Category Archives: Onsite Clinics

Using Strong Carrots and Sticks To Drive Health Care That Works

Brian Klepper Posted 5/09/13 on Medscape Connect’s Care & Cost Blog On a recent call with a large manufacturer, my company’s team expected to describe how we develop primary care medical homes that become platforms for managing comprehensive health care clinical and financial risk. But … Continue reading

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How Physician Practices Can Prepare for a Health Care Marketplace

Brian Klepper Posted 4/21/13 on Medscape Connect’s Care and Cost Blog What is the path forward for physicians who want to remain in private practice, outside the constraints of health system employment? How will the environment change and what new demands will … Continue reading

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A Broader Approach To Managing Health Care Risk

Brian Klepper Health care’s purchasers crave certainty. But complexity – and therefore uncertainty – rules. Assurances are hard to come by. The most common question asked by prospective clients of my onsite clinic/medical management firm is how much less their employee health … Continue reading

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Them, Not Us

Brian Klepper Posted 1/7/13 on Medscape Connect’s Care and Cost Blog “How many businesses do you know that want to cut their revenue in half? That’s why the healthcare system won’t change the healthcare system.” Rick Scott, Governor of Florida Former CEO, Hospital … Continue reading

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Are You Ready for Intense Price Competition?

Note from Brian: The article below describes my recent keynote address to a large meeting of imaging center administrators, and appears in the Sept 2012 Radiology Today. I’m reposting it because it accurately reflects, in depth, the message that I … Continue reading

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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 … 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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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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Moving Beyond Merchant Health Care

Brian Klepper Published 4/05/12 on MedPage Today Another luminary-rich panel has been formed to make recommendations about how physician and other healthcare services should be valued and paid for. The Society for General Internal Medicine launched the National Commission on Physician Payment Reform with funding from prominent … Continue reading

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