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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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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The Congressional Budget Office states the obvious; any version of single payer or Medicare for all will be extremely painful.
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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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A paper from the National Bureau of Economic Research explores consumer decision-making around health plan choice.
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An AHRQ comparative effectiveness review generally finds that telehealth consultations produces as good or better outcomes as non-telehealth ones.
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CMS releases an analysis of the first year of the Medicare Comprehensive Primary Care Plus demonstration.
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SureScripts issues its annual progress report relating to use of its data and transaction network.
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Medicare is proposing to test some new payment approaches with providers.
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An article in Health Affairs proposes a standard for evaluating the "fairness" of drug pricing.
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The Integrated Healthcare Association releases an analysis of California providers who take financial risk and the quality of their care.
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A study in Health Affairs examines the nature of provider networks in Medicare Advantage plans, with a focus on prevalence of narrow networks.
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Payment facilitator InstaMed releases its ninth annual survey on trends in health care payments.
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A study finds that a small percent of total Medicare spending is for primary care, but it is not clear if that is good or bad.
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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. 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.