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Jun 03 2019

Predicting High-Cost Patients

By Kevin Roche Commentary No Comments
Research published in the Journal of Health Economics finds that using predictive analytics to identify high-risk members for intervention had limited success.
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May 31 2019

Machine Learning for Health Care

By Kevin Roche Commentary No Comments
An article in the New England Journal of Medicine describes the potential for use of machine learning in health care.
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May 30 2019

DOL Report on Self-funded Plans

By Kevin Roche Commentary No Comments
The annual Department of Labor report on self-funding gives some interesting facts on this growing form of health care coverage.
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May 29 2019

HSA Balances and Health Care Utilization

By Kevin Roche Commentary No Comments
A brief from the Employee Benefits Research Institute explores the effect of health savings account balances on utilization.
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May 28 2019

Service Price Variation

By Kevin Roche Commentary No Comments
A study from UnitedHealth Care reveals further details on the extent of variation in prices for health services.
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May 24 2019

More Altarum Health Spending News

By Kevin Roche Commentary No Comments
The May Altarum Institute health spending reports indicate a potential uptick in spending and prices.
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May 23 2019

Medicare Advantage and Dual Eligibles

By Kevin Roche Commentary No Comments
A report from Avalere finds that dual eligibles have lower utilization and spending in Medicare Advantage.
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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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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

Included Health wants no one to feel left out, so it is buying Firefly Health, which is attracted to the light of all that money.  Included Health is yet another...
July 29, 2026
Telehealth is still going strong and whenever possible the companies in the field talk about AI.  Doctronic has an “AI Doctor” which you can visit and it is acquiring Summer...
July 29, 2026
Speaking frankly, Candid Health looks like one of those companies we don’t need in health.  It claims to have new revenue cycle management software that is heavily driven by AI...
July 27, 2026
Health care is a big part of the economy so investment dollars tend to flow there, not always wisely.  There is alot of gibberish in this press release from Pearl...
July 9, 2026

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 (1845) 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 (1725) 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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