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Tag Archives: AMA
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
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
Medicare Physician Payment: The RUC’s Hollow Victory
Brian Klepper Posted 5/18/12 on The Health Affairs Blog On May 9th, William Nickerson, Senior Judge in the Southern Maryland Federal District Court, issued a 15 page ruling against the six Augusta, GA primary care physician plaintiffs who challenged HHS’ and CMS’ … Continue reading
Posted in Analytics, Brian Klepper, Health Care Cost, Physicians, Policy/Law/Regulation, Politics
Tagged AMA, Brian Klepper, RUC, RUC Lawsuit, William Nickerson
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Trusting Government: A Tale of Two Federal Advisory Groups
David C. Kibbe and Brian Klepper Posted 2/2/12 on the Health Affairs Blog ©2012 Health Affairs by Project HOPE – The People-to-People Health Foundation, Inc. Americans increasingly distrust what they perceive as poorly run and conflicted government. Yet rarely can we see far … Continue reading
Posted in Analytics, Conflicts of Interest, Health Care Cost, Health IT, Innovation, Physicians, Policy/Law/Regulation, Politics, Quality
Tagged AMA, ARRA/HITECH, Brian Klepper, Conflicts of Interest, Federal Advisory Committee Act, Federal Advisory Committees; David C. Kibbe, Health Care Cost, HITPC, Politics, RUC, Transparency
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Why Primary Care Doctors Sued CMS over Its Reliance on the AMA’s RUC – and Why the RUC Should Be Changed or Replaced
Brian Klepper Published in the February 2012 Issue of Medical Home News Six Augusta, GA primary care physicians filed suit last August against the Centers for Medicare and Medicaid Services (CMS). They charged that for two decades the agency has … Continue reading
Anti-RUC Suit Challenges Process for Setting Doc Pay Scales
Merrill Goozner Posted 10/25/11 on Gooz News Whither CMS? That’s the issue raised by Brian Klepper and David Kibbe in their post on the Health Affairs website this morning. The Center for Medicare and Medicaid Services faces a November deadline for answering a … Continue reading
Posted in Analytics, Brian Klepper, Innovation, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Quality, Reform
Tagged AMA, CMS, Don Berwick, Merrill Goozner, RUC
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AMA: Pay Docs For Care Coordination
Merrill Goozner Posted 10/10/11 on Gooz News The little-known American Medical Association committee that recommends physician pay scales to Medicare’s fee-for-service program today asked the agency to reimburse physicians for coordinating care for their chronically-ill patients. In a letter to administrator … Continue reading
Posted in Analytics, Medical Management, Physicians, Policy/Law/Regulation, Quality
Tagged AMA, Care Coordination, Merrill Goozner, RUC, RVS Update Committee
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The Math of E/M Coding: When Does 5=1?
Paul M. Fischer My typical Medicare patient expects me to deal with 5 or more problems in a single routine visit. There are usually around 3 old ones (e.g., diabetes, hypertension, hyperlipidemia) and at least 2 new ones (e.g., low … Continue reading
Posted in Analytics, Medical Management, Physicians, Policy/Law/Regulation, Quality, Reform
Tagged AMA, CMS, MPPR), Multiple Procedure Payment Reduction Rule, Payment, RUC
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The Need for a Level Playing Field for Physician Pay
Paul M. Fischer Everyone in medicine knows that some physicians are overpaid for the services they provide and some are underpaid. The list of specialties in each category is no secret, though we don’t talk about it much. It’s part … Continue reading
Attacks on IPAB Gather Strength – And Waste Energy
Roger Collier First posted 8/15/11 on Health Care Reform Update The Washington Post reports that the Affordable Care Act’s Independent Payment Advisory Board, intended to constrain Medicare spending increases, is under increasing pressure from Republicans, health care lobbyists—and a significant number of … Continue reading
A Legal Challenge to CMS’ Reliance on the RUC
Brian Klepper and David C. Kibbe First posted 8/09/11 on The Health Affairs Blog Copyright ©2011 Health Affairs by Project HOPE – The People-to-People Health Foundation, Inc. This week in a Maryland federal court, six physicians based at the Center for Primary … Continue reading
A Legal Challenge to American Health Care’s Payment System
Late yesterday afternoon, six primary care physician from Augusta, GA filed suit in a Maryland federal court against HHS Secretary Kathleen Sebelius and CMS Administrator Don Berwick. Here is the press release associated with the filing. Contact: Melody Collins … Continue reading
