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Commentary

 

Mar 28 2012

Surrogate Decision-makers and End-of-Life Care

By Kevin Roche Commentary No Comments
End-of-life care accounts for a large fraction of health spending. Often decisions regarding such care are made by surrogates and new research published in the Annals of Internal Medicine suggest…
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Mar 27 2012

Massachusetts’ Experience with Universal Coverage and Health

By Kevin Roche Commentary No Comments
As ObamaCare meets judgment at the Supreme Court, evidence about the effect of its predecessor in Massachusetts continues to be amassed. A new paper from the National Bureau of Economic…
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Mar 26 2012

Local Health System Performance Report

By Kevin Roche Commentary No Comments
A new report from the Commonwealth Fund tracks performance of local health care systems across the United States, finding as much as a two to three times variation across the…
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Mar 25 2012

2012 Potpourri X

By Kevin Roche Commentary No Comments
Spring is in the air but take a few minutes to refresh with our latest Potpourri, which includes the Congressional Budget Office's latest health reform projections, ER use by those…
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Mar 22 2012

Medical Home Research

By Kevin Roche Commentary No Comments
A review article in the American Journal of Managed Care summarizes the evidence to date on medical homes. The results look modestly promising, with evidence of improving quality of care,…
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Mar 21 2012

Employer Views of Reform

By Kevin Roche Commentary No Comments
A crucial question in the next few years is what will happen with employer-sponsored health care coverage in the wake of the reform law's full implementation. A new survey from…
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Mar 20 2012

Spending and Quality

By Kevin Roche Commentary No Comments
We would all like to believe that spending more on health care means we would have better outcomes and healthier people. Most research on the topic to date has suggested…
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Mar 19 2012

Useful Consumer Health Reporting

By Kevin Roche Commentary No Comments
Can all the public reporting on provider quality and cost performance actually be used by consumers to make good choices for their health care services? That is the question explored…
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Mar 15 2012

So Maybe HIT Won’t Save Lots of Money?

By Kevin Roche Commentary No Comments
A new study published in Health Affairs looks at one of the claimed benefits for broader use of health information technology, that it will reduce redundant test ordering, and finds…
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Mar 14 2012

Personalized Medicine

By Kevin Roche Commentary No Comments
Years after it was initially predicted to do so, medical care based on individual genetic findings is becoming more pervasive. A new report from UnitedHealth Group examines trends and impacts…
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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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