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Mar 10 2017

More on Medicare Advantage Plan’s Coding Behavior

By Kevin Roche Commentary No Comments
An analysis in Health Affairs concludes that over-coding by Medicare Advantage plans is costing CMS billions of dollars annually.
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Mar 09 2017

Incentives Relating to Health Behavior

By Kevin Roche Commentary No Comments
A paper at the National Bureau of Economic Research examines what might maximize the impact of health behavior incentives.
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Mar 08 2017

Drug Pricing in the US

By Kevin Roche Commentary No Comments
A blog post at Health Affairs suggests that drug manufacturers don't need US prices to support R & D.
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Mar 07 2017

Cost Estimators and Insurance Exchange Consumers

By Kevin Roche Commentary No Comments
A paper from the Commonwealth Fund examines use of cost estimators on insurance exchanges.
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Mar 06 2017

Trends in Employer Health Insurance

By Kevin Roche Commentary No Comments
An organization called the State Health Access Data Assistance Center analyzes MEPS results to estimate trends in employer-sponsored health coverage.
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Mar 03 2017

AHIP Response to Proposed 2018 Medicare Advantage Rates

By Kevin Roche Commentary No Comments
America's Health Insurance Plans sponsors a piece by actuarial firm Oliver Wyman regarding the proposed 2018 Medicare Advantage rates.
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Mar 02 2017

Health Care Benefit Trends

By Kevin Roche Commentary No Comments
The Healthcare Trends Institute surveys 250 benefit managers to ascertain the state of health care benefits.
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Mar 01 2017

Deductibles and Diabetes Care

By Kevin Roche Commentary No Comments
Having a low or a high deductible insurance plan is associated with a reduction in receipt of certain care by diabetes patients, but not with a change in outcomes.
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Feb 28 2017

Prime Therapeutics Drug Trend Report

By Kevin Roche Commentary No Comments
Prime Therapeutics issues a press release about its drug trend for 2016.
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Feb 27 2017

2016 Express Scripts Drug Trend Report

By Kevin Roche Commentary No Comments
Express Scripts offers up the first 2016 Drug Trend report, with forecasts for the future to boot.
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Feb 24 2017

The Internet of Health Things???

By Kevin Roche Commentary No Comments
Accenture publishes a new survey on the internet of health things.
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Feb 23 2017

Wage Level and Health Care Use

By Kevin Roche Commentary No Comments
A study in Health Affairs finds that lower-paid employees have different health care usage patterns and costs than do higher-paid ones.
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Feb 22 2017

Does Bundled Payment Reimbursement Increase Volume?

By Kevin Roche Commentary No Comments
The Altarum Institute issues a report on the impact of bundled payment methods on volume of services.
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Feb 21 2017

The Latest Health Spending Projections from the Office of the Actuary

By Kevin Roche Commentary No Comments
CMS' Office of the Actuary's new projections on health spending show above GDP growth as far as the eye can see.
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Feb 17 2017

Pharmacogenomics and ER Use

By Kevin Roche Commentary No Comments
A study at the Public Library of Science finds that use of pharmacogenomics in managing drug regimens can help reduce readmissions and ER use.
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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

This isn’t really surprising, given what you can see in employment and other reports.  Minnesota is one of the state’s viewed as having a bad economy, one that is either...
December 23, 2025
Angle Health, a vendor of a supposedly artificial intelligence powered health benefits platform for employers raised $134 million in new capital.  All you have to do is mention AI and...
December 4, 2025
Reema Health, which calls itself a complex care management company, reamed investors for $19 million in capital, to be used for the usual “to support growth”.  The firm works with...
December 2, 2025
Press Ganey, which provides market research for health plans and providers , is being purchased by health care survey firm Qualtrics for $6.75 billion.  Both companies claim this is all...
October 6, 2025

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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