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Mar 22 2016

Relative Rates of MA and FFS Medicare Hospitalization

By Kevin Roche Commentary No Comments
Medicare Advantage plans have lower rates of hospitalization than does the fee-for-service Medicare program, likely suggesting inefficiency in the FFS branch.
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Mar 21 2016

Altarum Health Spending Briefs for January

By Kevin Roche Commentary No Comments
As the year starts, the Altarum Institute's Briefs relating to health spending reveal steady and moderate health spending growth.
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Mar 18 2016

More From the Express Scripts Drug Trend Report

By Kevin Roche Commentary No Comments
A continuation of the review of the Express Scripts 2015 Drug Trend Report, with a focus on Medicare, Medicaid and exchange business.
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Mar 17 2016

Express Scripts 2015 Drug Trend Report

By Kevin Roche Commentary No Comments
Express Scripts' 2015 Drug Trend Report reveals continued spending pressure from the drug category, especially branded medications, with more to come in future years.
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Mar 16 2016

Coding for Hospital-acquired Infections

By Kevin Roche Commentary No Comments
More shocking news on provider behavior--they respond to penalties for health care-acquired infections by changing the coding of certain events.
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Mar 15 2016

Telephone-Based Chronic Disease Management

By Kevin Roche Commentary No Comments
A study in Population Health Management finds that a telephone-based chronic disease management program had significant net savings.
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Mar 14 2016

Medicare VBP Results for Physicians

By Kevin Roche Commentary No Comments
Not many physician groups achieved extra payments in the first year of CMS' value-based purchasing program.
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Mar 11 2016

More on the Effects of Consolidation on Health Spending

By Kevin Roche Commentary No Comments
A Health Affairs blog gives further evidence of the deleterious effect of provider consolidation on health care prices and spending.
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Mar 10 2016

Health Spending Effects of Retail Health Clinics

By Kevin Roche Commentary No Comments
Research published in Health Affairs finds that retail clinics, while having lower unit costs for the services they offer, do not lower total health spending.
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Mar 09 2016

Costs of Quality Reporting

By Kevin Roche Commentary No Comments
A Health Affairs article reports that quality measure collection and reporting activities impose substantial costs on physician practices.
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Mar 08 2016

Drug Price Trends According to AARP

By Kevin Roche Commentary No Comments
An AARP-sponsored study on drugs commonly used by older Americans finds an ongoing price increase trend.
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Mar 07 2016

Different Prices for Different Service Sites

By Kevin Roche Commentary No Comments
Research carried by the American Journal of Managed Care focuses on different prices paid for the same service at various sites of care.
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Mar 04 2016

A Mobile Health App Evaluation Framework

By Kevin Roche Commentary No Comments
A Commonwealth Fund brief sets out a framework to evaluate mobile health apps.
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Mar 03 2016

Evaluation of a Concierge Primary Care Setting

By Kevin Roche Commentary No Comments
An evaluation of the concierge style primary care delivered by MDVIP finds the possibility of spending reductions.
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Mar 02 2016

CVS Health Drug Trends

By Kevin Roche Commentary No Comments
CVS Health releases its initial 2015 Trend Report, suggesting that spending increases for medications have moderated.
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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

IKS Health, a British company with a US subsidiary that offers “care enablement” and mentions AI, of course,  is buying TruBridge for $557 million.  TruBridge offers revenue cycle management and...
April 30, 2026
Innovacer, which basically collects data on a patient from multiple sources and aggregates it, raised an astounding $275 million in new capital, supposedly at a valuation of almost $3.5 billion....
April 22, 2026
A company called Whoop raised a ridiculous $575 million in new capital at a supposed $10 billion valuation.  The press release was released on April 1, so I would like...
April 5, 2026
Big deals continue in health care financings.  eMed, which manages weight loss medications for employers, raises a hefty $200 million, giving it a valuation of $2 billion, which seems crazy....
March 31, 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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