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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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May 24 2013

Health Reform and Part-time Workers

By Kevin Roche Commentary No Comments
A brief from the Employee Benefit Research Institute explores the extent to which companies appear to be switching employees to part-time status and what is happening with the health insurance…
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May 23 2013

Reasons for Health Spending Growth

By Kevin Roche Commentary No Comments
An analysis in Health Affairs examines factors behind the rise in health spending from 1987 to 2009, finding that a rise in treated disease prevalence and spending per treated case…
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May 22 2013

Comparative International Use of HIT

By Kevin Roche Commentary No Comments
A survey by Accenture looks at use of health information technology in several countries, finding increased use by physicians, especially for clinical purposes.
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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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