Healthy Skeptic: Recent Episodes
Kevin Roche
The Healthy Skeptic podcast provides general information about health care and the health system. It is produced 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 and may be reached via email at khroche@healthy-skeptic.com
The website has a ton of information and a google search will get you a lot more. www.healthy-skeptic.com
written post at https://healthy-skeptic.com/2020/03/23/mental-health-and-total-spending-in-medicare-patients/
written post at https://healthy-skeptic.com/2020/03/20/financial-incentives-and-consumer-behavior/
written post at https://healthy-skeptic.com/2020/03/19/the-rest-of-the-medpac-report-to-congress/
written post at https://healthy-skeptic.com/2020/03/18/more-from-medpacs-annual-report-to-congress-2/
written post at https://healthy-skeptic.com/2020/03/13/life-sustaining-orders-and-end-of-life-care/
written post at https://healthy-skeptic.com/2020/03/06/profitability-of-drug-companies/
written post at https://healthy-skeptic.com/2020/03/05/aiding-physicians-in-improving-medication-adherence/
written post at https://healthy-skeptic.com/2020/03/04/school-choice-programs-effect-on-public-schools/
written post at https://healthy-skeptic.com/2020/02/18/a-bipartisan-proposal-for-health-reform/
written post at https://healthy-skeptic.com/2020/02/17/hcci-2018-report-on-health-spending-for-employer-health-plans/
written post at https://healthy-skeptic.com/2020/02/14/physician-management-styles-and-patient-outcomes/
written post at https://healthy-skeptic.com/2020/02/19/economists-fix-the-health-system/
written post at https://healthy-skeptic.com/2020/03/03/drug-company-payments-to-manufacturers/
written post at https://healthy-skeptic.com/2020/02/20/profitable-non-profit-hospitals-and-charity-care/
written post at https://healthy-skeptic.com/2020/02/21/a-mobile-health-portal-and-diabetes-care/
written post at https://healthy-skeptic.com/2020/02/24/the-2019-express-scripts-drug-trend-report/
written post at https://healthy-skeptic.com/2020/02/25/patient-assessment-of-physician-is-unrelated-to-race-or-gender/
written post at https://healthy-skeptic.com/2020/02/26/who-is-buying-physician-practices/
written post at https://healthy-skeptic.com/2020/02/27/specialist-referrals-during-a-hospitalization/
written post at https://healthy-skeptic.com/2020/03/02/utilization-by-high-deductible-plan-enrollees/
written post at https://healthy-skeptic.com/2020/02/28/concentration-in-health-spending-in-2017/
written post at https://healthy-skeptic.com/2020/02/13/ama-report-on-use-of-digital-health/
written post at https://healthy-skeptic.com/2020/02/12/understanding-the-effect-of-price-variation/
written post at https://healthy-skeptic.com/2020/02/11/adjustment-to-drug-reference-pricing/
written post at https://healthy-skeptic.com/2020/02/07/out-of-network-primary-care-in-acos/
written post at https://healthy-skeptic.com/2020/02/06/who-gets-and-who-pays-for-health-care/
written post at https://healthy-skeptic.com/2020/02/05/more-malpractice-exposure-does-not-equal-better-care/
written post at https://healthy-skeptic.com/2020/02/04/how-consumers-health-utilization-varies-depending-on-benefit-design/
written post at https://healthy-skeptic.com/2020/02/03/drug-company-detailing-of-physicians/
written post at https://healthy-skeptic.com/2020/01/31/caqh-report-on-electronic-transactions-in-health-care/
written post at https://healthy-skeptic.com/2020/01/30/ehr-data-to-predict-hospitalization-risk/
written post at https://healthy-skeptic.com/2020/01/29/physician-preferences-for-certain-patients/
written post at https://healthy-skeptic.com/2020/01/27/medicare-advantage-savings-for-beneficiaries/
written post at https://healthy-skeptic.com/2020/01/24/oncology-drug-costs-and-site-of-service/
