Tag Archives: RBRVS

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

Will Anyone Listen When Former CMS Chiefs Call For More Objective Physician Payment?

Brian Klepper Posted 7/7/12 on Medscape Connect’s Care & Cost On May 10th, the US Senate Finance Committee, co-chaired by Senators Max Baucus (D-Mont) and Orrin Hatch (R-Utah), convened a remarkable panel of four former Administrators of the Health Care Finance Administration … Continue reading

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Posted in Brian Klepper, Conflicts of Interest, Health Care Cost, Politics, Quality | Tagged , , , , , , , | Leave a comment

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

A Legal Challenge to CMS’ Reliance on the RUC

Brian Klepper and David C. Kibbe First posted 8/09/11 on The Health Affairs Blog Copyright ©2011 Health Affairs by Project HOPE – The People-to-People Health Foundation, Inc. This week in a Maryland federal court, six physicians based at the Center for Primary … Continue reading

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

A Legal Challenge to American Health Care’s Payment System

Late yesterday afternoon, six primary care physician from Augusta, GA filed suit in a Maryland federal court against HHS Secretary Kathleen Sebelius and CMS Administrator Don Berwick. Here is the press release associated with the filing. Contact: Melody Collins   … Continue reading

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Rethinking the Value of Medical Services

Brian Klepper and David C. Kibbe First posted 8/1/11 on The Health Affairs Blog Copyright ©2011 Health Affairs by Project HOPE – The People-to-People Health Foundation, Inc. One of American politics’ most disingenuous conceits is that health care must cost what … Continue reading

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

The AAFP’s Bold Valuation Initiative

Brian Klepper This morning, the American Academy of Family Physicians, the largest and “purest” of the major primary care societies – the American College of Physicians (ACP), the American Academy of Pediatrics (AAP) and the American Osteopathic Association (AOA) are … Continue reading

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Posted in Analytics, Brian Klepper, General, Innovation, Medical Management, Physicians, Policy/Law/Regulation, Quality, Reform, Tools | Tagged , , , , | 1 Comment

A Football Team Without a Front Line. That’s Medicine When (If) Primary Care Declares Independence

Wendy Lynch First published 4/25/11 on the HCMS Group Blog Behind closed doors trouble is brewing, and maybe it’s about time. The situation has all the elements of a daytime drama: an exclusive cartel dictating price; a powerful committee with … Continue reading

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

A Modest Proposal:What if all Specialty Procedures Were Coded with Four CPT Codes?

Paul Fischer In a recent Wall Street Journal article, Barbara Levy, Chairwoman of the Relative Value Scale Update Committee (RUC), commented on the American Medical Association’s (AMA’s) decision to have minimal primary care participation on the RUC, saying the committee … Continue reading

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Posted in Analytics, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Quality, Reform | Tagged , , , , , , , | 19 Comments

The RUC’s Defense

Brian Klepper On Wednesday, 47 American medical specialty societies sent Rep. Jim McDermott (D-WA) a letter, with copies to all members of Congress, containing a detailed defense of the American Medical Association’s (AMA’s) Relative Value Scale Update Committee (RUC). For … Continue reading

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Posted in Innovation, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Quality, Reform | Tagged , , , , , | 8 Comments

A Letter From America’s Medical Specialty Societies To Rep. McDermott (D-WA)

Brian’s Note: This letter, signed by 47 medical specialty societies, was sent Wednesday to Rep. Jim McDermott (D-WA), in response to his remarks before the House Ways & Means Committee, and to legislation he recently introduced, H.R. 1256, the Medicare Physician … Continue reading

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Posted in Analytics, Medical Management, Physicians, Policy/Law/Regulation, Quality, Reform, Tools | Tagged , , , , | 21 Comments

Point-Counterpoint: A Hospitalist and An Internist Argue Relative Value

Brian’s Note: Readers may know that, on this site and on Replace The RUC, I re-published the article below by the Happy Hospitalist, a physician intimate with coding and its craziness. His explanations of the system’s inconsistencies are lucid and … Continue reading

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Posted in Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Quality, Recycled But Relevant, Reform | Tagged , , , , | 7 Comments

An Open Letter To Primary Care Physicians

Paul M. Fischer and Brian Klepper If you agree with this letter, please redistribute, particularly to other primary care physicians. Friends: As many of you know, we have developed an effort to shine a bright light on the Relative Value … Continue reading

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Posted in Brian Klepper, Medical Management, Physicians, Policy/Law/Regulation, Quality | Tagged , , , , , , , | 8 Comments

Fixing America’s Health Care Reimbursement System

Brian Klepper First published 3/3/11 on Kaiser Health News A tempest is brewing in physician circles over how doctors are paid. But calming it will require more than just the action of physicians. It will demand the attention and influence … Continue reading

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Posted in Brian Klepper, Medical Management, Physicians, Policy/Law/Regulation | Tagged , , , | 1 Comment

Time To Quit RUC-ing Up The Health Care System

Carol Gentry First published 02/28/11 on Health News Florida If we value our family doctors, why do we pay them so much less than specialists? The Medicare payment system has been very good to physicians who use tools (scans, scalpels, … Continue reading

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