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Feb 12 2020

Understanding the Effect of Price Variation

By Kevin Roche Commentary No Comments
A report from the Health Care Cost Institute explores the effect of limiting price variation, demonstrating how much of our spending problem is linked to unit prices.
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Feb 11 2020

Adjustment to Drug Reference Pricing

By Kevin Roche Commentary No Comments
A study in JAMA Network Open explores how doctors and patients adjust to reference pricing of drugs.
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Feb 10 2020

Patient-Centered Medical Homes

By Kevin Roche Commentary No Comments
A new study finds little support for the notion that patient-centered medical homes will reduce utilization in the long-run.
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Feb 07 2020

Out-of-Network Primary Care in ACOs

By Kevin Roche Commentary No Comments
A study published in Health Affairs finds that more out-of-network primary care leads to increased spending.
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Feb 06 2020

Who Gets and Who Pays for Health Care?

By Kevin Roche Commentary No Comments
A paper in Health Services Research examines who pays for and who benefits from health care spending.
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Feb 05 2020

More Malpractice Exposure Does Not Equal Better Care

By Kevin Roche Commentary No Comments
A research review in the Journal of the American Medical Association finds that increasing malpractice liability exposure doesn't improve quality.
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Feb 04 2020

How Consumers Health Utilization Varies Depending on Benefit Design

By Kevin Roche Commentary No Comments
A study in the Journal of Health Economics examines medical utilization responses to health insurance policy design.
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Feb 03 2020

Drug Company Detailing of Physicians

By Kevin Roche Commentary No Comments
A study in JAMA Internal Medicine describes trends in drug manufacturer detailing of physicians.
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Jan 31 2020

CAQH Report on Electronic Transactions in Health Care

By Kevin Roche Commentary No Comments
CAHQ issues its annual index report on use of electronic transactions in health care, finding we still have a lot of room for progress.
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Jan 30 2020

EHR Data to Predict Hospitalization Risk

By Kevin Roche Commentary No Comments
A study in the American Journal of Managed Care examines the use of EHR data to predict hospitalization.
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Jan 29 2020

Physician Preferences for Certain Patients

By Kevin Roche Commentary No Comments
A new study examines whether physician preferences for certain types of patients may play a role in practice variation.
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Jan 28 2020

Out-of-Network Billing

By Kevin Roche Commentary No Comments
A Health Affairs article examines the source and size of out-of-network billings.
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Jan 27 2020

Medicare Advantage Savings for Beneficiaries

By Kevin Roche Commentary No Comments
UnitedHealth Group gives us its perspective on the relative savings on beneficiaries in Medicare Advantage.
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Jan 24 2020

Oncology Drug Costs and Site of Service

By Kevin Roche Commentary No Comments
A paper from EBRI discusses differences in cost for the same cancer medication in different sites of service.
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Jan 23 2020

Early Results on CAR-T Therapy in Medicare Patients

By Kevin Roche Commentary No Comments
A paper presented at the American Society of Hematology describes early cost and utilization results for Medicare patients.
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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.

Healthy Skeptic Podcast

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

IKS Health, a British company with a US subsidiary that offers “care enablement” and mentions AI, of course,  is buying TruBridge for $557 million.  TruBridge offers revenue cycle management and...
April 30, 2026
Innovacer, which basically collects data on a patient from multiple sources and aggregates it, raised an astounding $275 million in new capital, supposedly at a valuation of almost $3.5 billion....
April 22, 2026
A company called Whoop raised a ridiculous $575 million in new capital at a supposed $10 billion valuation.  The press release was released on April 1, so I would like...
April 5, 2026
Big deals continue in health care financings.  eMed, which manages weight loss medications for employers, raises a hefty $200 million, giving it a valuation of $2 billion, which seems crazy....
March 31, 2026

Tags

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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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