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Jun 26 2015

The Supreme Court’s Subsidy Decision

By Kevin Roche Commentary No Comments
The Supreme Court once again uses very odd and strained reasoning to keep the reform law intact.
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Jun 25 2015

Health Professional Costs and Health Spending

By Kevin Roche Commentary No Comments
A study in Health Affairs furthers the view that higher professional labor costs are one source of excess health spending in the United States, but not a major contributor.
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Jun 24 2015

Results of Largest Health Plans

By Kevin Roche Commentary No Comments
A timely report from Mark Farrah Associates examines enrollment and profits for the largest health plan companies.
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Jun 23 2015

Intensive Care Management for the Seriously Ill Elderly

By Kevin Roche Commentary No Comments
A CMS demonstration for health care focused on intensive care, for Medicare beneficiaries with heavy health needs shows early promise.
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Jun 22 2015

The Health Plan Consolidation Game

By Kevin Roche Commentary No Comments
The news is full of speculation regarding large health plans buying each other, which likely wouldn't be good for consumers or shareholders of surviving companies.
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Jun 19 2015

Market Concentration Increases Orthopedic Surgery Fees

By Kevin Roche Commentary No Comments
Research published in Health Affairs finds that increased concentration among orthopedic surgeons in a market is associated with higher fees.
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Jun 18 2015

Electronic Health Transaction Status Report

By Kevin Roche Commentary No Comments
The annual SureScripts National Progress Report gives details on electronic health care transactions, particularly in the pharmacy world.
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Jun 17 2015

Survey on Employer Response to ACA

By Kevin Roche Commentary No Comments
A survey from the International Foundation of Employee Benefit Plans examines the effect of the reform law on employment-based health insurance.
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Jun 16 2015

Pent-up Demand Among the Newly Insured

By Kevin Roche Commentary No Comments
The Society of Actuaries releases a study examining unsatisfied demand for health services among the newly insured, which may impact overall utilization.
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Jun 15 2015

Health Cost Trend According to PWC

By Kevin Roche Commentary No Comments
PWC's Health Research Institute gives us its current guess on 2016's medical trend, which it projects to be down slightly from what is being experienced this year, but the reasoning…
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Jun 12 2015

Chronic Care Management Programs

By Kevin Roche Commentary No Comments
An article in the American Journal of Managed Care contains results of a survey of health plan care management programs.
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Jun 11 2015

Wellness Programs and Incentives

By Kevin Roche Commentary No Comments
A Rand survey gives information on wellness program and associated incentive designs.
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Jun 10 2015

Medical Loss Ratio Regulations

By Kevin Roche Commentary No Comments
A brief from the Robert Wood Johnson Foundation examines the impact of the reform law's MLR requirements on insurers.
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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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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

There are so many health care companies that people struggle to come up with names and we end with weird stuff like Grow Therapy, which nonetheless raised $150 million to...
March 4, 2026
There has been a lot of activity lately in the once-hot field of primary care clinics.  Companies going bankrupt, out-of-business, being bought, merging.  Humana, which is now solely a Medicare...
February 18, 2026
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

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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