Tag Archives: Primary Care

Physicians, Health Systems and the Drive for Market Dominance

Brian Klepper Posted 5/23/13 on Medscape Connect’s Care & Cost Blog Several physicians have reached out recently to discuss attractive employment offers from health systems. They are invariably conflicted. They understand the trade-offs, that they’ll give up the autonomy they’ve become accustomed … Continue reading

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Why Aren’t Primary Care Physicians More Ticked off about the RUC? An Interview with Brian Klepper

Brandon Glenn Published 4/30/13 in Medical Economics If primary care physicians have a bigger enemy than the RUC, Brian Klepper, PhD, hasn’t heard about it. The American Medical Association’s (AMA) Relative Value Scale Update Committee (RUC) is a 31-physician panel that wields enormous influence with … Continue reading

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Strengthening Primary Care With A New Professional Society

Brian Klepper Posted 10/01/12 on Medscape Connect’s Care & Cost Blog Three months ago a post on this blog argued that America’s primary care associations, societies and membership groups have splintered into narrowly-focused specialties. Individually and together, they have proved unable to resist decades … 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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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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Why Medical Management Will Re-Emerge

Brian Klepper Posted 7/31/12 on Medscape Connect’s Care and Cost Several years ago I had dinner with a woman who had served in the late 1990s as the national Chief Medical Officer of a major health plan. At the time, she said, … Continue reading

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Galvanizing Primary Care’s Power: A Call For A New Society

Brian Klepper Posted 6/25/12 on Medscape’s Care & Cost Blog The dream of reason did not take power into account – modern medicine is one of those extraordinary works of reason – but medicine is also a world of power. Paul Starr, The … Continue reading

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Why Only Non-Health Care Business Can Save America From The Health Care Industry

Brian Klepper The attached PP deck is a presentation I’ve given several times that has received an overwhelmingly positive, if frightened, reception. It is, perhaps, the most disturbing public argument of my career (which is going some), because it tries to … Continue reading

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Creating Value-Based Incentives for Primary Care

Brian Klepper and David Kibbe Posted 6/2/11 on The Health Affairs Blog In a remarkable recent interview, Donald Berwick MD, Administrator of the Centers for Medicare and Medicaid Services (CMS), eloquently described his vision of value-based health care. Paying for value … Continue reading

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Anti-RUC Suit Challenges Process for Setting Doc Pay Scales

Merrill Goozner Posted 10/25/11 on Gooz News  Whither CMS? That’s the issue raised by Brian Klepper and David Kibbe in their post on the Health Affairs website this morning. The Center for Medicare and Medicaid Services faces a November deadline for answering a … Continue reading

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Rethinking the Value of Medical Services

Brian Klepper and David C. Kibbe First posted 8/1/11 on The Health Affairs Blog Copyright ©2011 Health Affairs by Project HOPE – The People-to-People Health Foundation, Inc. One of American politics’ most disingenuous conceits is that health care must cost what … Continue reading

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Fixing America’s Health Care Reimbursement System

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

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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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Still Unresolved: How We Pay Physicians, And The Primary Care Crisis

Wednesday’s news that physicians had, yet again, dodged the Sustainable Growth Rate (SGR) pay cut bullet – if you access the AMA article linked to above, be sure to read to the end to see how this new cost will be … Continue reading

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Bad Medicine: How The AMA Undermined Primary Care in America

Brian Klepper Originally published 12/13/07 on The Health Care Blog On Tuesday’s Wall Street Journal website, Dr. Benjamin Brewer describes physicians’ reactions to the 10.1% cut in Medicare physician payments that will take effect January 1. He argues that the onus will fall, … Continue reading

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