Tag Archives: AMA

The RUC (Again): Is there a Light at the End of the Tunnel? A Conversation with Brian Klepper

David Harlow Posted August 13, 2013 on HealthBlawg Recently, there were a couple of breathless articles about the RUC (Relative Value Scale Update Committee) published in The Washington Post and The Washington Monthly, reporting as news the state of affairs that has prevailed … Continue reading

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Posted in Analytics, Brian Klepper, Conflicts of Interest, Health Care Cost, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Politics, Quality, Reform | Tagged , , , , , , | 2 Comments

The RUC Is Bad Medicine: It Has To Go

Brian Klepper Posted 8/12/13 on Medscape Business of Medicine “One of the biggest mistakes we made … is that we took the RUC … back in 1992 and gave it to the AMA. … It’s incredibly political, and it’s just … Continue reading

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Posted in Analytics, Brian Klepper, Conflicts of Interest, Health Care Cost, Market Dynamics, 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

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Posted in Analytics, Brian Klepper, Health Care Cost, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Politics | Tagged , , , , , | 2 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

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

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

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

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Posted in Analytics, Brian Klepper, Health Care Cost, Physicians, Policy/Law/Regulation, Politics | Tagged , , , , | 6 Comments

Response To RUC Chair Barbara Levy’s Comment on the Health Affairs Blog

Brian’s Note: Last week David Kibbe and I posted a Health Affairs Blog column, Trusting Government: A Tale of Two Federal Advisory Groups, that compared the openness and transparency of the Health Information Technology Policy Committee (HITPC) and the AMA’s RVS Update … Continue reading

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Posted in Analytics, Brian Klepper, Conflicts of Interest, Health Care Cost, Medical Management, Physicians, Policy/Law/Regulation, Politics, Quality, Reform | Tagged , , , , | 3 Comments

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

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Posted in Analytics, Conflicts of Interest, Health Care Cost, Health IT, Innovation, Physicians, Policy/Law/Regulation, Politics, Quality | Tagged , , , , , , , , , , | 1 Comment

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

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Posted in Conflicts of Interest, Health Care Cost, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Politics, Quality | Tagged , , , | 6 Comments

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

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Posted in Analytics, Brian Klepper, Innovation, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Quality, Reform | Tagged , , , , | Leave a comment

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

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Posted in Analytics, Medical Management, Physicians, Policy/Law/Regulation, Quality | Tagged , , , , | 1 Comment

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

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Posted in Analytics, Medical Management, Physicians, Policy/Law/Regulation, Quality, Reform | Tagged , , , , , | 1 Comment

Primary Care in Revolt

Brian Klepper Last Thursday Anna Wilde Mathews of the Wall Street Journal ran an article detailing the activities surrounding primary care’s gradual awakening and mobilization. With Tom McGinty, Ms. Mathews authored a damning expose on the RUC last October that precipitated our … Continue reading

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Posted in Innovation, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Quality, Reform | Tagged , , , , , , , | 3 Comments

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

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Posted in Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Quality, Reform | Tagged , , , , , | 10 Comments

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

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Posted in Analytics, Benefits, Innovation, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Quality, Reform | Tagged , , , , , | Leave a comment