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Category Archives: Policy/Law/Regulation
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
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
The Reality of Health Care Cost
Brian Klepper This beautifully written letter was forwarded after an interview with me on health care cost appeared in a Florida newspaper. Many of us with coverage often think in abstract terms about working families that do not have access to employer-sponsored … 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
3 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
An Archipelago of Health Information Islands
Brian Klepper Posted 12/27/12 on Medscape Connect’s Care and Cost Blog My wife Elaine was hospitalized for 6 days recently with an array of ailments related to her advancing cancer, so diagnosing and addressing her problems required a multidisciplinary approach. In addition … Continue reading
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
1 Comment
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
Are You Ready for Intense Price Competition?
Note from Brian: The article below describes my recent keynote address to a large meeting of imaging center administrators, and appears in the Sept 2012 Radiology Today. I’m reposting it because it accurately reflects, in depth, the message that I tried … Continue reading
Posted in Brian Klepper, Health Care Cost, Imaging, Market Dynamics, Medical Management, Policy/Law/Regulation, Politics, Tools
Tagged Brian Klepper, Competition, Cost, Imaging, Market Forces, Pricing
4 Comments
Strengthening Primary Care With a New Professional Congress
Brian Klepper Posted 10/01/12 on Medscape Connect’s Care & Cost Blog Three months ago a post on this blog argued that America’s primary care associations, societies and membership groups have splintered into narrowly-focused specialties. Individually and together, they have proved unable to resist decades … Continue reading
Posted in Brian Klepper, Conflicts of Interest, Health Care Cost, Market Dynamics, Policy/Law/Regulation, Politics
Tagged American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians, American Geriatrics Society, American Medical Association, American Osteopathic Association, Primary Care, RUC, Society of General Internal Medicine
4 Comments


