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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.

Mar 27 2014

According to a survey in Health Services Research about 60% of physicians say they won't be participating in an ACO.

http://www.modernhealthcare.com/article/20140317/BLOG/303179999/about-60-of-physician-practices-avoiding-acos-study-finds?AllowView=VXQ0UnpwZTVDZldaL1JIQUMrWHRlRU9xamtzZEErOVU=&utm_campaign=am#
Mar 27 2014

Although no providers delivered adequate rates of patient education, nurse practitioners and physician assistants are more likely than doctors to provide patients with educational material on their diseases and health care, according to a study in Prevention of Chronic Diseases.

http://www.cdc.gov/pcd/issues/2014/13_0175.htm?utm_source=H2RMinutes+PCMH-ACO+Mar.+25%2C+2014&utm_campaign=ACO+mins+3%2F18%2F14&utm_medium=email
Mar 27 2014

An analysis reported in the American Journal of Managed Care suggests that a patient-centered medical home can reduce reduce utilization and spending for the highest-risk, and therefore highest-cost, patients.  Almost all the reductions occurred through fewer inpatient hospital admissions.

http://www.ajmc.com/publications/issue/2014/2014-vol20-n3/medical-homes-and-cost-and-utilization-among-high-risk-patients/1
Mar 27 2014

(Revised Reform Law Rules)

http://www.regulations.gov/#!documentDetail;D=CMS-2014-0036-0002
Mar 27 2014

2015 MA Call Letter

http://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/Downloads/Advance2015.pdf
Mar 26 2014

Altegra, which provides a range of administrative and care management solutions to payers, has acquired Outcomes Health Information Solutions, which provides analytic services.

http://www.altegrahealth.com/pr/Altegra_Health_Acquires_Outcomes_Health_Information_Solutions.pdf
Mar 25 2014

Sherpaa, which plans to offer employers consultations with providers by phone and text for their employees, has raised $500,000 from Tumblr's founder and is working on finding additional capital.

http://blogs.wsj.com/venturecapital/2014/03/24/tumblr-founder-david-karp-invests-in-medical-treatment-startup-sherpaa/
Mar 25 2014

PHEMI Health Systems, a care management platform with a "big data" database closed on about $2.8 million in financing.

http://www.pehub.com/2014/03/phemi-health-systems-nets-2-8-mln-seed-funds/
Mar 25 2014

IMS, the provider of drug and health information and analytics, is looking to return to the public markets in a $7 billion IPO.

http://medcitynews.com/2014/03/ims-health-seeks-valuation-7-billion-ipo/?utm_source=MedCity+News+Subscribers&utm_campaign=5efd3d1501-RSS_EMAIL_CAMPAIGN&utm_medium=email&utm_term=0_c05cce483a-5efd3d1501-67648197
Mar 25 2014

iHealth Technologies, which provides data collection and analytics for health care firms, may be for sale for a healthy price.

http://www.pehub.com/2014/03/riverside-company-buys-rs-occupational-health/
Mar 25 2014

Apparently many people are still astounded that basic economic principles apply to health care.  A study in the Annals of Emergency Medicine finds that ER use increased in Massachusetts after the implementation of reform.  If something costs less, people will buy or use more of it.  Simple as that.

http://www.annemergmed.com/webfiles/images/journals/ymem/YMEM5832_proof.pdf
Mar 25 2014

Kannact, which intends to provide tablet-based apps to facilitate care in the home and monitoring and coordination of that care, has raised $3 million in financing.

http://mobihealthnews.com/30897/kannact-raises-3m-for-tablet-based-home-health-offering/
Mar 25 2014

According to Mark Farrah Associates, growth in Medicare Prescription Drug Plans slowed for the current year, with a little under one million net new members.  Of the roughly 52 million Medicare beneficiaries, about 39 million have Part D coverage either through a stand-alone PDP or Medicare Advantage coverage.  UnitedHealth, CVS Caremark and Humana are the largest players.

http://www.markfarrah.com/healthcare-business-strategy/
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