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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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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PWC's Health Research Institute describes opportunities for billing and payment improvements in the health system in a new report.
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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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A report from large pharmacy benefit manager Express Scripts gives an alarming picture of drug costs for many Americans.
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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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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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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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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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The Pharmacy Benefit Management Institute issues its 2015 Specialty Drug Benefit Report.
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The National Academy of Social Insurance issues a lengthy report on pricing power in health care markets.
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A recent study finds that nurse practitioners and physician assistants can deliver routine cardiac care as well as physicians.
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Geisinger Health System reports results from its patient-centered medical home in Health Affairs.
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A study in the New England Journal of Medicine explores the cost impact of hospice use by nursing home residents.
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The United States' health system takes a lot of hits for excessive spending compared to outcomes, but in the case of cancer care, our high spending may yield results.
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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. 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.