see written post at https://healthy-skeptic.com/2020/01/23/early-results-on-car-t-therapy-in-medicare-patients/
written post at https://healthy-skeptic.com/2020/01/17/decision-aids-effect-on-treatment-choices/
written post at https://healthy-skeptic.com/2020/01/17/decision-aids-effect-on-treatment-choices/
written post at https://healthy-skeptic.com/2020/01/16/venture-capital-activity-in-2019/
written post at https://healthy-skeptic.com/2020/01/15/administrative-costs-in-canada-and-the-us/
written post at https://healthy-skeptic.com/2020/01/14/what-consumers-will-pay-for-a-broad-network-health-plan/
written post at *https://healthy-skeptic.com/2020/01/10/automated-clinical-decision-support/
written post at https://healthy-skeptic.com/2020/01/09/intensive-management-of-super-utilizer-patients/
written post at https://healthy-skeptic.com/2020/01/08/public-and-private-payer-hospital-rate-trends/
written post at https://healthy-skeptic.com/2020/01/06/peer-influences-on-diffusion-of-new-treatments/
written post at https://healthy-skeptic.com/2020/01/03/hospital-quality-and-consolidation/
written post at https://healthy-skeptic.com/2019/12/30/2020-already-how-did-that-happen/
written post at https://healthy-skeptic.com/2019/12/23/hbr-on-managing-expensive-patients/
written post at https://healthy-skeptic.com/2019/12/20/statistical-uncertainty-in-oncology/
written post at https://healthy-skeptic.com/2019/12/18/housing-vouchers-and-health-spending/
written post at https://healthy-skeptic.com/2019/12/17/oig-report-on-medicare-advantage-risk-scoring/
written post at https://healthy-skeptic.com/2019/12/16/the-effect-of-advance-planning-directives-on-end-of-life-care/
written post at https://healthy-skeptic.com/2019/12/13/medicare-advantage-member-plan-switching/
written post at https://healthy-skeptic.com/2019/12/12/global-consumer-health-care-survey/
written post at https://healthy-skeptic.com/2019/12/11/high-deductible-plans-and-diabetes-treatment/
written post at https://healthy-skeptic.com/2019/12/10/specialist-physician-payment-method-and-outcomes/
written post at https://healthy-skeptic.com/2019/12/09/national-health-spending-in-2018/
written post at https://healthy-skeptic.com/2019/12/06/willistowerswatson-report-on-global-medical-trends/
written post at https://healthy-skeptic.com/2019/12/05/specialist-access-for-rural-patients/
written post here https://healthy-skeptic.com/2019/12/02/life-expectancy-in-the-last-60-years/
written post at https://healthy-skeptic.com/2019/11/20/single-source-medical-device-purchasing-savings/
written post at https://healthy-skeptic.com/2019/11/19/effects-of-medicares-annual-wellness-visit/
written post at https://healthy-skeptic.com/2019/11/18/have-all-our-quality-programs-accomplished-anything/
written post at https://healthy-skeptic.com/2019/11/14/hospital-acquired-infection-reductions/
written post at https://healthy-skeptic.com/2019/11/12/more-on-the-reality-of-hospital-readmission-reductions/
written post at https://healthy-skeptic.com/2019/11/11/specialist-care-of-chronic-disease-patients/
written post at https://healthy-skeptic.com/2019/11/08/provider-consolidations-impacts-on-medicare-and-medicare-beneficiaries/
written post at https://healthy-skeptic.com/2019/11/07/responses-to-cost-sharing-by-low-income-patients/
written post at https://healthy-skeptic.com/2019/11/05/medicare-shared-savings-program-analysis/
written post at https://healthy-skeptic.com/2019/11/04/responses-to-provider-consolidation/
written post at https://healthy-skeptic.com/2019/11/01/mercer-on-employer-health-benefits/
written post at https://healthy-skeptic.com/2019/10/31/results-from-a-functional-model-of-care/
written post at https://healthy-skeptic.com/2019/10/29/massachusetts-report-on-health-cost-drivers/
