Episode 138 - Brian Klepper, part 1: High Performance Healthcare

Brian Klepper PhD

In this episode, #138, I'm joined by Dr. Brian Klepper.  He's a nationally recognized healthcare analyst and commentator.  He talks about the what 's behind the problems in our care delivery system and what he calls high performance healthcare.  This week on MCF.


Dr. Brian Klepper is a healthcare analyst and commentator. He has provided health care commentary to CBS Evening News, the Wall Street Journal, the New York Times, and the Washington Post. He’s an author, keynote speaker and consultant.  He’s the president of Health Value Direct and the former CEO of the National Coalition on Health.  

Show Notes 



Brian lives off the coast of Florida and likes to do long distance sailing for fun. He has been in consulting for a long time in the healthcare field, and recently undertook a project trying to analyze and change the current healthcare system in the United States. In 2000, Brian moved back into the private sector, meanwhile being recruited to the National Business Coalition on Health. He describes the challenges and frustrations associated with this, and goes on to speak about his current interests.


Key Factors Leading to Mediocrity in Healthcare

  • Accepting the decisions of the government made with monetary influences from the healthcare industry.
  • Fee for service reimbursement: incentivizes providers to perform more services regardless of outcome
  • Lack of quality, safety, and cost transparency
  • War on primary care


Brian speaks about the waste that this leads to in the healthcare industry, and shares some shocking statistics from this recent financial review: The Price of Excess: Identifying Waste in Healthcare Spending


Example of these factors

Brian gives an example of back surgery statistics in the early 2000’s, and breaks down the involvement of multiple healthcare sectors. 


He gives another example basedon his personal experiences when working in the private sector, and how common it was to see abuse when analyzing these situations.

For more from Brian, you can go to: