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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/
Nov 29 2013

OIG Strategic Plan 2014

http://oig.hhs.gov/reports-and-publications/strategic-plan/files/OIG-Strategic-Plan-2014-2018.pdf
Nov 29 2013

The HHS Office of Inspector General releases its annual strategic plan, which is must reading for anyone involved with Medicare, Medicaid or other government programs.  EHRs will be a focus of investigations.

http://oig.hhs.gov/reports-and-publications/strategic-plan/files/OIG-Strategic-Plan-2014-2018.pdf
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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

Health care is a big part of the economy so investment dollars tend to flow there, not always wisely.  There is alot of gibberish in this press release from Pearl...
July 9, 2026
InStride Health hit the ground running, well maybe walking, as it raised $30 million in additional capital for its pediatric mental health business.  Children’s mental health would be just fine...
June 17, 2026
GoHealth is another of those excessively valued health startups that was always destined to flounder and not it has filed bankruptcy and the company will be turned over to lenders....
June 8, 2026
Garner Health isn’t gathering any accolades from me, as it raises a new round of $100 million in capital at about a $2.5 billion valuation.   The company supposedly steers...
June 2, 2026

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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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