Category Archives: Primary Care

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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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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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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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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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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