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Dec 05 2013

Medicare 2014 Physician Payment Rule

https://s3.amazonaws.com/public-inspection.federalregister.gov/2013-28696.pdf
Dec 04 2013

The Commonwealth Fund has a post asking if better care at lower cost is possible.  The post rehashes the usual complaints about the health care system and offers the usual remedies.  The worst thing is that it repeats the erroneous notion that a third of the care in the US is wasteful and unnecessary.

http://www.commonwealthfund.org/Publications/Health-Reform-and-You/Better-Care-at-Lower-Cost.aspx
Dec 04 2013

Doctors may be less likely than the general population to seek aggressive end-of-life care, according to a story in the NY Times.

http://www.nytimes.com/2013/11/20/your-money/how-doctors-die.html?_r=0
Dec 03 2013

MedSolutions has purchased Triad, a musculoskeletal care management vendor, to add to its overall cost management capabilities.

http://www.medsolutions.com/news/11-19-13.html
Dec 03 2013

Apax Partners and associated funds are purchasing One Call Care Management for a believed $2.3 billion and also acquiring Align Networks.  Both entities serve the workers comp industry and when combined will be the major vendor to employers and insurers in the space.

http://www.apax.com/news/apax-news/2013/october/funds-advised-by-apax-partners-to-acquire-one-call-care-management-and-align-networks.aspx
Dec 03 2013

The Hearst Corporation, owner of First DataBank and other health care software divisions, is acquiring Homecare Homebase, a provider of software for the home care and hospice industry.

http://www.pehub.com/2013/12/hearst-corporation-acquires-homecare-homebase/
Dec 03 2013

So who is happy with the reform law?  Not physicians, who are waking up to a reality of lower reimbursement and narrow provider networks for plans insurers are selling on the exchanges.  Payers say the changes are necessary to create competitive plans.

http://www.modernhealthcare.com/article/20131126/NEWS/311269951/white-house-hears-earful-from-doc-groups-about-narrow-provider?AllowView=VW8xUmo5Q21TcWJOb1gzb0tNN3RLZ0h0MWg5SVgra3NZRzROR3l0WWRMWGFWZjhIRWxiNUtpQzMyWmFxNVhvWUpibWdiUUEzemxjY3IyZVlHZUUwemlPUnA4T3JIOXEwUmEwUEJ1VUZ6cW51TXFYazZKRlZlY21ENlZnZ0E2UTdublpQdWZFeVRYL3NuUjlJNkFDbEdKN3Q=
Dec 02 2013

The excellent Altarum Institute index on health inflation showed only a 1% year-over-year increase in September, with even hospital prices rising only at 1.5%.  Utilization increased 2.7% on a per capita basis.  The bad news is that overall health spending in real terms continues to outpace economic growth.

http://altarum.org/sites/default/files/uploaded-related-files/CSHS-Price-Brief_November%202013.pdf
Dec 02 2013

Towers Watson has purchased private health insurance exchange vendor Liazon to add to its capabilities and to its earlier purchase of Extend Health.  All of the large benefits consultants are aggressively engaged in providing this capability to clients.

http://eba.benefitnews.com/health-insurance-exchange/news/towers-watson-private-exchange-advantages-of-liazon-purchase-2737820-1.html?gpt_units=/HIX&utm_source=editorial&utm_medium=email&utm_campaign=utm_hix_112613&hix
Dec 02 2013

Displaying the cost of lab tests in an EHR led to a reduction in orders for the tests by primary care physicians, according to research in the Journal of General Internal Medicine.

http://link.springer.com/article/10.1007/s11606-013-2672-1
Dec 02 2013

iVantage Health Analytics, which serves primarily hospitals, has acquired Xylem Consulting to boost its capabilities in helping health systems with payer contract negotiation and analysis.

http://www.healthdatamanagement.com/news/analytics-vendor-acquisitions-hospital-knowledge-taking-risk-46937-1.html?ET=healthdatamanagement:e4080:3722900a:&st=email&utm_source=editorial&utm_medium=email&utm_campaign=HDM_DAILY_112713_112613
Dec 02 2013

The number of issues relating to the reform law is embarrassing and we don't want to appear to be piling on by mentioning them all, but the Administration has had to delay by a year the program to allow small business to purchase health insurance on the health exchange.

http://www.modernhealthcare.com/article/20131127/NEWS/311279950?AllowView=VDl3UXpKSzRDUE9CbkJiYkY0M3hla0tyaUVVZEQrWT0=&utm_source=link-20131127-NEWS-311279950&utm_medium=email&utm_campaign=hits&utm_name=top
Dec 02 2013

CVS Caremark is buying the home infusion of Apria Healthcare, Coram, for about $2.1 billion.  This will make CVS the largest provider of home infusion and a bigger player in specialty drugs.

http://www.bloomberg.com/news/2013-11-27/cvs-agrees-to-buy-apria-s-coram-unit-for-2-1-billion.html
Dec 02 2013

More trouble for the formulation of CMS' quality measures, as a University of Michigan study finds that that the data used by Medicare to compare hospitals on how well they do at preventing bedsores is seriously flawed and inaccurate, since in some cases it is based on claims data and in some cases on actual nurse bedside exams.

http://www.uofmhealth.org/news/archive/201310/hospital-report-cards-hospital-acquired-bedsores-how-good
Dec 02 2013

A study at Duke finds that an intervention to improve medication adherence by patients after a hospital stay did a good job at that but did not significantly affect readmissions.

http://hin.com/Healthcare_Business_Weekly_Update/2013/11/25/staying-on-medication-%20%20may-not-lower-hospital-readmissions/
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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

There has been a lot of activity lately in the once-hot field of primary care clinics.  Companies going bankrupt, out-of-business, being bought, merging.  Humana, which is now solely a Medicare...
February 18, 2026
Mental health is a very hot health care investment area.  Talkiatry raised $210 million in new capital for its virtual mental health services which utilizes employed psychiatrists, psychologists and other...
February 13, 2026
Investors can take comfort in Solace Health, which provides “advocates” to members in health plans, as it raises a fresh $130 million in capital, which takes its alleged value over...
February 11, 2026
Two health care companies moving in opposite directions reported financial results.  Hinge Health, which offers musculoskeletal condition services, reported strong revenue and earnings growth and projected continued rapid rises in...
February 11, 2026

Tags

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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 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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