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

Medication Adherence Predictions Enter the World of Quantitated Justifications For Things That Are Just Not True, Members of the Proprietary “Code Hosing” Clubs Out There Destroying Your Privacy Medication Adherence Predictions Enter the World of Quantitated Justifications For Things That Are Just Not True, Members of the Proprietary “Code Hosing” Clubs Out There Destroying Your Privacy

This is just taking this a little too far and we know when you let Quants go wild, they will go, and...

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Monday, June 22, 2015

CMS Chasing Wild Virtual Horses-A Big Distraction on the Hope of Finding Some “Algo Fairies” By Giving Entrepreneurs Access to Medicare Claims and Other Data…Marketing & Astro Turfing “The Sebelius Syndrome”.. CMS Chasing Wild Virtual Horses-A Big Distraction on the Hope of Finding Some “Algo Fairies” By Giving Entrepreneurs Access to Medicare Claims and Other Data…Marketing & Astro Turfing “The Sebelius Syndrome”..

One thing I think that can safely be said is Andy Slavitt, a one time Goldman Sachs banker and Unite...

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Wednesday, June 17, 2015

Target Stores Sells Pharmacy and Clinic Business to CVS, Uses Debt to Finance and Drops $1 Billion From Stock Buy Backs, Gains a Lot More Consumer Data to Mine and Sell.. Target Stores Sells Pharmacy and Clinic Business to CVS, Uses Debt to Finance and Drops $1 Billion From Stock Buy Backs, Gains a Lot More Consumer Data to Mine and Sell..

Just yesterday I wrote about CVS buying a small independent pharmacy and now we have this.  We all r...

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Monday, June 15, 2015

CVS Buys Independent Pharmacy, Picks Up A Slew of 7000 Ready Made Prescription Customers With Data To Mine and Sell… CVS Buys Independent Pharmacy, Picks Up A Slew of 7000 Ready Made Prescription Customers With Data To Mine and Sell…

For the independent pharmacy, generic drug costs have gone up  as high as 30 percent and the pharmac...

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Sunday, June 14, 2015

For Profit Hospitals Like Stock Buy Backs Too–HCA Buying Back $7.7 Billion Worth of Shares Over 3 Years… For Profit Hospitals Like Stock Buy Backs Too–HCA Buying Back $7.7 Billion Worth of Shares Over 3 Years…

I talk a bit about stock buy backs, why?  Because as a consumer or a patient, we pay for them.  Insu...

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Thursday, June 11, 2015
 
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