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Sep 04 2015

Medicare Reimbursement Sustainability

By Kevin Roche Commentary No Comments
An Altarum Institute Presentation focuses on whether limits on Medicare reimbursement are sustainable and impacts of that reimbursement on other payers.
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Sep 03 2015

Massachusetts Health Spending

By Kevin Roche Commentary No Comments
Time to check in on Massachusetts, the trend-setter for eventual federal health reform. Things aren't going so good on the spending side.
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Sep 02 2015

How Millennials Shop for Health Care

By Kevin Roche Commentary No Comments
Nuance Communications releases results of a survey regarding how various groups select health care providers and products.
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Sep 01 2015

Revising the 340B Program Guidance

By Kevin Roche Commentary No Comments
HHS releases guidance on the operation of the controversial 340B drug pricing program, designed to address uncertainties and concerns.
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Aug 31 2015

“Cowboy” Doctors

By Kevin Roche Commentary No Comments
A Harvard analysis blames a few doctors with aggressive care patterns for driving up medical expenses.
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Aug 28 2015

Another Broker Perspective on 2016 Employer Plans

By Kevin Roche Commentary No Comments
An Arthur J. Gallagher survey looks at employer intentions in regard to health benefits for 2016.
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Aug 27 2015

Checklist Confusion

By Kevin Roche Commentary No Comments
An Article in Nature explores why checklists to improve health care quality may not always work as intended.
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Aug 26 2015

Q1 Health Plan Enrollment and Profits

By Kevin Roche Commentary No Comments
Mark Farrah Associates provides a first quarter summary of enrollment and profit trends for the largest health plans.
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Aug 25 2015

Premiums for Provider-Owned Health Plans

By Kevin Roche Commentary No Comments
In some quarters there is a belief that provider-owned or sponsored health plans will have lower premiums, but a survey indicates that is not the case.
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Aug 24 2015

The Cost of Integrating Behavioral Health into Primary Care

By Kevin Roche Commentary No Comments
More myth-busting this week, with today's focus on an analysis from the Institute for Clinical & Economic Review finding that integrating behavioral health into primary care is costly, but probably…
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Aug 21 2015

Health Reform Law Programs to Help Health Plans

By Kevin Roche Commentary No Comments
A analysis from Mark Farrah Associates provides details on the benefits the reform law reinsurance and risk adjustment programs are providing for health plans.
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Aug 20 2015

Big Picture Medicare Outcomes

By Kevin Roche Commentary No Comments
By some measures the outcomes achieved in the Medicare program have improved in the last 15 years.
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Aug 19 2015

Bureau of Economic Analysis Work on Health Care Spending Accounts

By Kevin Roche Commentary No Comments
The Bureau of Economic Analysis releases a paper explaining its work to develop a Health Care Satellite Account that defines health spending in terms of disease treatment.
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Aug 18 2015

Public and Private Employee Health Insurance Costs

By Kevin Roche Commentary No Comments
A Statistical Brief from AHRQ examines health insurance premiums and employee contributions in 2013 for private and public employees.
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Aug 17 2015

More Research Travails for EHRs

By Kevin Roche Commentary No Comments
Several pieces of recent research suggest that EHRs don't have a payback, aren't liked by many clinicians, and don't appear to impact health outcomes as projected.
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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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