I like the title here, and it says it all straight forward.  A couple years ago I began talking about how this will all going to evolve with clients, small physician practices and they all looked at me like I was crazy, as I was always pushing for a little more use of technology, and basically stating that the folks with all the data and information data bases are going to walk all over the small practices, well sad to say, that day has in fact come. If you have any experience with how data flow works and how data is mined, (and I mean going to the core of things as a programmer) you learn very quickly how information is gathered, analyzed, and even manipulated, as you learn how to do the same thing in the process.  

Working with data at different levels can also give one a sense of imagea visionary, in other words a programmer knows the process and what happens when information leaves and when it arrives and then decides what needs to be done in the meantime for the analysis process.  The small medical practice is focused on health care of patients and not necessarily this side of the business and thus they are at the downside of this process of evolution with compensation and it is clearly seen by all today, with complicated insurance policies, pharma plans, etc., with some very complicated criteria.  It is maddening for all, but without balance this practice has been able to flourish and we are all left “stupefied”.

Do you know where your EOB has been today?  Probably not, until it arrives and without any data business intelligence to offer a different set of numbers, well we know the scenario, as there is no leg to stand on, and thus the erosion of health care as we have known for many years.  Until someone decides to pay the bill, it’s an endless circle that doesn’t stop, so as the title states above, “It’s about health care costs, stupid”, and until a new plan with a new budget is put in place, there is no utopiaThis is part of what programming has taught me.  BD  

What’s bugging small business owners? Costs, costs, costs, especially health care costs. “As the economic outcome remains uncertain, small business owners are searching for innovative ways to reduce expenses and increase sales.”

Former Sen. Bob Kerrey moderated a health care panel during the NFIB event, and he had the gloomiest assessment of health care reform, saying "It's going to be a very hard proposition for the members of the House and Senate to solve."

http://yourbiz.msnbc.msn.com/archive/2008/06/10/1121469.aspx

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