written post at https://healthy-skeptic.com/2019/10/25/specialist-participation-in-acos/
written post at https://healthy-skeptic.com/2019/10/24/national-health-spending-reports-from-altarum/
written post here https://healthy-skeptic.com/2019/10/23/pharmacy-benefit-managers-in-medicare-part-d/
written post at https://healthy-skeptic.com/2019/10/22/mgma-report-on-regulatory-burdens/
written post at https://healthy-skeptic.com/2019/10/21/revisions-to-the-fraud-and-abuse-rules/
written post at https://healthy-skeptic.com/2019/10/18/trends-in-cardiac-testing-in-medicare/
written post at https://healthy-skeptic.com/2019/10/17/quality-of-home-health-agencies-used-by-medicare-advantage-plans/
written post at https://healthy-skeptic.com/2019/10/16/providers-responses-to-price-transparency/
written post here https://healthy-skeptic.com/2019/10/14/waste-in-the-us-health-system/
written post at https://healthy-skeptic.com/2019/10/11/gao-report-on-medicares-quality-measures/
written post at https://healthy-skeptic.com/2019/10/10/did-doctors-really-do-what-the-records-say-they-did/
written post at https://healthy-skeptic.com/2019/10/08/nurse-practitioner-prescribing-authority/
written post at https://healthy-skeptic.com/2019/10/07/competition-and-medicare-advantage-plan-quality/
written post at https://healthy-skeptic.com/2019/10/04/level-of-physician-payment-and-access-in-medicaid/
written post at https://healthy-skeptic.com/2019/10/03/validity-of-patient-reported-experience-measures/
written post at https://healthy-skeptic.com/2019/10/02/the-kff-employer-sponsored-health-benefits-report/
written post at https://healthy-skeptic.com/2019/10/01/the-cost-of-intensive-end-of-life-care/
written post at https://healthy-skeptic.com/2019/09/30/variations-in-disease-and-outcomes-across-countries/
written post at https://healthy-skeptic.com/2019/09/27/administrative-costs-in-the-us-health-care-system/
written post at https://healthy-skeptic.com/2019/09/26/hospital-market-concentration-prices-and-utilization/
written post at https://healthy-skeptic.com/2019/09/23/primary-care-physician-practice-patterns-and-patient-outcomes/
written post at https://healthy-skeptic.com/2019/09/19/physician-drug-rep-interactions/
written post at https://healthy-skeptic.com/2019/09/18/medicare-advantage-plan-administrative-costs/
written post at https://healthy-skeptic.com/2019/09/16/medicare-advantage-spillover-effects-to-traditional-medicare/
written post at https://healthy-skeptic.com/2019/09/12/price-transparency-and-value-based-purchasing/
written post at https://healthy-skeptic.com/2019/09/05/physician-group-characteristics-and-patient-outcomes/
written post is at https://healthy-skeptic.com/2019/09/04/risk-adjusting-health-care-payments/
written post at https://healthy-skeptic.com/2019/09/03/physicians-and-the-relative-value-committees/
written post at https://healthy-skeptic.com/2019/08/29/association-of-education-level-race-and-cause-of-death/
written post at https://healthy-skeptic.com/2019/08/28/medical-homes-and-patients-with-chronic-diseases/
written post at https://healthy-skeptic.com/2019/08/27/unintended-consequences-of-hospital-readmissions-reduction-program/
written post at https://healthy-skeptic.com/2019/08/22/is-there-a-relationship-between-social-and-health-spending/
written blog at https://healthy-skeptic.com/2019/08/23/how-good-is-physician-assessment-of-risk/
written post at https://healthy-skeptic.com/2019/08/21/trends-in-consumer-costs-related-to-health-care-coverage/
written post at https://healthy-skeptic.com/2019/08/20/large-employer-health-benefits-survey/
written post at https://healthy-skeptic.com/2019/08/16/defective-research-in-psychology/
written post at https://healthy-skeptic.com/2019/08/15/commercial-plan-hospital-price-trends/
