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Commentary

 

Feb 26 2013

The Status of Oncology Care

By Kevin Roche Commentary No Comments
An unusually detailed look at one medical specialty is presented in an American Society of Clinical Oncology report which gives a good perspective on issues and trends in clinical oncology.
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Feb 25 2013

Illness Adjustment Issues

By Kevin Roche Commentary No Comments
Several methods are commonly used to adjust health data for the illness burden of the patients' information that is being used. A new study in the British Medical Journal suggests…
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Feb 22 2013

Hospital Costs in 2010

By Kevin Roche Commentary No Comments
While hospitalizations have dropped on a per capita basis in recent years, hospital spending remains the single largest bucket of overall health care costs. An Agency for Healthcare Research and…
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Feb 21 2013

An Abused Drug Discount Program

By Kevin Roche Commentary No Comments
The 340B program was designed to allowed non-profit health care providers to obtain prescription medications cheaply in an effort to lower overall costs for poor people. A recent paper suggests…
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Feb 20 2013

Nursing Home and Hospital Use by the Elderly

By Kevin Roche Commentary No Comments
Nursing home residents have some of the highest health care costs and often have frequent hospitalizations. An Agency for Healthcare Research and Quality brief looks at characteristics of these hospitalizations.
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Feb 19 2013

More on Hospital Readmissions

By Kevin Roche Commentary No Comments
Yet another piece of research, this one in the Journal of the American Medical Association, finds finds at best a very weak relationship between readmission rates and mortality.
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Feb 18 2013

Where is Medical Cost Trend Going?

By Kevin Roche Commentary No Comments
Medical spending growth has been relatively quiescent for the last few years. Especially as full implementation of the reform law nears, there is great anxiety about whether that slow growth…
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Feb 15 2013

Lessons from Telehealth Pioneers

By Kevin Roche Commentary No Comments
Telemedicine or telehealth has the potential to bring quality health care resources to patients in an efficient manner, but like many health care innovations, has gotten off to a slower…
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Feb 14 2013

Another View on How to Reduce Health Spending

By Kevin Roche Commentary No Comments
The Commonwealth Fund Commission on a High Performance Health System issued a report called "Confronting Costs, Stabilizing U.S. Health Spending While Moving Toward a High Performance Health Care System", which…
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Feb 13 2013

ADP Survey of Large Employers

By Kevin Roche Commentary No Comments
Many large employers may consider shifting more employees to part-time status as a result of the implementation of the reform law, according to a survey by ADP, and they may…
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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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