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Commentary

 

Mar 12 2013

Express Scripts Drug Trend Report

By Kevin Roche Commentary No Comments
The 2012 Express Scripts Drug Trend Report indicates that spending for traditional medications has actually fallen, while costs for specialty drugs continue to soar. More of the same is likely…
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Mar 11 2013

Use of Non-Physician Care Providers

By Kevin Roche Commentary No Comments
Physicians have battled for decades to keep other types of licensed providers from having an expanded scope of practice. With the advent of health reform and concerns about access and…
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Mar 08 2013

Medicaid Cost-Sharing

By Kevin Roche Commentary No Comments
Medicaid costs are driving states crazy and although the federal government is picking up most of the expansion spending, states continue to be at budgetary risk and are exploring methods…
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Mar 07 2013

Use of Online Clinic Visits

By Kevin Roche Commentary No Comments
New methods for delivering care in a more convenient method continue to evolve, including use of online visits. A study in Health Affairs reports on results of one health plan's…
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Mar 06 2013

The Effect of Medicare Advantage Payment Cuts

By Kevin Roche Commentary No Comments
The Centers for Medicare and Medicaid Services recently released its initial cut at Medicare Advantage payment rates for 2014, indicating a likely low to mid-single digit decrease in reimbursement for…
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Mar 05 2013

Consumer Engagement in Health

By Kevin Roche Commentary No Comments
Consumer engagement in health is one of the themes of the current issue of Health Affairs. Two of the articles summarize findings regarding the effects of more engaged consumers on…
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Mar 04 2013

GAO on the Effect of the PPACA

By Kevin Roche Commentary No Comments
The Government Accounting Office performed a more current analysis of the likely budgetary effects of the federal health reform law, finding that its cost containment provisions are unlikely to provide…
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Mar 01 2013

Health Spending and Mortality

By Kevin Roche Commentary No Comments
More spending, higher quality? More spending, lower quality? Less spending, higher quality? Less spending, lower quality? Theories and research abound, the latest a study of acute care hospitals in The…
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Feb 28 2013

Robot Assisted Surgery and Wasting Money

By Kevin Roche Commentary No Comments
Can technology be a significant driver of health spending? You betya, look at robotically-assisted surgery. A new study in the Journal of the American Medical Association indicates that in the…
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Feb 27 2013

Economic Impact of HIT

By Kevin Roche Commentary No Comments
There is substantial controversy about the benefits of health information technology and whether those benefits outweigh the costs. A meta-study in the Journal of the American Medical Informatics Association takes…
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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

And here is why I often wonder what investors are thinking when they make large investments in companies with dubious businesses.  Carbon Health was going to open hundreds of primary...
February 5, 2026
Chamber Cardio helps cardiologists participate in value-based payment arrangements, which adjust payment based on outcomes.  Medicare and other payers have implemented these but it makes no difference on total spending....
February 5, 2026
Providing mental health services is hot right now in the investment world, which is understandable given that about half the country appears to be completely insane.  And providing those services...
February 1, 2026
Focussed primary care clinics had a moment, particularly in regard to Medicare Advantage plans, and that moment has kind of passed.  Similar clinics were operated for employers and other group...
January 29, 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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