Category Archives: Health Care Reform

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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Seriously Testing the Waters

Brian Klepper Published April 2013 in Accountable Care News If necessity is the mother of invention, then tentativeness and ambiguity are the parents of procrastination. In health care, fee-for-service remains the dominant paradigm, so the ACO movement, lacking almost any semblance of … Continue reading

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When Employers Get Serious About Managing Health Care Risk

Brian Klepper Posted 4/07/13 on Medscape Connect’s Care & Cost Blog Last week I visited with Gary Rost, an unassumingly knowledgeable man and the Executive Director of the Savannah Business Group (SBG), arguably one of the most effective health care coalitions in the … Continue reading

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Why Only Business Can Save America From Health Care

Brian Klepper Posted 3/24/13 on Medscape Connect’s Care and Cost Blog For a large and growing number of us with meager or no coverage, health care is the ultimate “gotcha.” Events conspire, we receive care and then are on the hook for … Continue reading

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Why EHRs Really Haven’t Made Us Healthier: A Response To Glen Tullman

Brian Klepper Recently-fired Allscripts CEO Glen Tullman waxed progressive in a self-promotional Forbes article last week, describing the ways past and forward for electronic health records (EHRs) and health information technology (HIT). He may have been trying to recover from a damning New York … Continue reading

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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 … 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

Posted in Brian Klepper, HC Approaches That Work, Health Care Reform, Heatlh Care Excess, Onsite Clinics, Payment Reform, Primary Care, Regulatory Capture | Tagged , , , , | 2 Comments