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<title>My RSS Feed</title><link>http://www.brianklepper.info/index.html</link><description>Hot News&#x21;</description><dc:language>en</dc:language><dc:creator>bklepper@gmail.com</dc:creator><dc:rights>Copyright 2010 Brian Klepper</dc:rights><dc:date>2010-04-05T10:48:00-04:00</dc:date><admin:generatorAgent rdf:resource="http://www.realmacsoftware.com/" />
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<lastBuildDate>Sun, 21 Sep 2008 17:56:03 -0400</lastBuildDate><item><title>Editor&#x27;s inbox: Reader questions breadth of sources in article on onsite clinics</title><dc:creator>bklepper@gmail.com</dc:creator><category>None</category><dc:date>2010-04-05T10:48:00-04:00</dc:date><link>http://www.brianklepper.info/page2/page4/files/c096eda22eb516d55219a907103812e6-23.php#unique-entry-id-23</link><guid isPermaLink="true">http://www.brianklepper.info/page2/page4/files/c096eda22eb516d55219a907103812e6-23.php#unique-entry-id-23</guid><content:encoded><![CDATA[But they provide little substantive medical management that either swaps higher health plan costs (for office visits, drugs and labs) for cheaper costs inside the clinic, or creates meaningful influence over excessive downstream costs. ]]></content:encoded></item><item><title>Value Trumps Price in Onsite Clinics</title><dc:creator>bklepper@gmail.com</dc:creator><category>None</category><dc:date>2010-04-02T10:38:00-04:00</dc:date><link>http://www.brianklepper.info/page2/page4/files/fb35bed5e6689850c1f07fbfbfaa0928-22.php#unique-entry-id-22</link><guid isPermaLink="true">http://www.brianklepper.info/page2/page4/files/fb35bed5e6689850c1f07fbfbfaa0928-22.php#unique-entry-id-22</guid><content:encoded><![CDATA[And they can affect the five major areas of occupational health &mdash; workers&rsquo; compensation primary care, disability management, human resources testing (pre-employment screens, drug screens, Department of Transportation exams), retention/recruitment and lost work time &mdash; that, together, cost two to three times as much as a group health premium.
]]></content:encoded></item><item><title>13 Questions for Onsite Clinic Vendors</title><dc:creator>bklepper@gmail.com</dc:creator><category>None</category><dc:date>2010-02-27T10:33:00-05:00</dc:date><link>http://www.brianklepper.info/page2/page4/files/38d04e72a69c848d461ae2a8f0d633db-21.php#unique-entry-id-21</link><guid isPermaLink="true">http://www.brianklepper.info/page2/page4/files/38d04e72a69c848d461ae2a8f0d633db-21.php#unique-entry-id-21</guid><content:encoded><![CDATA[But best of all, the primary care clinician has the authority to reach out to and collaborate with specialists on each referred patient&rsquo;s care, acting not simply as a &ldquo;gatekeeper,&rdquo; but as the patient&rsquo;s advocate and guide. ]]></content:encoded></item><item><title>First Coast Leaders Describe Their Health Care Priorities</title><dc:creator>bklepper@gmail.com</dc:creator><category>None</category><dc:date>2009-07-26T04:01:00-04:00</dc:date><link>http://www.brianklepper.info/page2/page4/files/08da99f943a74d7a2386bc94f98d1704-20.php#unique-entry-id-20</link><guid isPermaLink="true">http://www.brianklepper.info/page2/page4/files/08da99f943a74d7a2386bc94f98d1704-20.php#unique-entry-id-20</guid><content:encoded><![CDATA[(null)]]></content:encoded></item><item><title>Health care: Price Confusion</title><dc:creator>bklepper@gmail.com</dc:creator><category>None</category><dc:date>2009-09-12T08:00:00-04:00</dc:date><link>http://www.brianklepper.info/page2/page4/files/fd6a7d8f4a8c42d38f4eee543276e8f0-19.php#unique-entry-id-19</link><guid isPermaLink="true">http://www.brianklepper.info/page2/page4/files/fd6a7d8f4a8c42d38f4eee543276e8f0-19.php#unique-entry-id-19</guid><content:encoded><![CDATA[Large health plans have fought this, however, because they believe that their ability to extract pricing discounts from doctors and hospitals in exchange for sending them large numbers of patients constitutes a competitive advantage over rival health plans.
