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Apr 15 2010

Geographic Variation, Physician Practice Patterns and Malpractice Fears

By Kevin Roche Commentary No Comments
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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Apr 14 2010

Excessive Use of Back Surgery?

By Kevin Roche Commentary No Comments
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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Apr 13 2010

Care of Obese Persons

By Kevin Roche Commentary No Comments
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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Apr 12 2010

Health Care, the Federal Deficit and Federal Debt

By Kevin Roche Commentary No Comments
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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Apr 10 2010

2010 Potpourri XII

By Kevin Roche Commentary No Comments
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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Apr 09 2010

What! Massachusetts Again? Yep, With a Side of Maine and New York

By Kevin Roche Commentary No Comments
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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Apr 08 2010

Telepsychiatry

By Kevin Roche Commentary No Comments
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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Apr 07 2010

Patient Choice of Retail Clinic or Physician Office for Care

By Kevin Roche Commentary No Comments
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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Apr 06 2010

Dying, Disability and Advance Directives

By Kevin Roche Commentary No Comments
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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Apr 05 2010

Volume and Quality in Hospital Procedures

By Kevin Roche Commentary No Comments
For some years researchers have examined the link, if any, between the volume of a certain type of procedure or service at a hospital and outcomes. A new study published…
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Apr 03 2010

2010 Potpourri XI

By Kevin Roche Commentary No Comments
This week's collection includes obesity, clinical trials results, how hospitals make money from physicians, strategic implications of reform, what reform is likely to do to young people's insurance premiums and…
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Apr 02 2010

EHRs and Diagnostic Errors

By Kevin Roche Commentary No Comments
A variety of benefits from expanded use of electronic medical or health records have been advanced by advocates. An article in the New England Journal of Medicine explores whether such…
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Apr 01 2010

Socio-Economic Status and Health Behaviors

By Kevin Roche Commentary No Comments
What is the link, if any, between socio-economic status, health behaviors and health status? Researchers have theorized and pondered whether there is correlation or causation and in which direction. A…
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Mar 31 2010

Working Employees and Caring for an Ill Parent

By Kevin Roche Commentary No Comments
As people live longer, and as there are more families with both spouses working, more employees are having concerns about managing the care of an ill parent. A MetLife study…
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Mar 30 2010

The Massachusetts Debacle

By Kevin Roche Commentary No Comments
The Massachusetts Attorney General's final report on what is driving health care cost increases in Massachusetts confirms the preliminary version's finding that most of the spending rise is due to…
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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

Eight Sleep, another one of those weird names that litter health care, raised a new round of capital which supposedly values the company at $1.5 billion.  Eight Sleep sells sleep...
March 10, 2026
Simplistically, high health spending is due to high hospital prices, which is due to excessive market power.  An article shows just how concentrated most US hospital markets are.   In...
March 10, 2026
Mental health companies are very hot.  Virtual mental health services provider Talkspace is being bought by hospital operator Universal Health for around $835 million, a high multiple of revenue and...
March 10, 2026
There are so many health care companies that people struggle to come up with names and we end with weird stuff like Grow Therapy, which nonetheless raised $150 million to...
March 4, 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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