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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.

Dec 22 2015

The 2015/16 PBMI Drug Benefit Report

https://www.pbmi.com/shop/prescription-drug-benefit-cost-and-plan-design-reports/2015-2016-prescription-drug-benefit-cost-plan-design-report/
Dec 20 2015

PE firm New Mountain Capital has facilitated a merger between Equian and Trover Solutions to create a larger entity focused on claims and payment-based cost control solutions for health care payers.

http://www.equian.com/2015/12/18/equian-llc-trover-solutions-inc-merge/
Dec 20 2015

WellDoc has gathered another $22 million in capital to support its Type 2 diabetes prescription mobile app.

http://medcitynews.com/2015/12/type-2-diabetes-prescription-app/?utm_source=MedCity+News+Subscribers&utm_campaign=2bccb45e18-MCN+Daily+Email&utm_medium=email&utm_term=0_5092836c41-2bccb45e18-408793005&rf=1
Dec 19 2015

naviHealth, a Cardinal subsidiary which works on post-acute care management, has acquired RightCare Solutions, which provides software to assist in avoiding readmissions.

http://medcitynews.com/2015/12/rightcare-solutions-acquisition/?utm_source=MedCity+News+Subscribers&utm_campaign=1428a3536a-MCN+Daily+Email&utm_medium=email&utm_term=0_5092836c41-1428a3536a-408793005&rf=11
Dec 17 2015

Oration announced that it has raised $11.2 million to help employers control prescription costs, coming out of "stealth" mode, or maybe just nobody cared.

https://www.pehub.com/2015/12/oration-emerges-from-stealth/
Dec 17 2015

Health plan company Clover Health gets a honey of a deal with $35 million more in investment, a lot of which is apparently being used to create absurd PR, just read the press release.  According to Clover it is the "first and only health insurance company successfully using technology to improve health outcomes."  There are a only a few hundred health plans that would beg to differ.  Please, especially during the holidays, spare us the gagging BS.

http://www.marketwired.com/press-release/clover-health-partners-with-sequoia-and-raises-35-million-2082530.htm
Dec 16 2015

Standard & Poor's says health plans are all losing lots of money on the insurance exchange business.

https://www.globalcreditportal.com/ratingsdirect/renderArticle.do?articleId=1551800&SctArtId=360292&from=CM&nsl_code=LIME&sourceObjectId=9444273&sourceRevId=4&fee_ind=N&exp_date=20251214-20:14:33?utm_medium=nl&utm_source=internal&mkt_tok=3RkMMJWWfF9wsRonvKXKe%2B%2FhmjTEU5z17e8oXKS2lMI%2F0ER3fOvrPUfGjI4DT8FgN6%2BTFAwTG5toziV8R7LMKM1ty9MQWxTk
Dec 15 2015

Schooling the market, Edumedics teaches us something about fund-raising, getting $4.2 million for its chronic condition care management program.

http://medcitynews.com/2015/12/care-management-startup-edumedics-raises-4-2m/?utm_source=MedCity+News+Subscribers&utm_campaign=82934035b8-MCN+Daily+Email&utm_medium=email&utm_term=0_5092836c41-82934035b8-408793005
Dec 14 2015

And in yet another study in Health Affairs indicating the harms of hospital consolidation of medical services, ambulatory surgery centers raised prices much less in the last few years than did hospital outpatient departments providing the same services.

http://content.healthaffairs.org/content/34/10/1753.abstract
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