]]></content:encoded></item><item><title>Use waste in the health care system to increase access for the uninsured</title><dc:creator>bklepper@gmail.com</dc:creator><category>None</category><dc:date>2009-08-25T07:47:11-04:00</dc:date><link>http://www.brianklepper.info/page2/page4/files/http:/www.jacksonville.com/opinion/letters_from_readers/2009-08-25/story/guest_column_use_waste_in_the_health_care_system_to_in.php#unique-entry-id-18</link><guid isPermaLink="true">http://www.brianklepper.info/page2/page4/files/http:/www.jacksonville.com/opinion/letters_from_readers/2009-08-25/story/guest_column_use_waste_in_the_health_care_system_to_in.php#unique-entry-id-18</guid><content:encoded><![CDATA[As businesses and individuals have been priced out of health coverage over the last four years, commercial health plan enrollment has plummeted by as much as 20 percent, or about 36 million people.
]]></content:encoded></item><item><title>Carrots and sticks shape healthier employees&#x2c; save money</title><dc:creator>bklepper@gmail.com</dc:creator><category>None</category><dc:date>2009-06-19T07:44:00-04:00</dc:date><link>http://www.brianklepper.info/page2/page4/files/7bff32cd44bc0219ad1825d8da91dda1-17.php#unique-entry-id-17</link><guid isPermaLink="true">http://www.brianklepper.info/page2/page4/files/7bff32cd44bc0219ad1825d8da91dda1-17.php#unique-entry-id-17</guid><content:encoded><![CDATA[So far, the health care industry has mostly fought these initiatives, but more data in easier-to-use formats are showing up online every day and, just as the great economist Adam Smith predicted, the availability of information will bring pressure on doctors and hospitals to improve.
]]></content:encoded></item><item><title>Minimally invasive surgeries offer cost and time savings for employers</title><dc:creator>bklepper@gmail.com</dc:creator><category>None</category><dc:date>2009-05-15T07:42:00-04:00</dc:date><link>http://www.brianklepper.info/page2/page4/files/bdfaa13df87a6c835be1642cf1782d70-16.php#unique-entry-id-16</link><guid isPermaLink="true">http://www.brianklepper.info/page2/page4/files/bdfaa13df87a6c835be1642cf1782d70-16.php#unique-entry-id-16</guid><content:encoded><![CDATA[	&bull;	Equalize your health plan&rsquo;s doctor and facility reimbursement for MIP and open surgery, so there is no financial incentive to do one rather than the other. ]]></content:encoded></item><item><title>Don&#x27;t Like the Bill? Tell Health Industry to Change</title><dc:creator>bklepper@gmail.com</dc:creator><category>None</category><dc:date>2009-04-10T01:17:00-04:00</dc:date><link>http://www.brianklepper.info/page2/page4/files/0065b08e1e04330690ae5d83dab474ba-15.php#unique-entry-id-15</link><guid isPermaLink="true">http://www.brianklepper.info/page2/page4/files/0065b08e1e04330690ae5d83dab474ba-15.php#unique-entry-id-15</guid><content:encoded><![CDATA[At a time when America so sorely needs real change, when many signs point to the rapid erosion of the health system&rsquo;s stability and sustainability, will America&rsquo;s congressional and business leaders stand together for changes that can strengthen the nation&rsquo;s foundation? ]]></content:encoded></item><item><title>It&#x27;s Time To Empower Employers On Health Care</title><dc:creator>bklepper@gmail.com</dc:creator><category>None</category><dc:date>2009-03-13T13:31:00-04:00</dc:date><link>http://www.brianklepper.info/page2/page4/files/4dc3b457cff7096b25171c3c8040f39a-14.php#unique-entry-id-14</link><guid isPermaLink="true">http://www.brianklepper.info/page2/page4/files/4dc3b457cff7096b25171c3c8040f39a-14.php#unique-entry-id-14</guid><content:encoded><![CDATA[Which raises a question: What would happen if large and mid-sized employers within a community came together, reviewed the data on what works in health care, and then decided to each participate in certain programs that have been proven effective? ]]></content:encoded></item><item><title>Will America&#x27;s CEOs Get Serious About Obesity?</title><dc:creator>bklepper@gmail.com</dc:creator><category>None</category><dc:date>2008-12-19T08:13:21-05:00</dc:date><link>http://www.brianklepper.info/page2/page4/files/Will_CEOs_Get_Serious.php#unique-entry-id-13</link><guid isPermaLink="true">http://www.brianklepper.info/page2/page4/files/Will_CEOs_Get_Serious.php#unique-entry-id-13</guid><content:encoded><![CDATA[If obesity is a good predictor of health status, if positive health status drives productivity, and if productivity drives competitiveness within a global economy, then America&rsquo;s economic future is toast unless we can get the obesity epidemic under control.
