Specialty drugs have gotten the attention of all payers, with multiple efforts underway to manage the exploding costs associated with this category. A new paper from URAC summarizes the issues…
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Hospital readmissions are targeted as a quality metric and a reimbursement adjustment. The program used by CMS in particular appears flawed, and a recent study examining readmission-risk models supports that…
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Another brilliant Potpourri, with scintillating health care gems, including revising the FDA's 510(k) process, the essential benefits package for health exchanges, the future of Medicare Advantage, the lack of labor…
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As Medicaid enrollment continues to grow, and will likely surge in 2014, states are looking for ways to control costs. Pharmacy spending has been an area of focus and a…
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Medicare/Medicaid dual eligibles are relatively poor, elderly or disabled persons who have very high health spending. A report from America's Health Insurance Plans discusses how care coordination programs can achieve…
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An Urban Institute report looks at the seemingly unsolvable problem of US health care spending growth, identifying four key potential causes and several solutions which might in total reduce spending…
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The Kaiser Foundation takes a look at the competitiveness of individual and small group health insurance markets on a state-by-state basis, finding that most are relatively concentrated. The report also…
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Another Potpourri, with tidbits on the Medicare Star program results for 2012, pain management, blood pressure management, Massachusetts' physicians' views on work and health care, online error reporting and the…
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The Deloitte Center for Health Solutions releases the latest edition of its annual survey of consumers on health issues and health care use. Americans are anxious about the financial effects…
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The American Hospital Association weighs in on the hospital readmission reduction incentive program with a well-thought out program that identifies the complexities involved in identifying inappropriate readmissions and designing initiatives…
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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. 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.