Category Archives: Physicians

Articles that bear on physician clinical and business practices, as well as the ways they interact with the rest of health care.

Developing a Coordinated, Considered Response to Predatory Health Care

Brian Klepper Posted 9/21/14 on the NBCH Newsletter Blog In today’s New York Times, Elizabeth Rosenthal describes the growing and egregious over-treatment and overpricing practices by physicians and health systems, abetted by health plans. The excesses detailed in this article … Continue reading

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Posted in Analytics, Conflicts of Interest, Health Care Cost, Medical Management, Physicians, Policy/Law/Regulation, Quality | Tagged , , | 6 Comments

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

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

The RUC Is Bad Medicine: It Has To Go

Brian Klepper Posted 8/12/13 on Medscape Business of Medicine “One of the biggest mistakes we made … is that we took the RUC … back in 1992 and gave it to the AMA. … It’s incredibly political, and it’s just … Continue reading

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

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

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

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

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

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

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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

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