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Commentary

 

Sep 28 2011

Medicare’s Coverage Determination Process

By Kevin Roche Commentary No Comments
As Medicare pays more and more of the nation's total health bill, its decisions on what products and services it will reimburse for are more significant for vendors and for…
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Sep 27 2011

Unit Cost Versus Prevalence or Utilization as a Health Spending Driver

By Kevin Roche Commentary No Comments
Increased disease prevalence has been hypothesized to be behind much of the growth in health spending. New research published in Health Affairs finds that prevalence growth accounts for little of…
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Sep 26 2011

Maryland’s Hospital Payment System

By Kevin Roche Commentary No Comments
Maryland is unique among the states in having an all-payer hospital rate regulation system. The most recent report on the system's performance shows that it is continuing to constrain the…
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Sep 23 2011

2011 Potpourri XXXVII

By Kevin Roche Commentary No Comments
Another wonderful collection of health care research summaries, including a GAO report on likely effects of the MLR rule, physician work intensity, reducing hospital-acquired infections, discharge followup and hospital readmissions,…
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Sep 22 2011

Bloomberg

By Kevin Roche Commentary No Comments

HealthSouth CEO Says Obama Plan May Prompt Sites to Close

Sep 22 2011

Medicaid Managed Care

By Kevin Roche Commentary No Comments
A Kaiser Family Foundation report surveys state managed care Medicaid programs, finding a surge in utilization of health plans and addition of eligibility categories to the plans. A great variety…
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Sep 21 2011

Hospital Readmissions

By Kevin Roche Commentary No Comments
A paper prepared by Mathematica for the New York State Health Foundation discussions readmissions in the state and evaluates proposed methods of reducing those readmissions. Just in New York, billions…
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Sep 20 2011

Health Plan and Hospital Market Concentration

By Kevin Roche Commentary No Comments
Hospitals and other providers have expressed concern that health plan consolidation jeopardizes the adequacy of reimbursement to providers but a new piece of research indicates that hospital consolidation is a…
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Sep 19 2011

EHRs and Diabetes Care

By Kevin Roche Commentary No Comments
New research provides stronger evidence that using electronic health records may improve quality of care according to some measures more than continuing to use paper medical records, at least for…
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Sep 16 2011

2011 Potpourri XXXVI

By Kevin Roche Commentary No Comments
The leaves begin to fall but not the quality of our Potpourri, this week including useful data on hospital readmissions in the VA system, what makes top hospitals successful, the…
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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

More AI craziness in health care.  A company called H1 is buying Defacto Health for God-knows how much money.  Both companies claim an AI background and to help with “provider...
September 11, 2026
To show you how AI fever has infected every part of the investing world, this company, Forus, raised $150 million in new capital at a $3 billion valuation by saying...
September 9, 2026
Thyme Care decides its time to party, spicing up its business with a fresh $125 million in capital, with a valuation of over $2 billion.  The company helps manage cancer...
September 3, 2026
Virtual physical therapy company Sword Health sticks it to shareholders by acquiring virtual mental health company Headspace in an all cash deal valued at somewhere between $200 million and $300...
August 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 (1845) 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 (1726) 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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