Tag Archives: Primary Care

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

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

Strengthening Primary Care With a New Professional Congress

Brian Klepper Posted 10/01/12 on Medscape Connect’s Care & Cost Blog Three months ago a post on this blog argued that America’s primary care associations, societies and membership groups have splintered into narrowly-focused specialties. Individually and together, they have proved unable to resist decades … Continue reading

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Posted in Brian Klepper, Conflicts of Interest, Health Care Cost, Market Dynamics, Policy/Law/Regulation, Politics | Tagged , , , , , , , , | 4 Comments

The Wrong Battles

Brian Klepper Posted 9/20/12 on Medscape Connect’s Care and Cost Blog This week the American Academy of Family Physicians (AAFP) issued a new report describing its vision of primary care’s future. Not surprisingly, the report talks about medical homes, with patient-centered, team-based care. More surprisingly, though, … Continue reading

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Primary Care’s Dilemma

Brian Klepper Posted 9/12/12 on Medscape Connect’s Care and Cost Blog Early in the new documentary, Escape Fire, which provides detailed portraits of US health care’s craziness, we meet Erin Martin MD, a young primary care physician in The Dalles, OR, … Continue reading

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Posted in Brian Klepper, Health Care Cost, Innovation, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Politics, Quality | Tagged , , , | 1 Comment

Demanding More From Medical Homes

Brian Klepper Published 9/4/12 in Medical Home News  Never confuse motion with action.  Benjamin Franklin A reporter called the other day to tell me that several local health systems now had medical homes. “I don’t think so,” I said.  She was emphatic. … Continue reading

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Posted in Health Care Cost, Innovation, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Politics, Quality | Tagged , , , | 4 Comments

The Most Important Health Care Group You’ve Never Heard Of

Brian Klepper and Paul Fischer Posted 8/06/12 on Medscape Connect’s Care and Cost Blog Excessive health care spending is overwhelming America’s economy, but the subtler truth is that this excess has been largely facilitated by subjugating primary care. A wealth of evidence shows … Continue reading

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Galvanizing Primary Care’s Power: A Call For A New Society

Brian Klepper Posted 6/25/12 on Medscape’s Care & Cost Blog The dream of reason did not take power into account – modern medicine is one of those extraordinary works of reason – but medicine is also a world of power. Paul Starr, The … Continue reading

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

Implementing Health Reform: Increasing Medicaid Payments for Primary Care Physicians

Timothy Jost Posted 5/10/12 on the Health Affairs Blog On May 9, 2012, the Center for Medicare and Medicaid Services released proposed regulations to implement section 1202 of the Health Care and Education Reform Act of 2010. Section 1202 increases Medicaid payments … Continue reading

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A Health Affairs Study on Medicare Spending and the RUC

Chris Fleming Posted 5/7/12 on the Health Affairs Blog ©2012 Health Affairs by Project HOPE – The People-to-People Health Foundation, Inc. To calculate physicians’ fees under Medicare—which in turn influence private payers’ decisions on how they will pay doctors—the Centers for … Continue reading

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The ACP’s Cognitive Dissonance

Brian Klepper Relative to their specialist colleagues, primary care physicians have been generally passive about the politics that shape their professional lives, and they have been big losers. It is important for them to consider whether their societies are genuinely … Continue reading

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

The Economics of Being a Practicing Physician: Greater Frustration, Lower Income, More Defensive

Jane Sarasohn-Kahn Posted 4/26/12 on Health Populi One-half of physicians believe they’re not fairly compensated for their work – in particular, those working in primary care. Only 11% of doctors considering themselves “rich.”Medscape’s 2012 Physician Compensation Report compiled data from over … Continue reading

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Pay Some Doctors More to Save Money

Paul Levy Posted 3/26/12 on Not Running a Hospital One of the strange things about health care in America is the manner in which decisions are made about how different kinds of doctors should get paid for their services.  It … Continue reading

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

Adding Seats: The RUC’s Sleight of Hand

Paul Fischer and Brian Klepper Posted 3/14/12 on The Health Affairs Blog ©2012 Health Affairs by Project HOPE – The People-to-People Health Foundation, Inc. On February 1, the American Medical Association’s Relat ive Value Scale Update Committee (RUC), Medicare’s primary advisor … Continue reading

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

Paying for Primary Care

Bradley Flansbaum Posted 3/5/12 on the Hospitalist Leader I recently gave grand rounds at my hospital, and spoke on specialty over primary care dominance in the U.S. system.  I focused on the difficulties of care coordination, i.e., “the stress” of … Continue reading

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