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How Primary Care Became the Job Nobody Wanted (And How To Fix It)

Brian Klepper, Other, 08:08AM Nov 21, 2012

This link to Slideserve - its also below - shows my plenary presentation on CMS' relationship with the AMA's Relative Value Scale Update Committee (RUC), and how/why it has undermined American primary care. I delivered this overview at the Medical Home Summit in Philadelphia earlier this year.

Meanwhile, the team - led by Paul Fischer MD, a primary care physician in Augusta, GA - that sued CMS and HHS over their failure to require the RUC's to adhere to the requirements of the Federal Advisory Committee Act is waiting for the appeal court's ruling that will determine whether the case is at an end or whether it moves forward into discovery.

Given the seriousness and far-reaching impacts of the problem, it is shameful that America's primary care medical societies have shrunk from supporting this action. In doing so, and in yearning to continue to align and participating with the AMA and the RUC, they have become complicit with them. They have not only compromised the primary care physicians who are their members, but ignored the much larger problems of patients who are too often put at unnecessary risk through care they don't need, and purchasers - individuals, businesses and governments - who have been exploited for more than 2 decades with costs that are double those in other industrialized nations.



About This Blog

America’s health care cost crisis is dragging the larger economy over a cliff. What policy- and market-based solutions can deliver better care at lower cost?

Disclosure: Brian Klepper, PhD, has disclosed no relevant financial relationships.

  • Brian Klepper

    Brian Klepper, PhD, is a health care analyst and Chief Development Officer of WeCare TLC, an onsite clinic/medical management firm based in Orlando.

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