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.

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

Rate this:

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

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

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

Rate this:

Posted in Analytics, Benefits, Conflicts of Interest, Health Care Cost, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Politics, Quality, Reform | Tagged , , , , | 5 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

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

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

Hospitals: Are We All Talking?

Elaine Waples Complications from my cancer sent me to the hospital again recently. The news that I was in trouble came unexpectedly from my oncologist’s office Thanksgiving eve, following a routine blood test. “Your liver numbers are out of whack.” … Continue reading

Rate this:

Posted in Consumerism, Physicians | Tagged , , , | 4 Comments

Putting Physician Practices Into Context

Brian Klepper  Posted 12/11/12 on Medscape Connect’s Care & Cost Blog  An organization’s ability to learn, and translate that learning into action rapidly, is the ultimate competitive advantage.  Jack Welch Physicians and medical societies in all specialties would do well to take … Continue reading

Rate this:

Posted in Analytics, Health Care Cost, Health IT, Market Dynamics, Medical Management, Physicians, Quality | Tagged , , , , | Leave a 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

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

The Wrong Battles

Brian Klepper Posted 9/20/12 on Medscape Connect’s Care and Cost Blog This week the American Academy of Family Physicians (AAFP) issued a new report describing its vision of primary care’s future. Not surprisingly, the report talks about medical homes, with patient-centered, team-based care. More surprisingly, though, … Continue reading

Rate this:

Posted in Brian Klepper, Health Care Cost, Market Dynamics, Medical Management, Physicians, Politics, Quality | 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

Rate this:

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

Rate this:

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

Who Will Speak For Physicians and Their Patients?

Brian Klepper Posted 8/29/12 on Medscape Connect’s Care and Cost Blog Dr. George Lundberg has an important article on Medpage Today that deserves the thoughtful consideration of every American physician. He argues that the American Medical Association, a successful and representative organization for many … Continue reading

Rate this:

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