Tag Archives: RVS Update Committee

The RUC, Health Care Finance’s Star Chamber, Remains Untouchable

Brian Klepper Posted 2/1/13 on The Health Affairs Blog On January 7, a federal appeals court rejected six Georgia primary care physicians’ (PCPs) challenge to the Centers for Medicare and Medicaid Services’ (CMS) 20-year, sole-source relationship with the secretive, specialist-dominated federal advisory … Continue reading

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Posted in Brian Klepper, Conflicts of Interest, Health Care Cost, Market Dynamics, Physicians, Policy/Law/Regulation, Politics, Quality, Reform | Tagged , , , | 1 Comment

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

Who Will Speak For Physicians and Their Patients?

Brian Klepper Posted 8/29/12 on Medscape Connect’s Care and Cost Blog Dr. George Lundberg has an important article on Medpage Today that deserves the thoughtful consideration of every American physician. He argues that the American Medical Association, a successful and representative organization for many … Continue reading

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

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

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

CMS’ Opportunity: A Lawsuit Offers A Chance To Reform Physician Payment

Brian Klepper and David C. Kibbe Posted 10/25/11 on the Health Affairs Blog By mid-November, the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) must respond to the legal complaint filed in a Maryland … Continue reading

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

AMA: Pay Docs For Care Coordination

Merrill Goozner Posted 10/10/11 on Gooz News The little-known American Medical Association committee that recommends physician pay scales to Medicare’s fee-for-service program today asked the agency to reimburse physicians for coordinating care for their chronically-ill patients. In a letter to administrator … Continue reading

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Posted in Analytics, Medical Management, Physicians, Policy/Law/Regulation, Quality | Tagged , , , , | 1 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 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

Who Is On The RUC?

This list comes to us courtesy of the Wall Street Journal, and is remarkable because the AMA previously has been secretive about who serves on the panel that has held such sway with CMS on physician payment. Click here to … Continue reading

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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

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

A Family Physician’s Manifesto

Paul M. Fischer As a third-year medical student in 1977, I joined the American Academy of Family Physicians (AAFP).  In those culturally tumultuous years, it was a way to declare my belief that America needed physicians who cared for the … Continue reading

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

Hitting A Nerve

Brian Klepper Earlier this week, a comment arrived on a new site I developed to promote ending CMS’ cozy relationship with the RVS Update Committee (RUC). The RUC is the AMA’s specialist-dominated panel that has distorted the value of health care … Continue reading

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