Brian Klepper
Learn more about Brian Klepper

Brian Klepper is a health care analyst, commentator and entrepreneur. He is CEO of the National Business Coalition on Health, and Principal and Chief Development Officer for WeCare TLC, LLC, a worksite primary care clinic and medical management firm based in Lake Mary, FL. Much of Brian's work has been focused on the mechanisms that underlie America's health care cost crisis and how institutionalized clinical and business practices have distorted care and cost patterns, driving unnecessary cost. His perspective favors patients, whose medical care often exposes them to needless physical risk, and purchasers, whose health care costs are double those in other developed nations, creating a cascade of negative economic impacts. While many of his professional activities leverage market tactics to disrupt the industry's mechanisms of clinical and financial excess, Brian also has spearheaded policy initiatives that have (partially) remedied major health care problems. For example, his 2009 testimony to a US Health and Human Services committee resulted in the revocation of the monopoly certification rights of the Certification Commission for Health Information Technology (CCHIT), a vendor-led, quasi-governmental agency that had blocked seamless health care data exchange, inhibiting care coordination. More recently, his campaign against the AMA's RVS Update Committee (RUC), which has systematically overvalued specialty care and undervalued primary care, led to mainstream media attention that has driven course corrections in medical services valuation. Dr. Klepper is an in-demand speaker who has delivered more than 300 addresses, most of them keynotes, over the past decade. He is a columnist for the physician site Medscape, and a regular contributor to the Health Affairs Blog, the Doctor Weighs In, Kevin MD and other expert health care blogs. He is a reviewer for Health Affairs and The Journal of Ambulatory Care Management. With his wife, he also maintains Elaine's Journey, which details their struggle against primary peritoneal (ovarian) cancer. Brian is an Advisor to the Lundberg Institute and the Patient-Centered Primary Care Collaborative, which advocates for medical homes.

Recent Posts by Brian Klepper

Will Employers Favor Private Exchanges Over Coverage Sponsorship?

Over the past couple years, health care exchanges probably have consumed more of corporate benefits managers’ time and psychic energy than any other topic. An outstanding question is whether the rank and file of American businesses will drop the hassle that employer-sponsored coverage...

Facilitating Interoperability

A Health Affairs report on health information interoperability by staffers of the Office of the National Coordinator for Health Information Technology (ONC) provides a good enough summary of the situation. But it also is not news, and falls under the Bob Dylan Rule: You don’t need a weatherman...

Why Congress Should Pass The Accuracy In Medicare Physician Payment Act

Editor's note: For more on the debate over the role of the Relative Value Scale Update Committee (RUC), see "In Setting Doctors’ Medicare Fees, CMS Almost Always Accepts The Relative Value Update Panel’s Advice On Work Values," by Miriam Laugesen, in the May 2012 issue of Health...

The RUC, Health Care Finance’s Star Chamber, Remains Untouchable

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 federal advisory committee that determines the relative value...

Medicare Physician Payment: A Hollow Victory For The RUC

On May 9th, William Nickerson, Senior Judge in the Southern Maryland Federal District Court, issued a 15 page ruling against the six Augusta, GA primary care physician plaintiffs who challenged HHS’ and CMS’ longstanding relationship with the American Medical Association’s Relative Value Scale...

Adding Seats: The RUC’s Sleight Of Hand

On February 1, the American Medical Association’s Relative Value Scale Update Committee (RUC), Medicare’s primary advisor on physician payment, announced the addition of two seats: a permanent one for geriatrics and a rotating one for primary care. The American Geriatrics Society...

Trusting Government: A Tale Of Two Federal Advisory Groups

Americans increasingly distrust what they perceive as poorly run and conflicted government. Yet rarely can we see far enough inside the federal apparatus to examine what works and what doesn’t, or to inspect how good and bad decisions come to pass. Comparing the behaviors of two influential...

CMS’ Opportunity: A Lawsuit Offers A Chance To Reform Physician Payment

Editor’s Note: There are ongoing legal and policy debates regarding the role of the Relative Value Scale Update Committee (RUC) in advising the Centers for Medicare and Medicaid Services on relative Medicare payment rates for different types of physician services. Below, Brian Klepper and David...

A Legal Challenge To CMS’ Reliance On The RUC

This week in a Maryland federal court, six physicians based at the Center for Primary Care in Augusta, GA filed suit against HHS Secretary Kathleen Sebelius and CMS Administrator Donald Berwick. The complaint, spearheaded by Paul Fischer MD with DC-based lead counsel Kathleen Behan, alleges...

Rethinking The Value Of Medical Services

One of American politics’ most disingenuous conceits is that health care must cost what we currently pay. Another is that the only way to make it cost less is to deny care. It has been in industry executives’ financial interests to perpetuate these myths, but most will acknowledge...