]]></content:encoded></item><item><title>How To Save Our Emergency Rooms</title><dc:creator>bklepper@gmail.com</dc:creator><category>None</category><dc:date>2006-02-17T11:16:29-05:00</dc:date><link>http://www.brianklepper.info/page2/page4/files/d84d2a69617a20c6fc83f39db9f2e2ab-12.php#unique-entry-id-12</link><guid isPermaLink="true">http://www.brianklepper.info/page2/page4/files/d84d2a69617a20c6fc83f39db9f2e2ab-12.php#unique-entry-id-12</guid><content:encoded><![CDATA[If we hope to stabilize America's health care system, we must first stabilize EDs, so that care remains broadly available while we work through other, equally daunting problems.
]]></content:encoded></item><item><title>Consumerism Might Not Save Health Care</title><dc:creator>bklepper@gmail.com</dc:creator><category>None</category><dc:date>2006-03-24T11:12:19-05:00</dc:date><link>http://www.brianklepper.info/page2/page4/files/3667dc2c90c72de482fd9bd04a50855c-11.php#unique-entry-id-11</link><guid isPermaLink="true">http://www.brianklepper.info/page2/page4/files/3667dc2c90c72de482fd9bd04a50855c-11.php#unique-entry-id-11</guid><content:encoded><![CDATA[Unless patients have access to robust information about pricing and performance, mechanisms such as HSAs and HDHPs won't really affect cost so much as simply guide how the money flows.
]]></content:encoded></item><item><title>Worksite Clinics Help Employers Take Control of Health Care</title><dc:creator>bklepper@gmail.com</dc:creator><category>None</category><dc:date>2008-10-31T11:00:23-04:00</dc:date><link>http://www.brianklepper.info/page2/page4/files/944e96f78567e06ed47a52fbd8dcc3be-10.php#unique-entry-id-10</link><guid isPermaLink="true">http://www.brianklepper.info/page2/page4/files/944e96f78567e06ed47a52fbd8dcc3be-10.php#unique-entry-id-10</guid><content:encoded><![CDATA[And then there are onsite health management programs &ndash; face-to-face nurse counseling for patients with chronic diseases like diabetes or asthma, regular lunch-and-learns on healthy lifestyles, referral to online patient support communities &ndash; that help employees and their families improve their health self-management skills.
]]></content:encoded></item><item><title>What Is Walgreens Thinking?</title><dc:creator>bklepper@gmail.com</dc:creator><category>None</category><dc:date>2008-10-28T08:35:46-04:00</dc:date><link>http://www.brianklepper.info/page2/page4/files/What_Is_Walgreens_Thinking.php#unique-entry-id-9</link><guid isPermaLink="true">http://www.brianklepper.info/page2/page4/files/What_Is_Walgreens_Thinking.php#unique-entry-id-9</guid><content:encoded><![CDATA[It also attracts low-income employees and their families who often don&rsquo;t see doctors because they might have to pay something for the visit or for their prescriptions, and it dramatically reduces the costs of care that are created when people avoid primary care. 
