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The dream of reason did not take power into account.…Modern medicine is one of those extraordinary works of reason … But medicine is also a world of power.
Paul Starr
The Social Transformation
of American Medicine,1984
Facing a global landscape filled with new demands and directions, no nation can afford a government that is ineffective in delivering change. The best executives already know this. What they still need, in order to satisfy their own imperatives, are proven methods and tools that move beyond “advocating” better policies or “announcing” laws that outline new visions. The vision needs to produce real results that address real problems.
Leading Change
in the Public Sector: Installation vs. Realization
Public Governance Institute
Based in a small seaside community on the Northeast Florida coast, Brian Klepper is a health care analyst working on national reform issues, writing and speaking. Over many years, he has developed a national reputation for thoughtful, reasonable perspectives on complex health care issues.
Dr. Klepper consults with health care organizations and business groups to develop the pricing and performance transparency that is essential to improving decision-making, quality and efficiencies at every level of the system. He also is involved in building and managing worksite clinics that dramatically improve employee and family health while significantly reducing cost.
Early in his career Dr. Klepper led a health care consulting practice that developed or repaired new companies and programs in all kinds of health care environments. Then, in 1999, realizing that health care was headed for massive systemic disruptions, he changed course to work on reform. That experience allowed him to begin to understand the deep structural mechanisms that underlie the crisis, and what it will take to put the system on a stable footing again.
An active author and speaker, Dr. Klepper has provided health care commentary to CBS Evening News, the Wall Street Journal, the New York Times, and the Washington Post, and has published articles in Medscape, The New England Journal of Medicine, Modern Healthcare, Business Insurance, HealthLeaders and newspapers around the country.
He was recently selected as an Aspen Institute Health Forum Fellow. He serves as one of only three non-physicians on the Editorial Board of Medscape General Medicine, as Editor-at-Large for the medical journal Community Oncology, as a Steering Committee member to the Population Health Impact Institute, and as an advisory panelist for the College of Health Dean’s Councils at the University of North Florida (Jacksonville) and Florida Gulf Coast University (Ft. Myers).
He is also a regular columnist on several of the best respected and most widely-read healht care blogs: Matthew Holt’s The Health Care Blog, Patricia Salber MD’s The Doctor Weighs In (where he is the sole non-physician contributor), and Robert Laszewski’s Health Care Policy and Marketplace Review.
This site presents Dr. Klepper’s new articles, blog columns and videos. It archives past materials, and distills the steps he believes are crucial to meaningful reform.
Thanks for stopping by. Take a look around. Get in touch if he can be helpful, or if you have any questions or comments.