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Kevin Roche

The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry through Roche Consulting, LLC. Mr. Roche is available to assist health care companies through consulting arrangements and may be reached at khroche@healthy-skeptic.com.

Nov 27 2017

Let's all feel sorry for hospitals; according to a survey from The Advisory Board denials of claims by payers are increasing and hospitals are losing appeals more often, resulting in $3.5 million less annual revenue for the median-sized hospital.

https://finance.yahoo.com/news/hospital-revenue-cycles-showing-strength-180000873.html
Nov 27 2017

Specialty pharmacy firm Diplomat Health is acquiring full-service PBM National Pharmaceutical Services for around $50 million.

https://www.prnewswire.com/news-releases/diplomat-to-acquire-national-pharmaceutical-services-300550298.html
Nov 23 2017

Happy Thanksgiving

By Commentary No Comments

Oh, geez, another year is flying by.  On Thanksgiving I hope you will be able to forget all the national and international turmoil and just enjoy being with family and friends.  What we can all be most grateful for are these relationships that really matter the most.  Have a pleasant and relaxing day.  (Oh, and it would be just fine if the Vikings cream the Lions and my Crimson Tide rolls over the Auburn shore!)

Nov 21 2017

Digital nutrition company Oviva raises $12 million in a series A financing.  Munch on those fingers and toes.

https://www.pehub.com/2017/11/digital-health-company-oviva-hauls-in-12-mln-series-a/
Nov 21 2017

In an already hyper-consolidated marketplace, drug wholesaler AmerisourceBergen is planning to spend $815 million to buy smaller rival H.D. Smith.

https://www.axios.com/amerisourcebergen-eyes-815-million-buyout-of-h-d-smith-2511157557.html
Nov 17 2017

LHC Group and Almost Family are merging to create the second largest home health care firm in the US, with $1.8 billion in revenue.

https://www.axios.com/home-health-giants-look-to-merge-2510019770.html
Nov 16 2017

A Sherlock & Co. analysis finds that premiums for group health benefits are expected to be up 7.2% and for individual plans, up 21%.  After design changes, this may decline to 5.6% and 18.2%, respectively.  Medical trend is anticipated to be in the 5% range for group business and 12% for the individual one, suggesting healthy profits for insurers.

http://www.businesswire.com/news/home/20171113005957/en/Health-Plans-Project-2018-Premiums-Increase-7.2
Nov 16 2017

Catalia Health scoops up $4 million for its AI-powered care management and patient engagement platform.

http://www.businesswire.com/news/home/20171115005546/en/Catalia-Health-Raises-4-Million-Pre-Series-Power
Nov 16 2017

TractManager, which offers contract management and analytic services to health plans and providers, is acquiring Hayes, Inc., which does economic and other analyses of new technology for plans.

https://www.pehub.com/2017/11/pe-backed-tractmanager-buys-hayes/
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