Tag Archives: Paul Fischer

The RUC Is Bad Medicine: It Has To Go

Brian Klepper Posted 8/12/13 on Medscape Business of Medicine “One of the biggest mistakes we made … is that we took the RUC … back in 1992 and gave it to the AMA. … It’s incredibly political, and it’s just … Continue reading

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Posted in Analytics, Brian Klepper, Conflicts of Interest, Health Care Cost, Market Dynamics, Physicians, Policy/Law/Regulation, Politics, Quality, Reform | Tagged , , , , , , , , , , , , , , , , , , , , , , | 2 Comments

Why Congress Should Pass The Accuracy In Medicare Physician Payment Act

Brian Klepper and Paul Fischer Posted 8/09/13 on The Health Affairs Blog With the recent release of two mainstream exposes, one in the Washington Post and another in the Washington Monthly, the American Medical Association’s (AMA) medical procedure valuation franchise, the Relative Value … Continue reading

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

The RUC’s Empty Gesture

Brian Klepper and Paul Fischer Posted 05/11/2012 on Medscape Business of Medicine Recently, the leaders of the American College of Physicians (ACP) and the American Geriatrics Society (AGS) lavished praise on the American Medical Association’s Relative Value Scale Update Committee (RUC) for announcing the … Continue reading

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

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

Residents and Medical Students Should Support All Efforts to Revalue Cognitive Services

Denny Flint Posted 1/25/12 on The Future of Family Medicine Blog The numbers do not lie.  As stated in a previous post and its referenced links, the payment gap between primary care and specialists has increased since the American Medical Assocation started … Continue reading

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Primary Care in Revolt

Brian Klepper Last Thursday Anna Wilde Mathews of the Wall Street Journal ran an article detailing the activities surrounding primary care’s gradual awakening and mobilization. With Tom McGinty, Ms. Mathews authored a damning expose on the RUC last October that precipitated our … Continue reading

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Posted in Innovation, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Quality, Reform | Tagged , , , , , , , | 3 Comments

Another Modest Proposal*: Paying for Physician Training

Paul Fischer One of the main considerations in physician pay under CMS’ relative value system is the training required to complete a task. This is generally thought to be well understood but is, in fact. a quagmire of controversy. Take … Continue reading

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Why Medical Specialists Should Want to End the Reign of the RUC

Paul M. Fischer, MD The old doctors know.  The practice of medicine has changed in a very basic way over the last 20 years.  Physician relationships have lost their civility and have been replaced by a level of tension that … Continue reading

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Why Primary Care Needs A New Organization

Paul M. Fischer First published on 6/15/11 on MedPage Today A few weeks ago, the Board of the American Academy of Family Physicians (AAFP) announced that, for now, it would continue participating in the Relative Value Scale Update Committee (RUC), the … Continue reading

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Stifling Primary Care: Why Does CMS Still Support the RUC?

Brian Klepper, Paul Fischer and Kathleen Behan First published 5/24/11 on the Health Affairs Blog. Copyright ©2010 Health Affairs by Project HOPE – The People-to-People Health Foundation, Inc. Last October, the Wall Street Journal ran a damning expose about the Relative Value Scale Update Committee (RUC), a secretive, … Continue reading

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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

A Primary Care Revolt

Richard Reece MD First published 4/17/11 on MedInnovation Blog An under-the-radar revolution is going on out there. It is a  revolt of primary care physicians against the AMA and CMS.  It is a request for parity with specialists.  It is … Continue reading

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Posted in Brian Klepper, Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Quality, Reform | Tagged , , , , , | 2 Comments

Why Primary Care Parity Matters

Paul M. Fischer After an exciting and challenging day of caring for patients and teaching students, a  third-year medical student on his family medicine rotation says to me, “I really like what you do, but I just cannot afford to … Continue reading

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Posted in Market Dynamics, Medical Management, Physicians, Policy/Law/Regulation, Quality, Reform | Tagged , , , | 3 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

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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