written post at https://healthy-skeptic.com/2019/08/14/interrupted-time-series-experimental-designs/
written post at https://healthy-skeptic.com/2019/08/13/patient-drug-payment-assistance-programs/
written post at https://healthy-skeptic.com/2019/08/12/acos-for-rural-and-underserved-areas/
Written post at https://healthy-skeptic.com/2019/08/09/profitability-of-private-health-insurers/
written post at https://healthy-skeptic.com/2019/08/07/the-effects-of-malpractice-liability/
written post at https://healthy-skeptic.com/2019/08/01/buyer-purchasing-power-in-health-care/
written post at https://healthy-skeptic.com/2019/07/29/the-2019-milliman-medical-index/
written post at https://healthy-skeptic.com/2019/07/25/employer-sponsored-health-insurance/
written post at https://healthy-skeptic.com/2019/07/24/persistently-high-cost-patients/
written post at https://healthy-skeptic.com/2019/07/23/eight-years-experience-with-an-alternative-reimbursement-method/
written post at https://healthy-skeptic.com/2019/07/22/the-relationship-of-proximity-to-death-and-health-spending/
written post at https://healthy-skeptic.com/2019/07/19/how-much-money-would-more-use-of-biosimilars-save/
written post at https://healthy-skeptic.com/2019/07/17/effect-of-a-capitated-primary-care-payment-method-on-quality-and-cost/
written post at https://healthy-skeptic.com/2019/07/16/readmission-penalties-and-surgery/
written post at https://healthy-skeptic.com/2019/07/12/physician-recruiting-incentives/
Written post at https://healthy-skeptic.com/2019/07/11/using-private-health-plans-for-public-payment-programs/
written post at https://healthy-skeptic.com/2019/07/10/the-rvs-may-not-accurately-reflect-actual-physician-work-time/
written post at https://healthy-skeptic.com/2019/07/03/quality-outcome-adjusted-medical-treatment-costs/
written post at https://healthy-skeptic.com/2019/07/01/hospital-pricing-for-commercial-health-plans/
written post https://healthy-skeptic.com/2019/06/27/humans-health-care-and-computer-algorithms/
written post at https://healthy-skeptic.com/2019/06/26/report-cards-and-skilled-nursing-facility-quality/
written post at https://healthy-skeptic.com/2019/06/24/pwcs-2020-medical-cost-trend-report/
written post at https://healthy-skeptic.com/2019/06/21/the-employment-based-health-insurance-system/
written post at https://healthy-skeptic.com/2019/06/20/relative-performance-of-provider-network-types/
written post at https://healthy-skeptic.com/2019/06/19/adjunct-providers-and-complex-patients/
written post at https://healthy-skeptic.com/2019/06/11/antioxidants-and-health-a-cautionary-tale/
link to written post https://healthy-skeptic.com/2019/06/14/interventions-to-manage-seriously-ill-patients/
link to the written post https://healthy-skeptic.com/2019/06/17/drug-company-payments-to-prescribers/
Written post at https://healthy-skeptic.com/2019/06/10/new-medicare-beneficiaries-and-medicare-advantage/
written post is at https://healthy-skeptic.com/2019/06/11/antioxidants-and-health-a-cautionary-tale/
written post at https://healthy-skeptic.com/2019/06/04/drug-spending-for-different-payers/
the written post can be found at https://healthy-skeptic.com/2019/06/03/predicting-high-cost-patients-2/
The link to the written post is https://healthy-skeptic.com/2019/05/30/dol-report-on-self-funded-plans/
link to the original post is https://healthy-skeptic.com/2019/05/29/hsa-balances-and-health-care-utilization/
The written post can be found at https://healthy-skeptic.com/wp-admin/post.php?post=34201&action=edit
The written post can be found at https://healthy-skeptic.com/wp-admin/post.php?post=34192&action=edit and includes a link to the report
This was based on an Avalere study. here is the link https://go.avalere.com/acton/attachment/12909/f-69e32532-ce17-42c8-87bc-8b95e12e258a/1/-/-/-/-/BMA_Duals_ISPOR_2019.pdf