Tag Archives: Medical Management

A Better Way To Manage Care and Cost

Brian Klepper http://boards.medscape.com/forums?128@864.cQ5Savfkkqo@.2a59c1b3!comment=1  Posted 10/10/12 on Medscape Connect’s Care & Cost Blog When an employer sits down with his health care partners – broker, health plan, physician, hospital, drug and device firm, health IT firm – everyone but him wants health … 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 , , , , , , , , | 3 Comments

How TPAs Can Win

Brian Klepper Published August 1, 2013 in the Self-Insurer One of health care’s deeper mysteries is why third party administration (TPA) firms remain minor health plan players and, to a large degree, have been all but uncompetitive with the major … Continue reading

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Posted in Analytics, Benefits, Brian Klepper, Conflicts of Interest, Health Care Cost, Innovation, Market Dynamics, Medical Management, Quality | Tagged , , , , , | Leave a comment

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 , , , , , , | 4 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

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

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

Six Ways to Save One Trillion Dollars

George Lundberg, MD Published 4/23/2012 on MedPage Today http://www.medpagetoday.com/mediaplayer-licensed-viral/player-licensed-viral.swf

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Posted in Analytics, Conflicts of Interest, Life Sciences, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Quality, Reform, Tools | Tagged , | 2 Comments

iMedicine: The Influence of Social Media on Medicine

Kent Bottles Posted 4/25/12 on Kent Bottles’ Private Views iMedicine:  The Influence of Social Media on Medicine was the topic of the day-long 27th Annual Physician Student Awareness Day (SPAD) held on April 24, 2012 on the campus of New York Medical … Continue reading

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Posted in Health IT, Innovation, Market Dynamics, Medical Management, Physicians | Tagged , , | Leave a comment

Of Zombies, Emperor’s New Clothes, Documentation Inertia: LIngering Untrue Diagnoses That Persist in the Electronic Health Record

Jaan Sidorov Posted 4/04/12 on The Disease Management Care Blog Every practicing physician using an electronic health record (EHR) has seen them.  Past diagnosis zombies that stumble endlessly through every encounter record.  “Coronary heart disease” that the patient never really had, “diabetes” that was only … Continue reading

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Posted in Analytics, Health IT, Medical Management, Physicians, Policy/Law/Regulation, Politics, Quality, Tools | Tagged , , , | Leave a comment

Doctors’ Personal Health Choices

Tom Emerick Posted 2/28/12 on Cracking Health Costs Doctors often do not seek for themselves treatments they offer patients. This is particularly true for end of life care.  I’ve seen examples of that all my career.  I’ve also asked doctors about whether … Continue reading

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Posted in Consumerism, Medical Management, Physicians, Quality | Tagged , , , | Leave a comment

Can Medical Management Succeed Within A Fee-For-Service Environment?

Brian Klepper The column immediately below is an important discussion by Douglas Elmendorf, the Director of the CBO – actually it was prepared by Lyle Nelson of CBO’s Health and Human Services Division, but it has Mr. Elmendorf’s imprimatur – … Continue reading

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Posted in Analytics, Benefits, Brian Klepper, Conflicts of Interest, Consumerism, Health Care Cost | Tagged , , , , | 1 Comment

Important Research From Medicare Demonstration Projects: Almost Nothing Works

Robert Laszewski Posted 1/23/12 on Health Policy and Marketplace Review I will suggest that most of us believe the way to control health care costs, and at the same time maintain or improve quality, is to both use the managed … Continue reading

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

Curbing Overuse of CT Scans – And Other Interventions

Kenneth Lin Posted 1/18/12 on Common Sense Family Doctor The urban public hospital where I completed most of my training as a medical student had a single CT scanner. To ensure that this precious resource was put to effective use, any … Continue reading

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Posted in Medical Management, Physicians, Quality | Tagged , , , | Leave a comment

Finally, a Good EHR Anecdote

Jaan Sidorov Posted 11/2/11 on the Disease Management Care Blog The Disease Management Care Blog remembers when it was first introduced to an electronic health record (EHR).  After many days of learning how to document, link, retrieve, order, manage, view, … Continue reading

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Posted in Analytics, Innovation, Medical Management, Physicians, Quality | Tagged , , , , | 1 Comment

Predictive Modeling: The Second Most Important Ingredient for Provider Accountability

Jaan Sidorov First posted 10/04/11 on The Disease Management Care Blog “Accountability.”  Everyone wants it, right? While it’s one thing for health care providers to be “accountable” for costs, it’s another for them to actually make money at it.  The Disease Management … Continue reading

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Posted in Analytics, Medical Management, Physicians, Quality | Tagged , , , | 2 Comments