is a health care analyst and commentator, Principal and Chief Development Officer for WeCare TLC, LLC, an onsite primary care clinic and medical management firm based in Longwood, FL, and Managing Principal of Healthcare Performance Inc., a consulting practice based in Atlantic Beach, FL.
He is an active author and speaker, and has provided health care commentary to CBS Evening News, the Wall Street Journal, the New York Times, and the Washington Post. He has published articles on Kaiser Health News, Medscape, Healthleaders, The New England Journal of Medicine, Modern Healthcare, Business Insurance and newspapers nationally.
He is a columnist for Medscape, focused on business of medicine and primary care, as well as a regular contributor to the Health Affairs Blog and other expert health care blogs. With his wife, he maintains Elaine’s Journey, which details their struggle against Primary Peritoneal (Ovarian) Cancer.
He recently served on the American Academy of Family Physicians’ Primary Care Services Valuation Task Force, and is a reviewer for Health Affairs and The Journal of Ambulatory Care Management. He serves on the Board of the Consortium for Southeast Hypertension Control (COSEHC), dedicated to translational medicine for vascular disease. He is an Advisor to the Lundberg Institute, the Patient-Centered Primary Care Collaborative, which advocates for medical homes, and the Center for Value Health Innovation, which helps business identify and implement approaches proven to improve quality while reducing cost.
In January 2011, with David C. Kibbe MD, he began a campaign, Replace the RUC!, that focuses on the most important driver of inappropriate health care cost. That effort has resulted in a lawsuit by six Augusta, GA primary care physicians against the US Centers for Medicare and Medicaid Services (CMS) over its longstanding inappropriate relationship with the AMA’s Relative Value Scale Update Committee (RUC).
In is spare time, Brian is an offshore sailor.
Contact him at 904.395.5530 (o), 904.343.2921 (c), email@example.com.
Category Archives: Uncategorized
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
Brian Klepper Posted 8/19/12 on Medscape Connect’s Care and Cost Blog My recent 3-hour outpatient prostate biopsy generated nearly $25,000 in charges. My health plan will probably settle for four to five thousand dollars – this is the real market value – … Continue reading
Brian Klepper June 28, 2011 Every now and then, a well-intentioned administration does something relatively harmless but so hare-brained and openly foolish that it takes our breath away. The Obama Administration’s primary care “secret shopper” plan fit this bill, and … Continue reading
David C. Kibbe and Brian Klepper First published 6/22/11 on the Health Affairs Blog Copyright ©2011 Health Affairs by Project HOPE – The People-to-People Health Foundation, Inc. In a recent New York Times op-ed, Rita Redberg MD, a cardiologist and Chief Editor of Archives … Continue reading
Brian Klepper This brief summary of a New England Journal article caught my attention yesterday. An audit study in which research assistants posing as mothers made paired calls to the same clinic and attempted to schedule an appointment for a child … Continue reading
A little more than 13 months ago, my wonderful wife Elaine was diagnosed with stage 3c primary peritoneal (ovarian) cancer. So the last year has been filled with the ravages of chemo-therapy and all the miseries that attend it. A … Continue reading
Friends, A little more than a month ago, Elaine was in the kitchen, cooking and I was sitting at the counter, writing. She suddenly whirled around and said, “It’s a year today. It’s April 26th. The big surgery was a … Continue reading
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
Brian’s Note: With yesterday’s announcement that Siddhartha Mukherjee’s The Emperor of All Maladies had won the Pulitzer for General Non-Fiction, I thought it might be appropriate to rerun this review from last December 5, 2010. BRIAN KLEPPER The opening page … Continue reading
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
Brian’s Note: As I’ve noted before, I am Chief Development Officer of WeCare TLC, a leading edge onsite clinic firm based in Lake Mary, FL . WeCare now has 15 clinics in 5 states, and typically produces savings of 18-30 … Continue reading
Brian Klepper Yesterday on Kaiser Health News, Barbara Levy MD, the Chair of the AMA’s Relative Value Scale Update Committee (or RUC), published a glowing defense of the RUC’s activities. Her article extols the work of the 29 physician volunteers who, “at … Continue reading
Regular readers will know that I have been part of a campaign to make the impacts of the RUC known, to urge primary care physicians to demand that their medical societies abandon participation in the RUC, and to encourage employer … Continue reading
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
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 of businesses … Continue reading
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
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
On MedPage Today, Editor-at-Large George Lundberg, MD comments on American health care’s need to re-empower primary care. Dr. Lundberg is the former Editor-in-Chief at Medscape and JAMA. Transcript: Hello and Welcome. I’m Dr. George Lundberg and this is At Large … Continue reading
Elaine’s 6-month long, first line chemo-therapy treatment finished 4 months ago, in October, and she’s looking positively radiant. Now that she can taste again, she’s put on a little much needed weight. Her hair has grown back into a very … Continue reading
A few weeks ago, my writing partner David C. Kibbe and I ran an article on Kaiser Health News called “Quit the RUC!“ that has caused some turmoil within the physician community, particularly in DC. First, it noted that the RUC, … Continue reading
Larry Arrington and Brian Klepper First published 2/11/11 on Kaiser Health News Medicaid, along with debt and shortfalls in public pension funds, is driving state and local governments toward budgetary disasters. The ways we cope with this fiscal crisis will … Continue reading
BRIAN KLEPPER and DAVID C. KIBBEFirst published 1/20/11 on Kaiser Health News Recently, a Wall Street Journal expose and a New York Times column by Princeton economist Uwe Reinhardt detailed how vast health care resources are steered by the American Medical Association’s Relative Value … Continue reading
BRIAN KLEPPER and DAVID KIBBE Originally published 1/21/11 on Kaiser Health News Recently, a Wall Street Journal expose and a New York Times column by Princeton economist Uwe Reinhardt detailed how vast health care resources are steered by the American Medical Association’s … Continue reading
BRIAN KLEPPER US Preventive Medicine (USPM), an investor-owned, market-savvy firm offering prevention and wellness services, scored a coup last week with its announcement that Sam’s Club would offer a $99 version of their Prevention Plan, a package that includes testing, … Continue reading
BRIAN KLEPPER Originally published 2/27/06 on The Health Care Blog Note: Jane’s report, above, on the ideological conceit that higher deductibles makes for more careful health care purchasers, reminded me that I dove into the topic early on, and pointed … Continue reading
BRIAN KLEPPER Originally published 12/23/10 on iPractice. “The search for static security — in the law and elsewhere — is misguided. The fact is security can only be achieved through constant change, adapting old ideas that have outlived their usefulness … Continue reading
DAVID C. KIBBE AND BRIAN KLEPPER Originally published 1/12/11 on Health Affairs Blog Washington Post columnist Ezra Klein recently described the Obama administration’s consistent efforts to improve troubled private markets: Isolate the eight key economic decisions of the Obama presidency: The intervention in … Continue reading
BRIAN KLEPPER Over at the Health Affairs Blog, David C. Kibbe and I have a piece that details how the Obama Administration’s Health IT team “unfroze” and turned around an entrenched Health IT market, and is making it, by virtually any measure, … Continue reading