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Oct 02 2013

Outpatient Case Management

By Kevin Roche Commentary No Comments
A review by the Agency for Healthcare Research and Quality found little clear evidence of benefit from outpatient case management for adults with complex medical needs.
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Sep 30 2013

Latest Health Spending Projections

By Kevin Roche Commentary No Comments
While health spending growth appears to have moderated in recent years, but the Office of Actuary at CMS projects a pickup in the spending growth rate over the next ten…
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Sep 27 2013

Duplicative Federal HIT Projects

By Kevin Roche Commentary No Comments
A report from the Government Accounting Office on duplicative information technology projects finds that many are health-related, likely leading to hundreds of millions in unnecessary spending.
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Sep 25 2013

Pay-for-Performance, EHRs and Small Practices

By Kevin Roche Commentary No Comments
Research published in the Journal of the American Medical Association examines the effects of pay-for-performance incentives on quality of care in smaller physician offices that use EHRs.
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Sep 23 2013

Health Insurance Premiums and Exchanges

By Kevin Roche Commentary No Comments
An Article in Health Affairs discusses the potential effect on the federal budget of health insurance premium increases leading employers to send more employees to the exchanges.
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Sep 20 2013

Incentives to Improve Blood Pressure Control

By Kevin Roche Commentary No Comments
Research published in the Journal of the American Medical Association finds that using individual physician incentives, but not practice-wide or combined incentives, appeared to improve hypertension control.
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Sep 19 2013

KFF on Premiums in the Exchanges

By Kevin Roche Commentary No Comments
The Kaiser Family Foundation releases an early look at the health insurance marketplace for 2014 in 17 states.
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Sep 18 2013

bSwift Benchmarking Study

By Kevin Roche Commentary No Comments
Health insurance exchange firm bSwift issues its 2013 Wellness and Benefits Administration Benchmarking Study.
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Sep 17 2013

Concentration of Health Spending

By Kevin Roche Commentary No Comments
One of the most fascinating aspects of the health spending problem is identifying on which patients and for what is all that money being spent. A new Agency for Healthcare…
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Sep 16 2013

Expert Views on Hospital Readmissions

By Kevin Roche Commentary No Comments
The Commonwealth Fund published an Issue Brief summarizing the views of 15 experts on hospital readmissions, who analyzed current efforts to reduce avoidable readmissions.
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Sep 13 2013

Fast Care for Heart Attack Victims

By Kevin Roche Commentary No Comments
One common quality improvement effort in recent years has been to speed up the time it takes to get heart attack victims to the hospital for interventions to increase survival.…
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Sep 12 2013

High-deductible Plans and Emergency Care Use.

By Kevin Roche Commentary No Comments
A study published in Health Affairs finds that high-deductible plans differentially affect low-socioeconomic persons use of emergency care.
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Sep 11 2013

Managed Care Company Results

By Kevin Roche Commentary No Comments
The latest report from Mark Farrah Associates examines recent results for health plans, showing moderate overall growth.
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Sep 10 2013

On and Off-Exchange Insurance

By Kevin Roche Commentary No Comments
An analysis by HealthPocket suggests that many consumers may benefit from looking for insurance outside the exchanges mandated by the reform law.
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Sep 09 2013

Hospital Pricing

By Kevin Roche Commentary No Comments
A report from the Center for Studying Health System Change looked at hospital prices in 13 markets finding that commercial rates vary widely and are tied to market power.
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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

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
Chamber Cardio helps cardiologists participate in value-based payment arrangements, which adjust payment based on outcomes.  Medicare and other payers have implemented these but it makes no difference on total spending....
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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