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May 22 2019

Attempting to Rein-in Oncology Drug Costs

By Kevin Roche Commentary No Comments
A large health plan's program in incentivize doctors to use lower-cost oncology drugs shows little results.
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May 21 2019

Use of Medicines in the Next Five Years Report

By Kevin Roche Commentary No Comments
IQVIA gives us its annual forecasting on prescription drug use for the next few years.
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May 20 2019

Deductible Relief Day

By Kevin Roche Commentary No Comments
A brief from the Peterson-Kaiser Health System Tracker group examines deductible trends.
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May 17 2019

Reference Pricing for Medications

By Kevin Roche Commentary No Comments
Using international reference pricing for drugs would save the United States a lot of money.
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May 16 2019

Trends in Physician Practice Ownership

By Kevin Roche Commentary No Comments
An American Medical Association report demonstrates the ongoing trend of physicians not having an ownership interest in their practices and becoming employees.
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May 15 2019

High Deductible Plans and Chronic Disease Spending

By Kevin Roche Commentary No Comments
An analysis from the Health Care Cost Institute finds that members in high deductible health plans spend less on chronic conditions.
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May 14 2019

Hospital Prices for Public and Private Payers

By Kevin Roche Commentary No Comments
A Rand Corporation report details payment differences for hospital services among private and public payers.
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May 13 2019

Relative Spending on Medicare Advantage Beneficiaries

By Kevin Roche Commentary No Comments
A flawed Kaiser Foundation analysis suggests that Medicare Advantage enrollees have lower spending and CMS is paying plans more than it should for their care.
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May 10 2019

Drug Prices

By Kevin Roche Commentary No Comments
A GoodRx report describes drug pricing trends.
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May 09 2019

Factors in Risk-Scoring for Dual Eligibles

By Kevin Roche Commentary No Comments
A study in Health Affairs finds that including functional, cognitive and social factors improved cost prediction and risk-adjustment for payments for dual-eligible enrollees.
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May 08 2019

Health Care Coverage Enrollment

By Kevin Roche Commentary No Comments
The most recent report from Mark Farrah Associates gives enrollment in various kinds of commercial health coverage as of year-end 2018.
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May 07 2019

CBO on Medicare for All

By Kevin Roche Commentary No Comments
The Congressional Budget Office states the obvious; any version of single payer or Medicare for all will be extremely painful.
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May 06 2019

Annual Medicare Trustees’ Report

By Kevin Roche Commentary No Comments
The 2019 Medicare Trustees' report to Congress is just full of good news, if you are a deep in the bone pessimist who likes confirmation that the worst is just…
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May 03 2019

Consumer Choice of Plan Factors

By Kevin Roche Commentary No Comments
A paper from the National Bureau of Economic Research explores consumer decision-making around health plan choice.
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May 02 2019

Comparative Effectiveness of Telehealth Consultations

By Kevin Roche Commentary No Comments
An AHRQ comparative effectiveness review generally finds that telehealth consultations produces as good or better outcomes as non-telehealth ones.
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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

InStride Health hit the ground running, well maybe walking, as it raised $30 million in additional capital for its pediatric mental health business.  Children’s mental health would be just fine...
June 17, 2026
GoHealth is another of those excessively valued health startups that was always destined to flounder and not it has filed bankruptcy and the company will be turned over to lenders....
June 8, 2026
Garner Health isn’t gathering any accolades from me, as it raises a new round of $100 million in capital at about a $2.5 billion valuation.   The company supposedly steers...
June 2, 2026
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

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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