Tag Archives: Cost

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

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

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Posted in Brian Klepper, Health Care Cost, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, 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

Walmart Moves Health Care Forward Again

Brian Klepper Posted 10/12/12 on Medscape Connect’s Care & Cost Blog Walmart’s sheer size makes almost any of their initiatives newsworthy. That said, despite being a lightning rod for criticism on employee benefits and health care, they have introduced initiatives with … Continue reading

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Posted in Analytics, Benefits, Brian Klepper, Consumerism, Health Care Cost, Market Dynamics, Medical Management, Physicians | Tagged , , , , | 9 Comments

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

The Decline and Potential Renaissance of Employer-Sponsored Health Benefits: EBRI and MetLife Reports Tell the Story

Two reports this week suggest countervailing trends for employer-sponsored health benefits: the erosion of the health benefit among companies, and opportunities for those progressive employers who choose to stay in the health benefit game. In 2010, nearly 50% of workers under 65 years of age … Continue reading

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Posted in Analytics, Benefits, Health Care Cost, Innovation, Market Dynamics | Tagged , , | Leave a comment

Anatomy of a Walletectomy

Merrill Goozner Posted 4/25/12 on Gooz News It all began when Dr. Renee Hsia of the University of California at San Francisco received a simple request from a good friend who had checked into a local hospital for an emergency … Continue reading

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Posted in Analytics, Consumerism, Health Care Cost, Market Dynamics, Medical Management, Policy/Law/Regulation, Quality, Tools | Tagged , , | 1 Comment

Critics Pounce on Cancer Care Costs Study

Merrill Goozner Posted 4/12/12 on Gooz News From Reuters: With the United States spending more on healthcare than any other country — $2.5 trillion, or just over $8,000 per capita, in 2009 — the question has long been, is it worth … Continue reading

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

“Doctors call for end to five cancer tests, treatments”

Tom Emerick Posted 4/6/12 on Cracking Health Costs So reads the headline in a Reuters story on April 4, 2011. Let’s linger on the notion that they are exposing procedures that are “harmful” yet “routinely prescribed.” Giving harmful care to cancer patients is … Continue reading

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Posted in Conflicts of Interest, Consumerism, Health Care Cost, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Politics, Quality, Tools | Tagged , , , , , | Leave a comment

Patient Engagement and Medical Homes – Core Drivers of a High-Performing Health System

Jane Sarasohn-Kahn Posted 3/30/12 on Health Populi It was Dr. Charles Safran who said, “Patients are the most under-utilized resource in the U.S. health system,” which he testified to Congress in 2004. Seven years later, patients are still under-utilized, not just … Continue reading

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Posted in Analytics, Benefits, Consumerism, Health Care Cost, Innovation, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Politics, Quality, Reform, Tools | Tagged , , , , | Leave a comment

CalPERS Innovative Program for Hip and Knee Surgeries

Nick Vailas Posted 1/24/12 on Healthcare Transparency Now CalPERS – the California Public Employees’ Retirement System – covers 1.3 million retirees, managing both their retirement and health benefits.  It recently introduced a program for knee and hip surgeries that effectively … Continue reading

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Posted in Analytics, Consumerism, Innovation, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Quality | Tagged , , , , , | 2 Comments

The High Price of New Cancer Drugs

Merrill Goozner Posted 1/24/12 on Gooz News Julie Gralow, an oncologist at the Fred Hutchinson Cancer Center in Seattle, recently prescribed an exciting new therapy for a 60-year-old woman with metastatic breast cancer. Three-and-a-half years into her battle against the disease, … Continue reading

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Posted in Analytics, Market Dynamics, Medical Management, Physicians, Politics, Quality | Tagged , , | 1 Comment

How Much Does It Cost To Have A Baby

Kenneth Lin Posted 1/24/12 on Common Sense Family Doctor When my wife delivered our second child in 2008, the hospital sent our health insurance company a bill for $8569. The insurance company then wrote off $4117 of that bill, paid $4352, … Continue reading

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Posted in Consumerism, Market Dynamics, Medical Management, Physicians | Tagged , , | 2 Comments

US Health Care Hits $3 Trillion

Dan Munro Posted 1/19/12 on Forbes Great post by Rick Ungar over on The Policy Page. Still, I’m left wondering. It’s an election year and given the stakes, I think we’ll look back on 2012 as the year of the … Continue reading

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Posted in Analytics, Health IT, Market Dynamics, Medical Management, Physicians, Politics, Quality, Reform, Tools | Tagged , , , , | 1 Comment

It’s 2012. Let’s Recap

Tom Emerick Posted 1/02/11 on Cracking Health Costs Let’s hit a few highlights of 2011.  In Cracking Health Costs we described certain…um…scary trends in health care in the US: US spending on health care is lapping our peer countries while our life expectancy … Continue reading

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Posted in Analytics, Benefits, Consumerism, Innovation, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Quality, Reform, Supply Chain | Tagged , , , | 1 Comment