Category Archives: Primary Care

The Most Powerful Health Care Group You’ve Never Heard Of

Brian Klepper and Paul Fischer Posted 8/06/12 on Medscape Connect’s Care and Cost Blog Excessive health care spending is overwhelming America’s economy, but the subtler truth is that this excess has been largely facilitated by subjugating primary care. A wealth of … Continue reading

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Will Anyone Listen When Former CMS Chiefs Call For More Objective Physician Payment?

Brian Klepper Posted 7/7/12 on Medscape Connect’s Care & Cost On May 10th, the US Senate Finance Committee, co-chaired by Senators Max Baucus (D-Mont) and Orrin Hatch (R-Utah), convened a remarkable panel of four former Administrators of the Health Care … Continue reading

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Medicare Physician Payment: A Hollow Victory for the RUC

Brian Klepper Posted 5/18/12 on The Health Affairs Blog Copyright 2012 by Project HOPE: The People-to-People Health Foundation, Inc. On May 9th, William Nickerson, Senior Judge in the Southern Maryland Federal District Court, issued a 15 page ruling against the six Augusta, … Continue reading

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The American College of Physicians’ Cognitive Dissonance

Brian Klepper Relative to their specialist colleagues, primary care physicians have been generally passive about the politics that shape their professional lives, and they have been big losers. It is important for them to consider whether their societies are genuinely … Continue reading

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The RUC’s Empty Gesture

Brian Klepper and Paul M. Fischer Posted 5/11/12 on Medscape Internal Medicine Recently, the leaders of the American College of Physicians (ACP) and the American Geriatrics Society (AGS) lavished praise on the American Medical Association’s Relative Value Scale Update Committee … Continue reading

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Should Family Physicians Leave the RUC?

Brian Klepper Posted 3/30/12 on KevinMD Last June the American Academy of Family Physicians (AAFP) sent a letter to the AMA’s Relative Value Scale Update Committee (RUC) demanding specific changes to the ways that the RUC conducts its business. Primary … 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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