Cigna Legal Case With Ingenix Flawed Formulas for Out of Network Payments Allowed to Proceed Under ERISA, Can’t Avoid the Claims… Cigna Legal Case With Ingenix Flawed Formulas for Out of Network Payments Allowed to Proceed Under ERISA, Can’t Avoid the Claims…

How many companies used the Ingenix Data Base one has to question.  While current Acting Director o...

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Sunday, May 08, 2016

Be Aware of Prescription “Claw Backs” as Pharmacy Benefit Management Profit Centers Continue to Evolve Be Aware of Prescription “Claw Backs” as Pharmacy Benefit Management Profit Centers Continue to Evolve

If you have watched the news of late, drug prices that we pay are a big item as the price of drugs k...

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Saturday, May 07, 2016

The Rise of the Quants, Again!  This Time In US Healthcare- Taming the MACRA Beast of Quantitated Madness For A Lot of Things That Are Probably Just Not True The Rise of the Quants, Again! This Time In US Healthcare- Taming the MACRA Beast of Quantitated Madness For A Lot of Things That Are Probably Just Not True

I’ve been watching this for years with the way healthcare is changing in the US today and we certain...

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Saturday, May 07, 2016

United Healthcare Reports 1st Quarter-OptumRX (Pharmacy Benefit Manager) Produces More Revenue Than Its Health Insurance Groups United Healthcare Reports 1st Quarter-OptumRX (Pharmacy Benefit Manager) Produces More Revenue Than Its Health Insurance Groups

You can read the entire press release here as the report is broken down in several entities, but I ...

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Tuesday, April 19, 2016

United Healthcare Hits the Bottom of the Barrel Linking Doctor Information to Healthgrades Flawed Data United Healthcare Hits the Bottom of the Barrel Linking Doctor Information to Healthgrades Flawed Data

Ok if you have read here long enough, a few years, then you are accustomed to seeing outrageous flaw...

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Wednesday, April 06, 2016

Walgreens Signs Agreement With PBM OptumRX (United Heatlhcare) and Anthem Then Sues Express Scripts Walgreens Signs Agreement With PBM OptumRX (United Heatlhcare) and Anthem Then Sues Express Scripts

The long and short of the OptumRX agreement is  to allow patients to be able to pick up and fill a p...

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Monday, March 21, 2016

United Healthcare Puts Their Quants To Work Again-Designs a Subsidiary to Compete Against Them and Sell Insurance With a New Set of Algorithms Named Harken United Healthcare Puts Their Quants To Work Again-Designs a Subsidiary to Compete Against Them and Sell Insurance With a New Set of Algorithms Named Harken

You read the title correctly as United adds yet one more subsidiary to their almost 400 subsidiary c...

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Sunday, March 13, 2016

United Healthcare Now Offering Employers Wearable Wellness Devices-UnitedHealthcareMotion–More Data To Mine And Sell With Related Risk Assessment Scoring Processes About You-Excess Scoring United Healthcare Now Offering Employers Wearable Wellness Devices-UnitedHealthcareMotion–More Data To Mine And Sell With Related Risk Assessment Scoring Processes About You-Excess Scoring

Here we go again, the Big Brother push and of course could all these “motion” scores be combined and...

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Tuesday, March 01, 2016
 
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