down with his health care partners – broker, health plan, physician, hospital, drug and device firm, health IT firm – everyone but him wants health … Continue reading

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Posted in Analytics, Benefits, Conflicts of Interest, Health Care Cost, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Politics, Quality, Reform | Tagged , , , , , , , , | 3 Comments

Why Employers Must Collaborate On Health Care

Brian Klepper Published in the Columbus, GA Ledger-Enquirer on Sunday, 9/15/13 I recently was privileged to deliver a keynote at the Greater Columbus Chamber’s Healthcare Symposium. I get invited to meetings like this around the country because I lay out … Continue reading

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

The RUC (Again): Is there a Light at the End of the Tunnel? A Conversation with Brian Klepper

David Harlow Posted August 13, 2013 on HealthBlawg Recently, there were a couple of breathless articles about the RUC (Relative Value Scale Update Committee) published in The Washington Post and The Washington Monthly, reporting as news the state of affairs that has prevailed … Continue reading

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

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

Hurtling Down the Road to Ruin

Brian Klepper and David C. Kibbe Posted 6/21/13 on Medscape Internal Medicine A recent New York Times article that focused on colonoscopies highlighted the questionable science, predatory unit pricing, and overutilization that characterize this procedure and much of US healthcare. Patients get routine … Continue reading

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Posted in Benefits, Brian Klepper, Conflicts of Interest, Health Care Cost, Market Dynamics, Medical Management, Policy/Law/Regulation, Politics | Tagged , , , , , , , , , | 2 Comments

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

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

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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

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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 , , , | 5 Comments

Why Only Business Can Save America From Health Care

Brian Klepper Posted 3/24/13 on Medscape Connect’s Care and Cost Blog For a large and growing number of us with meager or no coverage, health care is the ultimate “gotcha.” Events conspire, we receive care and then are on the … Continue reading

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Posted in Analytics, Benefits, Conflicts of Interest, Health Care Cost, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Politics, Quality, Reform | Tagged , , , , | 7 Comments