Category Archives: Quality

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 , , , , , , | 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 , , , , | 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

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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

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 , , , | 1 Comment

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

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Posted in Conflicts of Interest, Health Care Cost, Health IT, Policy/Law/Regulation, Politics, Quality | Tagged , , | 3 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

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

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

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Posted in Analytics, Brian Klepper, Health Care Cost, Market Dynamics, Medical Management, Policy/Law/Regulation, Politics, Quality, Reform | Tagged , , , , , | 1 Comment

Arriving at the Beginning

Brian Klepper Posted 11/12/12 on Medscape Connect’s Care & Cost Blog The most striking aspect of the election was that it decisively clarified the philosophical preferences of most Americans. And because the outcome was largely determined by minorities, women, and the young, … Continue reading

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

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Posted in Analytics, Brian Klepper, Conflicts of Interest, Health Care Cost, Market Dynamics, Medical Management, Policy/Law/Regulation, Politics, Quality, Reform | Tagged , , , | 1 Comment

Getting Engaged

Elaine Waples We hear inspiring things about patient engagement.  The very concept has a hearty, spirited, “do-right” sound to it. I spent many years in human resources. I remember the conversations we had around employee engagement as we searched for … Continue reading

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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

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