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Commentary

 

Feb 12 2013

End-of-Life Care and Place of Death

By Kevin Roche Commentary No Comments
Most people want to die at home, but few do. A study published in the Journal of the American Medical Association examines changes in place of death and use of…
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Feb 11 2013

Does Health Care M & A Usually Pan Out?

By Kevin Roche Commentary No Comments
Like many large industries, health care has a lot of transactional activity--mergers, acquisitions, divestitures, buy-outs, etc. These are usually predicated on the creation of significant benefits for the surviving entity.…
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Feb 08 2013

Concierge Care Effects

By Kevin Roche Commentary No Comments
A study in the American Journal of Managed Care looks at the effect on hospital utilization for patients who were care for in one of the country's leading concierge practices.
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Feb 07 2013

Medicare Advantage Disenrollees

By Kevin Roche Commentary No Comments
A study from the Centers for Medicare and Medicaid Services Office of the Actuary looks at characteristics of Medicare beneficiaries who disenroll from Medicare Advantage and their spending patterns following…
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Feb 06 2013

Hospital Readmissions

By Kevin Roche Commentary No Comments
The Journal of the American Medical Association published an issue largely devoted to studies of hospital readmissions, looking both at patterns and potential causes and programs that might help reduce…
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Feb 04 2013

AHIP on Out-of-Network Charges

By Kevin Roche Commentary No Comments
A new report from America's Health Insurance Plans exposes the unbelievable ripoff charges that many providers place on out-of-network services. Much of these charges is paid by the insured person.…
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Feb 03 2013

New Paper on Regional Health Spending Variations

By Kevin Roche Commentary No Comments
A draft working paper from the Federal Reserve Staff is the latest salvo in the ongoing exploration of any link between more health spending and better quality or vice versa.…
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Feb 01 2013

Hospital Consolidation and Pricing

By Kevin Roche Commentary No Comments
Actuarial consultants Alvarez & Marsal issue a brief summarizing increasing issues with cost increases caused by hospital acquisition of physician practices and other outpatient services.
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Jan 31 2013

Star Ratings and Medicare Enrollment

By Kevin Roche Commentary No Comments
One primary purpose of quality reporting is to help consumers make informed decisions about where they get their care from or where they purchase insurance. Research in JAMA indicates there…
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Jan 30 2013

Pew Survey on Use of Health Technology

By Kevin Roche Commentary No Comments
The latest Pew Research survey relating to health care asks about how people track health matters and finds that relatively few use technology, even though easily available, for this purpose.
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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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