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Commentary

 

Sep 02 2014

Evaluation of CMS’ ACO Predecessor Program

By Kevin Roche Commentary No Comments
Before ACOs, CMS ran the Medicare Physician Group Practice demonstration, which showed minor cost savings and quality improvements.
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Aug 29 2014

Formulary Decision Support and Medication Adherence

By Kevin Roche Commentary No Comments
E-prescribing plus formulary decision support did not have a significant effect on medication non-adherence, according to a new paper.
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Aug 28 2014

Price Transparency and Competition

By Kevin Roche Commentary No Comments
Research published in Health Affairs finds that giving patients comparative cost information for MRI services led to reduced spending and more intense price competition among providers.
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Aug 27 2014

Home-based Primary Care for the Elderly

By Kevin Roche Commentary No Comments
A program to provide home-based primary care for Medicare recipients resulted in lower spending, according to a study published in the Journal of the American Geriatrics Society.
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Aug 26 2014

Income and Use of Preventive Services

By Kevin Roche Commentary No Comments
A Center for Disease Control brief examines the relationship between income, insurance and receipt of preventive health services.
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Aug 25 2014

Medicare Advantage Coding Practices

By Kevin Roche Commentary No Comments
An article in the Medicare & Medicaid Research Review finds that under the current risk-adjusted Medicare Advantage payment scheme, many plans have increased coding intensity, which increases reimbursement.
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Aug 22 2014

Medication Therapy Management in Part D

By Kevin Roche Commentary No Comments
An Avalere analysis finds that most eligible Part D Medicare beneficiaries are not receiving medication therapy management services.
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Aug 21 2014

Young Adults and Health Care Coverage

By Kevin Roche Commentary No Comments
A Deloitte survey finds that young adults often did not sign up for mandated health coverage, usually due to cost concerns.
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Aug 20 2014

Small Practices’ Hospital Admission Rates

By Kevin Roche Commentary No Comments
Contrary to expectations, small physician groups appear to perform as well or better than larger ones on avoidable hospital admission rates.
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Aug 19 2014

Health Spending and Prices, August 2014

By Kevin Roche Commentary No Comments
The latest Altarum Institute Health Sector Economic Indicators Report shows continued growth in health spending with subdued price increases.
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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

IKS Health, a British company with a US subsidiary that offers “care enablement” and mentions AI, of course,  is buying TruBridge for $557 million.  TruBridge offers revenue cycle management and...
April 30, 2026
Innovacer, which basically collects data on a patient from multiple sources and aggregates it, raised an astounding $275 million in new capital, supposedly at a valuation of almost $3.5 billion....
April 22, 2026
A company called Whoop raised a ridiculous $575 million in new capital at a supposed $10 billion valuation.  The press release was released on April 1, so I would like...
April 5, 2026
Big deals continue in health care financings.  eMed, which manages weight loss medications for employers, raises a hefty $200 million, giving it a valuation of $2 billion, which seems crazy....
March 31, 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 (1844) 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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