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Jun 09 2015

CDHP Enrollee Characteristics

By Kevin Roche Commentary No Comments
As high deductible insurance plans continue to cover more Americans, the Employee Benefit Research Institute gives details on the characteristics of enrollees compared to the population at large.
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Jun 08 2015

Pay-for-Performance Results

By Kevin Roche Commentary No Comments
A new study of pay-for-performance programs finds modest results overall, but better quality improvement for the initially worst-performing physicians.
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Jun 05 2015

May 2015 Altarum Health Spending Briefs

By Kevin Roche Commentary No Comments
The Altarum Institute's briefs on health spending, health care prices and utilization for May 2015 are available and support the notion that spending growth is accelerating.
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Jun 04 2015

Incentives for Health Improvement Program Participation

By Kevin Roche Commentary No Comments
A study of financial incentives for participation in a smoking cessation program found that reward-based incentives worked best.
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Jun 03 2015

Hospital Prices Are Still Rising Rapidly for Commercial Health Plans

By Kevin Roche Commentary No Comments
According to a New York Times analysis, hospitals are continuing to raise prices at a healthy, or depending on your perspective, unhealthy clip.
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Jun 02 2015

Medicare Advantage Risk-Coding

By Kevin Roche Commentary No Comments
A new paper at the National Bureau of Economics suggests that Medicare Advantage plans' risk-score coding gains them billions in additional revenue.
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Jun 01 2015

The United States Does Not Waste a Third of its Health Spending

By Kevin Roche Commentary No Comments
A widely disseminated and perpetuated myth is that the United States wastes one-third of its health spending. Focus on this lie distracts from finding real improvements for the system.
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May 29 2015

PWC on the Health Billing and Payment System

By Kevin Roche Commentary No Comments
PWC's Health Research Institute describes opportunities for billing and payment improvements in the health system in a new report.
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May 28 2015

2016 Individual Health Insurance Premiums

By Kevin Roche Commentary No Comments
An article in the Wall Street Journal suggests that there will be significant health insurance premium increases for individual policies in many states for 2016.
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May 27 2015

High-Spending Medication Users

By Kevin Roche Commentary No Comments
A report from large pharmacy benefit manager Express Scripts gives an alarming picture of drug costs for many Americans.
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May 26 2015

Annual Milliman Health Cost Index

By Kevin Roche Commentary No Comments
The annual Milliman Medical Index report reveals continued increases of family medical costs far above the rates of personal income growth or general inflation.
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May 22 2015

Fear-based Public Health Campaigns

By Kevin Roche Commentary No Comments
Health Affairs carries an article discussing the use of fear in ad campaigns on public health issues, such as obesity and smoking.
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May 21 2015

Comprehensive Primary Care Impacts Spending

By Kevin Roche Commentary No Comments
Research published in the Annals of Family Medicine finds that for Medicare beneficiaries, being seen by a primary care doctor offering more comprehensive services lowers cost.
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May 20 2015

GAO Report on Concentration of Medicaid Spending

By Kevin Roche Commentary No Comments
A report from the Government Accounting Office finds that a small number of enrollees account for a very large proportion of Medicaid spending.
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May 19 2015

PBMI Specialty Drug Report

By Kevin Roche Commentary No Comments
The Pharmacy Benefit Management Institute issues its 2015 Specialty Drug Benefit Report.
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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

Mental health is a very hot health care investment area.  Talkiatry raised $210 million in new capital for its virtual mental health services which utilizes employed psychiatrists, psychologists and other...
February 13, 2026
Investors can take comfort in Solace Health, which provides “advocates” to members in health plans, as it raises a fresh $130 million in capital, which takes its alleged value over...
February 11, 2026
Two health care companies moving in opposite directions reported financial results.  Hinge Health, which offers musculoskeletal condition services, reported strong revenue and earnings growth and projected continued rapid rises in...
February 11, 2026
And here is why I often wonder what investors are thinking when they make large investments in companies with dubious businesses.  Carbon Health was going to open hundreds of primary...
February 5, 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 (1843) 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 (1723) 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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