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Sep 10 2018

So What is Happening with Premiums in Exchange-Land?

By Kevin Roche Commentary No Comments
Hard to figure out what is really happening with premiums for health insurance purchased on the reform law exchanges.
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Sep 07 2018

PBMs Blame Drug Companies for High Prices

By Kevin Roche Commentary No Comments
Today, we hear from the PBM trade association, pointing (or giving) the finger at medication makers for high prices.
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Sep 06 2018

High Drug Prices Are Hospitals’ Fault, According to Drug Makers

By Kevin Roche Commentary No Comments
In the frenzy over drug prices, all sides are releasing studies on who is to blame. Here is one sponsored by the drug manufacturers' trade association.
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Sep 05 2018

More on Maryland’s All-Payer Hospital Reimbursement System

By Kevin Roche Commentary No Comments
CMS released the third annual evaluation of the Maryland all-payer, global budget reimbursement system.
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Sep 04 2018

What Happens if Quality of Care Financial Incentives Are Removed?

By Kevin Roche Commentary No Comments
An interesting study in the New England Journal of Medicine finds that removal of incentives relating to quality of care measures decreases performance.
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Sep 03 2018

Labor Day 2018

By Kevin Roche Commentary No Comments
Enjoy your day off, if you have one, and consider the value of work.
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Aug 31 2018

Exchange Premiums and Number of Insurers

By Kevin Roche Commentary No Comments
Seems obvious, but a Health Affairs study confirms that premiums on the insurance exchanges are higher when fewer plans participate.
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Aug 30 2018

Medicare’s Payments to Long-term Care Hospitals

By Kevin Roche Commentary No Comments
Here is a shock, a government program, Medicare, that wastes taxpayer dollars by paying more for care in one setting than another, in this case long-term care hospitals.
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Aug 29 2018

Evaluation of CMS’ Next Generation ACO Program

By Kevin Roche Commentary No Comments
CMS issues the first annual outside evaluation of the Next Generation ACO program, finding some modest savings.
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Aug 28 2018

High-Deductible Health Plan Trends

By Kevin Roche Commentary No Comments
A study carried in Health Affairs discusses trends in high-deductible health plans.
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Aug 27 2018

Cost-effectiveness of Cell and Gene Therapies

By Kevin Roche Commentary No Comments
The Alliance for Regenerative Medicine releases a sponsored study of the cost-effectiveness analysis of new cell and gene therapies.
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Aug 24 2018

Cost Savings from Hospital Mergers

By Kevin Roche Commentary No Comments
Hospitals post underwhelming purchasing savings following acquisition activity, according to a new paper at NBER.
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Aug 23 2018

Medicare Purchases of Brand-name Versus Generic Medications

By Kevin Roche Commentary No Comments
An analysis published in JAMA finds that Medicare is wasting about a billion dollars a year purchasing brand-name drugs.
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Aug 22 2018

Service Use Variation In MA and FFS Medicare

By Kevin Roche Commentary No Comments
An analysis in Health Affairs compares hospital, home health and SNF use and variation in Medicare Advantage versus the fee-for-service version.
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Aug 21 2018

Variation in Hospital Pricing

By Kevin Roche Commentary No Comments
A report from the Minnesota Department of Health reveals the variation in hospital pricing.
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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

Mental health is a very hot health care investment area.  Talkiatry raised $210 million in new capital for its virtual mental health services which utilizes employed psychiatrists, psychologists and other...
February 13, 2026
Investors can take comfort in Solace Health, which provides “advocates” to members in health plans, as it raises a fresh $130 million in capital, which takes its alleged value over...
February 11, 2026
Two health care companies moving in opposite directions reported financial results.  Hinge Health, which offers musculoskeletal condition services, reported strong revenue and earnings growth and projected continued rapid rises in...
February 11, 2026
And here is why I often wonder what investors are thinking when they make large investments in companies with dubious businesses.  Carbon Health was going to open hundreds of primary...
February 5, 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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