Category Archives: Payment Reform

Would A Single Payer System Be Good For America?

Brian Klepper On Vox, the vivacious new topical news site, staffed in part by former writers at the Washington Post Wonk Blog, Sarah Kliff writes how Donald Berwick, MD, the recent former Administrator of the Centers for Medicare and Medicaid Services and the … Continue reading

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Getting Beyond Fee-For-Service

Brian Klepper Posted 12/02/13 on Medscape Connect’s Care and Cost Blog The catchy title of a recent Harvard Business Review Blog post, The Big Barrier To High Value Health Care: Destructive Self-Interest, suggested that the Institute for Healthcare Improvement (IHI) is forging arrangements that can … Continue reading

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Predatory Health Care

Brian Klepper Posted 11/17/13 on Medscape Connect’s Care and Cost Blog Recently I was asked to intervene on behalf of a patient who, trapped by circumstance, was paying off an enormous bill for a lithotripsy procedure. What I uncovered wasn’t news, but … Continue reading

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A Better Way To Manage Care and Cost

Brian Klepper http://boards.medscape.com/forums?128@864.cQ5Savfkkqo@.2a59c1b3!comment=1 Posted 10/10/12 on Medscape Connect’s Care & Cost Blog When an employer sits down with his health care partners – broker, health plan, physician, hospital, drug and device firm, health IT firm – everyone but him wants health care … Continue reading

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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 Scale Update … Continue reading

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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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