A survey examines the bases for patients' preferences for a site of care, in particular what factors would lead them to chose a retail clinic versus a regular physician office…
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This week's collection includes obesity, clinical trials results, how hospitals make money from physicians, strategic implications of reform, what reform is likely to do to young people's insurance premiums and…
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A variety of benefits from expanded use of electronic medical or health records have been advanced by advocates. An article in the New England Journal of Medicine explores whether such…
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The Massachusetts Attorney General's final report on what is driving health care cost increases in Massachusetts confirms the preliminary version's finding that most of the spending rise is due to…
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MedPAC had outside researchers look at the effects of paying all physician services in the United States under the Medicare fee schedule. Changes in that schedule were supposed to be…
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Because physicians ultimately control so much of health care spending, understanding variations in their patterns of practice is important. A NEJM article examines the reliability and accuracy of physician profiling…
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Physicians control almost all the utilization and spending in health care. Patients often ask or even demand some health services, which they often don't need or which are not appropriate…
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An JAMA article examines whether physicians are working less, and if so, whether the reduction is related to changes in fees. The results indicate physicians are putting in fewer hours,…
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Three recent articles provide some additional insight into pay-for-performance programs. Research has generally shown inconsistent results, so there is great benefit in understanding what features may make a program most…
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Increasingly physicians and hospitals are measured on compliance with process of care and outcomes, in some cases being incented or penalized depending on their performance. A new study suggests how…
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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.
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