Tag Archives: Brian Klepper

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

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

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Posted in Benefits, Brian Klepper, Consumerism, Health Care Cost, Market Dynamics, Policy/Law/Regulation | Tagged , , , | Leave a comment

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

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

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Posted in Analytics, Benefits, Brian Klepper, Health Care Cost, Market Dynamics, Medical Management, Physicians | Tagged , , , , , | 5 Comments

When Employers Collaborate To Manage Health Care Costs

Brian Klepper Published 12/09/12 in the Eau Claire, WI Leader-Telegram Note from Brian: This piece appeared last weekend in the Eau Claire, WI newspaper, and was written with the encouragement of employers in that community who, rightly, believe they’ve been … Continue reading

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Posted in Analytics, Benefits, Health Care Cost, Innovation, Medical Management | 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

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

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Posted in Brian Klepper, Health Care Cost, Imaging, Market Dynamics, Medical Management, Policy/Law/Regulation, Politics, Tools | Tagged , , , , , | 4 Comments

Will the Bubble Burst?

Brian Klepper Posted 8/19/12 on Medscape Connect’s Care and Cost Blog My recent 3-hour outpatient prostate biopsy generated nearly $25,000 in charges. My health plan will probably settle for four to five thousand dollars – this is the real market value – … Continue reading

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Posted in Analytics, Brian Klepper, Health Care Cost, Innovation, Market Dynamics, Medical Management, Policy/Law/Regulation, Politics, Quality, Reform | Tagged , , , | 6 Comments

Why Medical Management Will Re-Emerge

Brian Klepper Posted 7/31/12 on Medscape Connect’s Care and Cost Several years ago I had dinner with a woman who had served in the late 1990s as the national Chief Medical Officer of a major health plan. At the time, … Continue reading

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Posted in Analytics, Benefits, Brian Klepper, Health Care Cost, Medical Management, Policy/Law/Regulation, Politics, Quality, Reform, Tools | Tagged , | 7 Comments

Is Genomic Medicine Clinically Useful Yet?

Brian Klepper Posted 7/16/12 on Medscape Connect’s Care and Cost The news of my wife Elaine’s primary peritoneal cancer 27 months ago began a fevered effort to learn all we could about her disease and our options. Peritoneal cancer, which is close … Continue reading

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Posted in Brian Klepper, Life Sciences | Tagged , , , , , | Leave a comment