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Oct 25 2019

Specialist Participation in ACOs

By Kevin Roche Commentary No Comments
A study in the journal Circulation illustrates the benefits of including specialists in ACOs.
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Oct 24 2019

National Health Spending Reports from Altarum

By Kevin Roche Commentary No Comments
The latest briefs on health care prices and spending from the Altarum Institute show ongoing moderate growth.
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Oct 23 2019

Pharmacy Benefit Managers in Medicare Part D

By Kevin Roche Commentary No Comments
The Government Accounting Office releases a report on the role of pharmacy benefit managers in Medicare Part D.
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Oct 22 2019

MGMA Report on Regulatory Burdens

By Kevin Roche Commentary No Comments
Physicians feel a heavy regulatory burden that diverts them from patient care, according to a regular report from the MGMA.
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Oct 21 2019

Revisions to the Fraud and Abuse Rules

By Kevin Roche Commentary No Comments
The federal fraud and abuse rules are being revised to accommodate value-based purchasing and other reimbursement changes.
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Oct 18 2019

Trends in Cardiac Testing in Medicare

By Kevin Roche Commentary No Comments
A study in JAMA Network Open discusses trends in high and low-value cardiac testing in Medicare.
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Oct 17 2019

Quality of Home Health Agencies Used by Medicare Advantage Plans

By Kevin Roche Commentary No Comments
A study in JAMA Network Open suggests that Medicare Advantage plans use lower-quality home health agencies.
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Oct 16 2019

Providers’ Responses to Price Transparency

By Kevin Roche Commentary No Comments
How providers react to price transparency is analyzed in a Journal of Health Economics study.
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Oct 15 2019

Comprehensive Care Coordination for Children with Chronic Disease

By Kevin Roche Commentary No Comments
New research finds that comprehensive care management for children with chronic diseases made no difference in outcomes.
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Oct 14 2019

“Waste” in the US Health System

By Kevin Roche Commentary No Comments
Oh boy, another bogus study on "waste" in our health system.
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Oct 11 2019

GAO Report on Medicare’s Quality Measures

By Kevin Roche Commentary No Comments
The Government Accounting Office critiques the Medicare quality of care program.
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Oct 10 2019

Did Doctors Really Do What the Records Say They Did?

By Kevin Roche Commentary No Comments
A study carried by the JAMA Open Network reveals that what physicians say they did in billing and medical records may not be what actually happened.
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Oct 09 2019

Medicare ACO Performance

By Kevin Roche Commentary No Comments
A blog post at Health Affairs from CMS discusses the latest results from the Medicare ACOs.
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Oct 08 2019

Nurse Practitioner Prescribing Authority

By Kevin Roche Commentary No Comments
Research in the Journal of Health Economics examines the effect of nurse practitioner prescribing authority on population mental health.
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Oct 07 2019

Competition and Medicare Advantage Plan Quality

By Kevin Roche Commentary No Comments
A study published in the Health Services Research journal finds that less competition among Medicare Advantage plans may be associated with higher quality.
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About this Blog

Kevin RocheThe 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. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at khroche@healthy-skeptic.com.

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Research

This is an outstanding report on total global drug spending and trends, with projections out to 2025.  It helps you understand this important area of health care, which does much...
June 1, 2021
The Office of the Actuary annual report on national health spending, covering 2018.
December 7, 2019
2019 Kaiser Family Foundation Employer Health Benefits Report
October 1, 2019
MedPAC 2019 Report to Congress
June 18, 2019

Headlines

This isn’t really surprising, given what you can see in employment and other reports.  Minnesota is one of the state’s viewed as having a bad economy, one that is either...
December 23, 2025
Angle Health, a vendor of a supposedly artificial intelligence powered health benefits platform for employers raised $134 million in new capital.  All you have to do is mention AI and...
December 4, 2025
Reema Health, which calls itself a complex care management company, reamed investors for $19 million in capital, to be used for the usual “to support growth”.  The firm works with...
December 2, 2025
Press Ganey, which provides market research for health plans and providers , is being purchased by health care survey firm Qualtrics for $6.75 billion.  Both companies claim this is all...
October 6, 2025

Tags

Access (89) ACO (165) Care Management (268) Chronic Disease (216) Comparative Effectiveness (81) Consumer Directed Health (71) Consumers (514) Devices (168) Disease Management (149) Drugs (605) EHRs (145) Elder Care (149) End-of-Life Care (97) FDA (85) Financings (1843) Genomics (80) Government (357) Health Care Costs (1428) Health Care Quality (616) Health Care Reform (1227) Health Insurance (1116) Health Insurance Exchange (162) HIT (478) HomeCare (76) Hospital (490) Hospital Readmissions (79) Legislation (78) M&A (1723) Malpractice (84) Meaningful Use (105) Medicaid (334) Medical Care (346) Medicare (607) Medicare Advantage (80) Mobile (89) Pay For Performance (92) Pharmaceutical (211) Physicians (569) Providers (252) Regulation (72) Repealing Reform (133) Telehealth (79) Telemedicine (325) Wellness and Prevention (316) Workplace (117)

About This Blog

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. © Roche Consulting, LLC. Terms of Use.

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