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Commentary

 

Apr 26 2011

The Latest Dartmouth Atlas Work

By Kevin Roche Commentary No Comments
The latest Dartmouth Atlas report focuses on trends and variation in end-of-life care, finding fewer people are dying in the hospital, more hospice use is occurring, but intensity of care…
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Apr 25 2011

Off-Label Drug Use

By Kevin Roche Commentary No Comments
Two pieces of research discuss an example of extensive off-label use of a drug, finding that costs are being raised with little likelihood of an increase in quality of care.
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Apr 22 2011

2011 Potpourri XVII

By Kevin Roche Commentary No Comments
Happy Easter and welcome to our latest Potpourri, which will raise you up with information on workplace wellness, hospital pricing, clinical decision support systems, using HIT to save on drug…
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Apr 21 2011

The VHA and Chronic Disease Care

By Kevin Roche Commentary No Comments
A study of the VHA's care for chronic disease patients finds generally good compliance with treatment recommendations, but not necessarily the best patient outcomes, reflecting the complexity of improving quality.
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Apr 20 2011

US Drug Spending and Use in 2010

By Kevin Roche Commentary No Comments
The IMS Institute for Healthcare Informatics issued a report on drug spending and use in 2010 in the United States. Highlights include a very slow overall rate of growth and…
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Apr 19 2011

Ensuring the Utility of Performance Measures

By Kevin Roche Commentary No Comments
Researchers examine what can be done to improve the science of performance measurement in a new Health Affairs article, making valuable suggestions to increase the credibility of an increasingly important…
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Apr 18 2011

Physicians’ Treatment Recommendations

By Kevin Roche Commentary No Comments
New research published in the Archives of Internal Medicine finds that doctors prescribe different treatments for patients than they would choose for themselves when one choice involves potentially harmful adverse…
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Apr 15 2011

2011 Potpourri XVI

By Kevin Roche Commentary No Comments
Happy Easter and welcome to our spring kickoff potpourri, complete with a survey on technology use by consumers; brand drug pricing; how to get individuals to purchase health coverage; views…
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Apr 14 2011

GAO Reports on CHIPs Programs

By Kevin Roche Commentary No Comments
Medicaid and the Childrens Health Insurance Programs provide coverage for a very substantial portion of the nation's children. The GAO issues a report on the adequacy of some aspects of…
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Apr 13 2011

Hospital Error Numbers

By Kevin Roche Commentary No Comments
Health Affairs publishes a study suggesting that the systems which have been used to identify patient safety issues in hospitals miss most problems. A new tool does a better job…
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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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