Doctors In Network Leave United Healthcare–Tired of Getting Paid At Rates 12% Less Than Medicare… Doctors In Network Leave United Healthcare–Tired of Getting Paid At Rates 12% Less Than Medicare…

This problem is expanding into Kentucky now.  I have heard it for years in California with different...

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Thursday, July 30, 2015

CVS and IBM Watson Project–Please Make It Stop-13 Quarters of Declining Profits for IBM, Is This Is What We Get, More Algorithms Biting Us Constantly So More Data Can Be Mined and Sold Resulting In Excess “Scoring” of US Consumers.. CVS and IBM Watson Project–Please Make It Stop-13 Quarters of Declining Profits for IBM, Is This Is What We Get, More Algorithms Biting Us Constantly So More Data Can Be Mined and Sold Resulting In Excess “Scoring” of US Consumers..

When IBMWatson first came out I thought it was great and still do for cancer research and other area...

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Wednesday, July 29, 2015

United Healthcare Finds Yet Another Way to Track You At the Grocery Store–Healthy Savings Card That Will Give You Discounts and Track What You Buy.. United Healthcare Finds Yet Another Way to Track You At the Grocery Store–Healthy Savings Card That Will Give You Discounts and Track What You Buy..

It doesn’t stop does it?  We all know by now that the savings and rewards cards are trackers and cre...

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Wednesday, July 29, 2015

Anthem and Cigna Merge, What’s In It For Consumers, Nothing Really, But There Will Be a Massive Data Mess of Analytics, Budgets, and You’ll Never Get An Accurate Listing of MDs in Network… Anthem and Cigna Merge, What’s In It For Consumers, Nothing Really, But There Will Be a Massive Data Mess of Analytics, Budgets, and You’ll Never Get An Accurate Listing of MDs in Network…

That’s about the size of it as today you have to look at the massive IT sides of business and if you...

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Saturday, July 25, 2015

United Healthcare Having a Big Bond Sale to Finance Purchase of Catamaran Pharmacy Benefit Management Company, Huge 10.5 Billion United Healthcare Having a Big Bond Sale to Finance Purchase of Catamaran Pharmacy Benefit Management Company, Huge 10.5 Billion

Here we go again, more leveraging and the healthcare we get depends on the financials of such.  Ever...

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Thursday, July 23, 2015

Marylyn Tavenner Takes Over CEO Job of AHIP, Major Health Insurance Lobby Group in DC And United Healthcare Dropped Out a Few Weeks Ago… Marylyn Tavenner Takes Over CEO Job of AHIP, Major Health Insurance Lobby Group in DC And United Healthcare Dropped Out a Few Weeks Ago…

Did you read about 3 weeks ago that United Healthcare bowed out of this group after years of members...

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Thursday, July 16, 2015

Patients Who Pay “Cash” When Filling Prescriptions Are Now Called “Outliers, Pharmacists Required to Fix Outliers as They Show Up As Non Medication Adherence Compliant With 5 Star Systems Full of Flawed Data… Patients Who Pay “Cash” When Filling Prescriptions Are Now Called “Outliers, Pharmacists Required to Fix Outliers as They Show Up As Non Medication Adherence Compliant With 5 Star Systems Full of Flawed Data…

I had a conversation with a pharmacist who took some time to cue me in to what’s going on in the wor...

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Thursday, July 16, 2015

Anthem Issues Yet Another Change to Physician Reimbursement Policies Less Than 90 Days After the Last Change–Here’s A Look at the Other Side of ICD 10 Complexities-Aetna Just Fired Some MDs Over This E/M Services Costing Factor Anthem Issues Yet Another Change to Physician Reimbursement Policies Less Than 90 Days After the Last Change–Here’s A Look at the Other Side of ICD 10 Complexities-Aetna Just Fired Some MDs Over This E/M Services Costing Factor

I guess the question is anymore is “how bad do you want to be a doctor”.  The red tape and what insu...

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Friday, July 03, 2015

Aetna Ends Up Buying Humana for $37 Billion-More Medicare Advantage Plans Under One Roof, Stock Buy Backs And the Never Ending Puzzle of Healthcare Profits by the Algorithm…. Aetna Ends Up Buying Humana for $37 Billion-More Medicare Advantage Plans Under One Roof, Stock Buy Backs And the Never Ending Puzzle of Healthcare Profits by the Algorithm….

So we are all watching to see how insurance merger mania goes and here’s the next after Centene boug...

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Friday, July 03, 2015

Theranos Gets First FDA Approval for “Drop of Blood Test” for Herpes Theranos Gets First FDA Approval for “Drop of Blood Test” for Herpes

Theranos has stated they plan to get everyone of their tests approved by the FDA in time and it app...

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Thursday, July 02, 2015

Health Net Gets Sold-Centene Managed Care Is the Buyer-Conglomerate of Companies Involved in Medicaid, Medicare and Other Care Managing Business Units Health Net Gets Sold-Centene Managed Care Is the Buyer-Conglomerate of Companies Involved in Medicaid, Medicare and Other Care Managing Business Units

Centene is yet another managed care organization which you could say was a competitor of Health Net ...

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Thursday, July 02, 2015

Covered California Insurance Participants to be Risk Assessed With Individual Scores To Be Sent to CMS By Anthem–Appears To Be No Opt Out For Privacy, Payback Time For the ACA Subsidies As Feds Get Your Scored Data Covered California Insurance Participants to be Risk Assessed With Individual Scores To Be Sent to CMS By Anthem–Appears To Be No Opt Out For Privacy, Payback Time For the ACA Subsidies As Feds Get Your Scored Data

When you read this article entirely, it’s like what in the heck is this now?  Seriously read the ana...

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Monday, June 29, 2015

Hospital News Rigging Now? UPMC and Local Paper In a Dispute Over What’s Covered in the News, Takes Paper Out of Hospital Gift Shops… Hospital News Rigging Now? UPMC and Local Paper In a Dispute Over What’s Covered in the News, Takes Paper Out of Hospital Gift Shops…

Here we go again, and advertising from the Pittsburgh newspaper has also been cut, but the article s...

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Sunday, June 28, 2015

Operation “Perception-Deception” Into Full Swing in the US, With Killer Algorithms, Algo Fairies, Algo Duping, The Grays, and Of Course, Flags As Consumers Confuse Virtual World Values With the Real World… Operation “Perception-Deception” Into Full Swing in the US, With Killer Algorithms, Algo Fairies, Algo Duping, The Grays, and Of Course, Flags As Consumers Confuse Virtual World Values With the Real World…

What a week it has been so far as well as last week as well.  It is worrisome as to what the America...

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Wednesday, June 24, 2015
 
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