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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
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
Posted in Brian Klepper, Policy/Law/Regulation, Market Dynamics, Medical Management, Reform, Physicians, Health Care Cost
Tagged Primary Care, Cost, RUC, RVS Update Committee
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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
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
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
Posted in Analytics, Innovation, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Quality
Tagged Brian Klepper, Centers for Medicare and Medicaid Services, CMS, David C. Kibbe, Department of Health and Human Services, Don Berwick, HHS, RUC, RVS Update Committee
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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
Posted in Analytics, Medical Management, Physicians, Policy/Law/Regulation, Quality
Tagged AMA, Care Coordination, Merrill Goozner, RUC, RVS Update Committee
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
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
Posted in General, Physicians, Policy/Law/Regulation
Tagged RUC, RVS Update Committee, Wall Street Journal
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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
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
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
Posted in General, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Quality, Reform
Tagged AAFP, Health Care Cost, Primary Care, RVS Update Committee
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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


