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Commentary

 

Sep 11 2018

The Medicare Bundled Payment for Joint Replacement Demonstration

By Kevin Roche Commentary No Comments
Two studies in the Journal of the American Medical Association discuss results from the first year of the Medicare joint replacement bundled payment demonstration.
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Sep 10 2018

So What is Happening with Premiums in Exchange-Land?

By Kevin Roche Commentary No Comments
Hard to figure out what is really happening with premiums for health insurance purchased on the reform law exchanges.
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Sep 07 2018

PBMs Blame Drug Companies for High Prices

By Kevin Roche Commentary No Comments
Today, we hear from the PBM trade association, pointing (or giving) the finger at medication makers for high prices.
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Sep 06 2018

High Drug Prices Are Hospitals’ Fault, According to Drug Makers

By Kevin Roche Commentary No Comments
In the frenzy over drug prices, all sides are releasing studies on who is to blame. Here is one sponsored by the drug manufacturers' trade association.
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Sep 05 2018

More on Maryland’s All-Payer Hospital Reimbursement System

By Kevin Roche Commentary No Comments
CMS released the third annual evaluation of the Maryland all-payer, global budget reimbursement system.
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Sep 04 2018

What Happens if Quality of Care Financial Incentives Are Removed?

By Kevin Roche Commentary No Comments
An interesting study in the New England Journal of Medicine finds that removal of incentives relating to quality of care measures decreases performance.
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Sep 03 2018

Labor Day 2018

By Kevin Roche Commentary No Comments
Enjoy your day off, if you have one, and consider the value of work.
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Aug 31 2018

Exchange Premiums and Number of Insurers

By Kevin Roche Commentary No Comments
Seems obvious, but a Health Affairs study confirms that premiums on the insurance exchanges are higher when fewer plans participate.
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Aug 30 2018

Medicare’s Payments to Long-term Care Hospitals

By Kevin Roche Commentary No Comments
Here is a shock, a government program, Medicare, that wastes taxpayer dollars by paying more for care in one setting than another, in this case long-term care hospitals.
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Aug 29 2018

Evaluation of CMS’ Next Generation ACO Program

By Kevin Roche Commentary No Comments
CMS issues the first annual outside evaluation of the Next Generation ACO program, finding some modest savings.
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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

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
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

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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