]]></content:encoded></item><item><title>How TPAs Can Win By Taking The Lead On Transparency</title><dc:creator>bklepper@gmail.com</dc:creator><category>Transparency</category><dc:date>2008-02-16T03:24:03-05:00</dc:date><link>http://www.brianklepper.info/page2/page4/files/How_TPAs_Can_Win.php#unique-entry-id-8</link><guid isPermaLink="true">http://www.brianklepper.info/page2/page4/files/How_TPAs_Can_Win.php#unique-entry-id-8</guid><content:encoded><![CDATA[All acute care hospitals are now required to routinely report 20 quality measures to CMS &ndash; that data is reported in a variety of ways &ndash; but relatively few hospitals &ndash; Louisville&rsquo;s Norton Healthcare has been a notable exception &ndash; have been interested in voluntarily reporting their pricing or performance for services throughout their organizations.  ]]></content:encoded></item><item><title>Letter To The Editor: Teens Should Have Sex Ed Information</title><dc:creator>bklepper@gmail.com</dc:creator><category>Sex Ed</category><dc:date>2008-10-02T04:21:19-04:00</dc:date><link>http://www.brianklepper.info/page2/page4/files/Teens_Should_Have_Sex_Ed_Info.php#unique-entry-id-7</link><guid isPermaLink="true">http://www.brianklepper.info/page2/page4/files/Teens_Should_Have_Sex_Ed_Info.php#unique-entry-id-7</guid><content:encoded><![CDATA[Instead, it has thrown the U.S. government's immense weight behind abstinence-based educational programs that encourage children to refrain from sex, but often do not explain the fundamentals of contraception and sexually transmitted diseases.
]]></content:encoded></item><item><title>Will Primary Care Be Re-Empowered By An Ailing Economy</title><dc:creator>bklepper@gmail.com</dc:creator><category>Primary Care</category><category>Economics</category><category>Reform</category><dc:date>2008-09-30T17:39:21-04:00</dc:date><link>http://www.brianklepper.info/page2/page4/files/Will_Primary_Care_Be_Re-Empowered.php#unique-entry-id-6</link><guid isPermaLink="true">http://www.brianklepper.info/page2/page4/files/Will_Primary_Care_Be_Re-Empowered.php#unique-entry-id-6</guid><content:encoded><![CDATA[Given this backdrop of economic turmoil, increasing pressure on the industry, and business' dissatisfaction with healthcare, let's examine two major events&mdash;worksite clinics and primary care re-empowerment&mdash;that underscore business' determination to transform the system, and in the process, cut costs, insure quality, and satisfy their employees. ]]></content:encoded></item><item><title>Innovation-Driven Health Care: Disrupting The Drivers of the Health Care Crisis</title><dc:creator>bklepper@gmail.com</dc:creator><category>Reform</category><category>Transparency</category><dc:date>2007-04-01T18:28:30-04:00</dc:date><link>http://www.brianklepper.info/page2/page4/files/Disrupting_the_Drivers_of_the_Crisis.php#unique-entry-id-5</link><guid isPermaLink="true">http://www.brianklepper.info/page2/page4/files/Disrupting_the_Drivers_of_the_Crisis.php#unique-entry-id-5</guid><content:encoded><![CDATA[While luminaries like Donald Berwick MD, CEO of the Institute for Healthcare Improvement and John Wennberg MD, author of the Dartmouth Atlas of Health Care, insist that a third or more of health care is wasted, so far we haven't been able to easily see what things actually cost or how effective our practitioners and institutions are.
