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Jan 24 2014

The Benefits of Fake Knee Surgery

By Kevin Roche Commentary No Comments
Research published in the New England Journal of Medicine finds that having surgery for a knee meniscus tear has no better outcomes than fake surgery.
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Jan 23 2014

Massachusetts Health Spending Report

By Kevin Roche Commentary No Comments
The Massachusetts Health Policy Commission issues its annual report on cost trends, finding that almost a decade after reform was initiated in the state, costs are still high, not well-controlled…
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Jan 22 2014

Medicare Advantage Plans and Enrollee Selection

By Kevin Roche Commentary No Comments
Under the current Medicare Advantage plan payment methodology, plans receive more for sicker enrollees, but research in the Journal of Health Economics finds no evidence plans are selecting for these…
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Jan 21 2014

Wellness Program Net Savings?

By Kevin Roche Commentary No Comments
Research published in Health Affairs studies a long-running wellness effort at PepsiCo, finding that the disease management component appears to save on health costs but the lifestyle modification portion does…
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Jan 17 2014

Consumer Survey on Health

By Kevin Roche Commentary No Comments
A consumer survey from the Altarum Institute gives insight into decision-making and attitudes about health and health care coverage.
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Jan 16 2014

Michael Porter on Fixing Health Care

By Kevin Roche Commentary No Comments
Legendary strategist Michael Porter has fixed his sights on health care and his latest missive in the Harvard Business Review lays out a vision which unfortunately is based on a…
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Jan 15 2014

Medication Therapy Management

By Kevin Roche Commentary One Comment
Medication therapy management has become more common, especially for the elderly. A review from the Agency for Healthcare Research and Quality finds little evidence to date that it improves most…
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Jan 14 2014

Does MediGap Insurance Cause Greater Medicare Spending?

By Kevin Roche Commentary No Comments
Medigap insurance is purchased by many Medicare beneficiaries to cover cost-sharing. A new paper confirms that having this insurance leads to higher Medicare spending.
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Jan 13 2014

PMBI Report on Pharmacy Benefits

By Kevin Roche Commentary No Comments
The Pharmacy Benefit Management Institute has released its 2013/14 prescription drug benefit report.
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Jan 10 2014

Who Do the Hospital Readmissions Penalties Hurt?

By Kevin Roche Commentary No Comments
A study done by KNG Health Consulting for Academy Health finds that the Medicare hospital readmission penalties disproportionately affect hospitals servicing low income patients; the very hospitals that can least…
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Jan 09 2014

National Health Spending in 2012

By Kevin Roche Commentary No Comments
CMS' Office of the Actuary has released its health spending summary for 2012, showing very welcome continued low growth.
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Jan 08 2014

Privately Insured Patient Use of ERs

By Kevin Roche Commentary No Comments
A new brief from the Center for Studying Health System Change examines why people with private health insurance use the emergency room.
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Jan 07 2014

Cost Impacts of Clinical Decision Support Systems

By Kevin Roche Commentary No Comments
A systematic review of hospital inpatient clinic decision support systems in the BMC Medical Informatics & Decision Making finds little evidence that they have a significant impact on health spending.
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Jan 06 2014

Getting Free Health Care Causes People to Use More Services (Duh)

By Kevin Roche Commentary No Comments
Examination of emergency room use by people who newly obtained coverage under Oregon's Medicaid lottery finds a significant increase, usually for non-emergent conditions.
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Jan 03 2014

What Is Up With US Health Spending?

By Kevin Roche Commentary No Comments
An article in the New England Journal of Medicine reviews the recent decline in the rate of growth of US health spending and analyzes whether it might persist.
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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

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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