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Category Archives: Physicians
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
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
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 Brian Klepper, Analytics, Health IT, Policy/Law/Regulation, Market Dynamics, Medical Management, Quality, Reform, Physicians, Politics, Health Care Cost
Tagged Brian Klepper, David Kibbe, Health Information Technology, Electronic Health Records, Glen Tullman, Mark Leavitt, Allscripts
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
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
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
Posted in Consumerism, Physicians
Tagged Communicating, Coordination of Care, Elaine Waples, Patients
4 Comments
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
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
Posted in Analytics, Benefits, Brian Klepper, Consumerism, Health Care Cost, Market Dynamics, Medical Management, Physicians
Tagged Centers of Excellence, Cost, Lowes, Pepsico, Walmart
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
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


