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Nov 04 2011

2011 Potpourri XXXXIII

By Kevin Roche Commentary No Comments
Winter nears but our Potpourri will distract you from the cold breezes, providing compelling nuggets on prostate screening recommendations, consumer use of technology for health, insurer medical cost trends, what…
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Nov 03 2011

AHRQ on Provider Performance Reporting

By Kevin Roche Commentary No Comments
The world's aflame with reporting on provider quality and cost performance. Making sure the information is complete, accurate and credible is no simple task, as a recent Agency for Healthcare…
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Nov 02 2011

More Trashing of the US Health System

By Kevin Roche Commentary No Comments
From the Commonwealth Fund comes another in a series of reports bemoaning the woeful inadequacy of the American health system, especially compared to those in other developed countries. Whatever our…
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Nov 01 2011

Specialty Pharmacy

By Kevin Roche Commentary No Comments
Specialty drugs have gotten the attention of all payers, with multiple efforts underway to manage the exploding costs associated with this category. A new paper from URAC summarizes the issues…
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Oct 31 2011

Predicting Readmissions

By Kevin Roche Commentary No Comments
Hospital readmissions are targeted as a quality metric and a reimbursement adjustment. The program used by CMS in particular appears flawed, and a recent study examining readmission-risk models supports that…
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Oct 28 2011

2011 Potpourri XXXXII

By Kevin Roche Commentary No Comments
Another brilliant Potpourri, with scintillating health care gems, including revising the FDA's 510(k) process, the essential benefits package for health exchanges, the future of Medicare Advantage, the lack of labor…
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Oct 27 2011

Medicaid Pharmacy Trends

By Kevin Roche Commentary No Comments
As Medicaid enrollment continues to grow, and will likely surge in 2014, states are looking for ways to control costs. Pharmacy spending has been an area of focus and a…
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Oct 26 2011

Care Coordination for the Dual Eligible Population

By Kevin Roche Commentary No Comments
Medicare/Medicaid dual eligibles are relatively poor, elderly or disabled persons who have very high health spending. A report from America's Health Insurance Plans discusses how care coordination programs can achieve…
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Oct 25 2011

Controlling Health Spending

By Kevin Roche Commentary No Comments
An Urban Institute report looks at the seemingly unsolvable problem of US health care spending growth, identifying four key potential causes and several solutions which might in total reduce spending…
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Oct 24 2011

Insurance Market Competitiveness

By Kevin Roche Commentary No Comments
The Kaiser Foundation takes a look at the competitiveness of individual and small group health insurance markets on a state-by-state basis, finding that most are relatively concentrated. The report also…
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Oct 21 2011

2011 Potpourri XXXXI

By Kevin Roche Commentary No Comments
Another Potpourri, with tidbits on the Medicare Star program results for 2012, pain management, blood pressure management, Massachusetts' physicians' views on work and health care, online error reporting and the…
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Oct 20 2011

Deloitte’s Latest Consumer Survey

By Kevin Roche Commentary No Comments
The Deloitte Center for Health Solutions releases the latest edition of its annual survey of consumers on health issues and health care use. Americans are anxious about the financial effects…
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Oct 19 2011

AHA Report on Hospital Readmissions

By Kevin Roche Commentary No Comments
The American Hospital Association weighs in on the hospital readmission reduction incentive program with a well-thought out program that identifies the complexities involved in identifying inappropriate readmissions and designing initiatives…
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Oct 18 2011

Off-Label Use of Atypical AntiPsychotics

By Kevin Roche Commentary No Comments
A Journal of the American Medical Association article, based on work sponsored by AHRQ, reviews the off-label use of atypical antipsychotics, which are usually very expensive and have significant side…
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Oct 17 2011

Americans’ View of Health System

By Kevin Roche Commentary No Comments
An EBRI survey reveals current attitudes by Americans regarding the health system, their health care coverage, how they access care and reflects serious concerns by many Americans about whether the…
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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

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
Another weirdly named company, Thyme Care, spices things up by raising a fresh $97 million in capital to support its cancer care managment business.
September 25, 2025
Sometimes companies change their name, I have no idea why and it often seems goofy.  CapitalRx, which is a pharmacy benefit manager, with aspirations to be a broader technology provider...
September 25, 2025
Innovacer, a health care technology company that claims extensive use of artificial intelligence, is acquiring Story Health, which helps manage patients with chronic care conditions and who need specialty care.
September 18, 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 (1841) 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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