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Jun 17 2013

The Commonwealth Fund on Causes of High Spending

By Kevin Roche Commentary No Comments
A report from the Commonwealth Fund studying comparative health spending and quality across 13 industrialized countries finds that the United States is by far the highest spender as a percent…
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Jun 14 2013

ReAdmissions and Quality

By Kevin Roche Commentary No Comments
Yet another piece of research, this one published in Health Affairs, suggests that hospital readmission rates are a far from perfect, or even good, measure of hospital quality.
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Jun 13 2013

Private Health Insurance Exchanges

By Kevin Roche Commentary No Comments
While the state health insurance exchanges required by the health reform law have attracted much attention, the private sector has been busy creating its own exchanges and an Accenture report…
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Jun 12 2013

Does Medicare Cause Hospital Payment Cost-shifting?

By Kevin Roche Commentary No Comments
A new study suggests that Medicare's lower payments to hospitals, contrary to prevailing beliefs, don't lead to cost-shifting and actually lower private insurer payment rates. The reality or mechanism of…
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Jun 11 2013

More Evidence on Benefits of Medicare Advantage

By Kevin Roche Commentary No Comments
A study published by the National Bureau of Economic Research finds that greater penetration by Medicare Advantage plans leads to lower rates of hospitalization and mortality for beneficiaries.
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Jun 10 2013

Annual Medicare Trustees Report on the Status of Trust Funds

By Kevin Roche Commentary No Comments
The annual report from the Trustees of the Medicare Trust Funds finds that they are in a little better shape than projected last year because Medicare spending has been below…
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Jun 07 2013

AHRQ Annual Quality Report

By Kevin Roche Commentary No Comments
The Agency for Healthcare Research and Quality has released its annual report on quality of health care in the United States, covering the year 2012, finding both improvement and room…
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Jun 06 2013

Improving Performance Measurement Systems

By Kevin Roche Commentary No Comments
Quality measurement and incentive programs have become the norm but a new Report from the Urban Institute points out serious defects and issues with the design and execution of most…
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Jun 05 2013

Spillover Effects of Medicare Advantage

By Kevin Roche Commentary No Comments
Medicare Advantage plans have been a source of controversy, but a new study from the National Bureau of Economic Research suggests that they have beneficial spillover effects across the health…
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Jun 04 2013

Geographic Variation in Spending–Again

By Kevin Roche Commentary No Comments
Once more into the breach on geographic variation is spending, with the latest analysis examining case mix or patient health adjustments and finding that patient health accounts for 75-85% of…
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Jun 03 2013

Health Care Costs Throughout Life

By Kevin Roche Commentary No Comments
The best way to understand health spending and its growth may be to examine the arc of spending over a typical life and to test the effect of better health…
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May 31 2013

A Systematic Review of Overuse of Care

By Kevin Roche Commentary No Comments
Overuse of certain medical services is believed to be widespread and to contribute to excessive health spending growth. A review of the literature suggests that no particular organized system of…
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May 30 2013

IFEBP Employer Survey

By Kevin Roche Commentary No Comments
A survey from the International Federation of Employee Benefit Plans examines employer attitudes toward their health plans and changes they may be making in light of the continuing implementation of…
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May 29 2013

Medicare Spending Control Ideas

By Kevin Roche Commentary No Comments
Several articles in Health Affairs discuss what can be done to ensure that Medicare spending stays in control, including benefit design changes and greater cost-sharing by beneficiaries.
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May 28 2013

Self-Management of Health Care

By Kevin Roche Commentary No Comments
Self care and self-management of health have the potential to save costs, increase patient engagement and potentially improve outcomes. A study published in the British Journal of Medicine suggests that…
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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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