EMRs are posited to provide enormous benefits to the health system. The Veteran's Administration has one of the most comprehensive large EMR installations. An article in Health Affairs provides a…
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The new health law greatly expands Medicaid and government spending. Figuring out how to keep that spending from breaking state budgets will be difficult. A large national health plan company…
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Electronic medical records are touted as the solution to many health system problems, including improving information sharing. A Center for Studying Health System Change Issue Brief discusses potential benefits and…
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One theory of the consumer-directed health movement has been that educated and motivated patients will make better value-based decisions regarding their health care, helping to reduce overall costs. A recent…
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More exotic gleamings from the world of health care, including self-directed care, telemedicine, point-of-care diagnostics, HCA, doctor-patient interactions and socio-economic factors in health outcomes.
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MetLife publishes its annual Study of Employee Benefits Trends, revealing that employers are concerned with cost control and employee retention and workers value their benefits and are particularly concerned about…
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There is an ongoing line of research around regional differences in utilization of and spending on health care. A study published in Circulation surveyed physicians on their practice styles and…
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JAMA reports on a study of trends in back surgery for older patients. Rates for a complex form of this surgery have grown very rapidly, along with complications and costs;…
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A JAMA article reports on a study of whether obese persons receive worse medical care, due to stigmatization of their condition or for other reasons. Despite negative perceptions, it appears…
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A commentary in the New England Journal of Medicine reminds us that health care has been a major contributor to the federal deficit and consequently the national debt and that…
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The latest collection of health care tidbits, including telemedicine, physician attitudes, medication adherence, retail clinics, physician value to hospitals and CDHPs.
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States that supposedly led the way on health care reform are finding out it was the bleeding edge that they were on. Insurers are always the easy target, but bashing…
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The California Health Foundation examines the use of telepsychiatry in the emergency room. In a second article Time explores its use for children and teens. Telepsychiatry is just one example…
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A survey examines the bases for patients' preferences for a site of care, in particular what factors would lead them to chose a retail clinic versus a regular physician office…
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Two recent pieces of research shed further light on what commonly happens with individuals' health status near the end of their lives and on the extent to which people are…
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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. 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.