]]></content:encoded></item><item><title>Jax Business Journal: Building Great Care in Northeast Florida</title><dc:creator>bklepper@gmail.com</dc:creator><category>Technology</category><category>Collaboration</category><dc:date>2007-05-18T18:25:11-04:00</dc:date><link>http://www.brianklepper.info/page2/page4/files/Great_Care_In_NE_Florida.php#unique-entry-id-4</link><guid isPermaLink="true">http://www.brianklepper.info/page2/page4/files/Great_Care_In_NE_Florida.php#unique-entry-id-4</guid><content:encoded><![CDATA[The other, equally straightforward and sensible, would provide 200,000 or more Northeast Floridians with access to high-quality Web-based tools -- diagnostic tools, a medical encyclopedia, personal health records, comparative hospital quality and drug pricing data -- that would help them better manage their own health.
]]></content:encoded></item><item><title>Are Drug Rebates Good for Oncology?</title><dc:creator>bklepper@gmail.com</dc:creator><category>Financial Conflict</category><category>Physicians</category><dc:date>2007-06-01T18:18:36-04:00</dc:date><link>http://www.brianklepper.info/page2/page4/files/Are_Rebates_Good_For_Oncology.php#unique-entry-id-3</link><guid isPermaLink="true">http://www.brianklepper.info/page2/page4/files/Are_Rebates_Good_For_Oncology.php#unique-entry-id-3</guid><content:encoded><![CDATA[The day after The New York Times ran its expos&eacute; on oncology drug rebates, &ldquo;Doctors Reap Millions For Anemia Drugs,&rdquo; I was at a national roundtable meeting with 20 physicians (no oncologists), hospital administrators, health plan executives, disease managers, and stop-loss brokers. ]]></content:encoded></item><item><title>Florida Times-Union: Health Care&#x27;s Tower of Babel</title><dc:creator>bklepper@gmail.com</dc:creator><category>Technology; Collaboration</category><dc:date>2007-07-01T18:07:46-04:00</dc:date><link>http://www.brianklepper.info/page2/page4/files/Tower_of_Babel.php#unique-entry-id-2</link><guid isPermaLink="true">http://www.brianklepper.info/page2/page4/files/Tower_of_Babel.php#unique-entry-id-2</guid><content:encoded><![CDATA[The Northeast Florida Regional Health Organization would be a nonprofit community health care utility, dedicated to a single idea: facilitating better health care information that helps everyone who touches health care - patients, employers, doctors, hospitals, health plans, local governments - make better health care decisions.
]]></content:encoded></item><item><title>Medscape General Medicine: Reader&#x27;s and Author&#x27;s Response to When Care Is Financially Conflicted</title><dc:creator>bklepper@gmail.com</dc:creator><category>Financial Conflict</category><category>Physicians</category><category>Medical Home</category><dc:date>2007-08-13T18:00:53-04:00</dc:date><link>http://www.brianklepper.info/page2/page4/files/Responses_To_When_Care_Is_Conflicted.php#unique-entry-id-1</link><guid isPermaLink="true">http://www.brianklepper.info/page2/page4/files/Responses_To_When_Care_Is_Conflicted.php#unique-entry-id-1</guid><content:encoded><![CDATA[Wouldn't it be nice to have someone orchestrate the delivery of healthcare, in a manner that ensured resolution of illness, to assure that all subsequent care would have to fit into an "of benefit" category or not, and if not of benefit then that someone would be obligated to provide feedback to the consultant in real time, which would put everyone on the same page in terms of the patient's care plan?
]]></content:encoded></item><item><title>Letter to the NY Times: A Campaign Spotlight on Health Care</title><dc:creator>bklepper@gmail.com</dc:creator><category>Reform</category><category>Lobbying</category><dc:date>2007-09-16T17:56:45-04:00</dc:date><link>http://www.brianklepper.info/page2/page4/files/NYTimes_Letter.php#unique-entry-id-0</link><guid isPermaLink="true">http://www.brianklepper.info/page2/page4/files/NYTimes_Letter.php#unique-entry-id-0</guid><content:encoded><![CDATA[Health care economists agree that as much as half of the industry's costs is waste, but that excess constitutes a significant portion of the financial baselines of most health care organizations.
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