Some US Pharmacies Sell Inventories to Gray Markets and Huge Profits are Made When Hospitals Buy As There is No Alternative For Life Saving Treatments

Five drugs normally costing $10-$20 were regularly marked up to prices of $200 or more through the gray market was found by an investigation of Congress.  This is scary and sad as a drug that would normally cost $10 goes for as much as $500 on the gray market.  Jay Rockefeller lead the investigation.  The folks on the gray side know when shortages are near or current and seem to get their hands on them ahead of time.  Who gets stuck paying the high prices, hospitals.  None of the gray marketing companies would testify in Congress either as they know what they are doing is not right. 

So what happens, read the link below and see how hospitals are dealing with this and UCLA for example spends over 2 hours a day to find the drugs, whether it be sharing with other hospitals or buying gray market products.  By contrast there’s no shortage of Botox or Viagra.  BD

Drug Shortages Continue–UCLA Spends 2 Hours A Day Checking on Cancer Drug Availability–ASHP Website Lists All Current Shortages



Some US pharmacies are selling their entire inventories to "gray" marketers, who make enormous profits by buying hard-to-find drugs and re-selling them at huge mark-ups, a joint Congressional investigation has found.

Moreover, prescription drugs had leaked into the gray market through pharmacies in 69% of the distribution chains examined for the probe. "Instead of dispensing the drugs in accordance with their professional duties, state laws and the expectations of their trading partners," the pharmacies had resold them to gray wholesalers, says the report of the investigation, which was begun last autumn by Representative Elijah Cummings, ranking member (Democrat) of the House Committee on Oversight and Government Reform.

He also noted that that not even the gray market companies are willing to defend this "disgusting and indefensible" form of "price gouging."

"I invited the five companies we looked at in this investigation to testify at this hearing. They all declined my invitation. They know what they're doing is wrong," he said.

- In May, Rep Cummings introducing legislation aimed at lacking the problem. His Gray Market Reform and Transparency Act of 2012 would, among other measures, prohibit wholesalers from buying drugs from pharmacies and create a national wholesaler database that would allow state boards of pharmacy to share information more easily and monitor enforcement actions in other states.

Hat Tip:  PharmaGossip

http://www.pharmatimes.com/Article/12-07-31/Some_US_pharmacies_selling_entire_inventories_to_gray_market.aspx?

New Laws and Benefits Take Effect August 1st For Women, GOP Still Wants To Repeal Healthcare Law And Their “Default Topic of Abortions” Prevails–Update Law, Not Total Repeal As It Can’t Be Done

 

Here we go again with a law that needs amendments and changesimage and that is not due to the fact that it was a bad law, it’s good law, but for goodness sakes talk intelligently and address areas that need change and stop the over all repeal, it’s not doing the GOP any favors.  I agree that the law needs amendments in some area as the economy delegates this and even the President says the same thing as guess what, nothing remains the same and as changes happen, address them.  We live in a digital world and thus so need some digital law formats and today without violating the Bill of Rights, get with it!  

This is disgusting that the default topic of “abortions” came up again but as I have said before when they are overwhelmed it appears to be a topic where they feel they may have some area of control?  What a waste of time and folks who live in partial denial I guess, more important things are on the agenda.  I wonder at some point if even the GOP themselves might turn this into a battle within and take it off the floor.  Look at this link below for a little history and what do you think?  Duh?  Anyone interested in consulting women on this topic?

Congress Has a Panel on Women’s Health and No Women Were Invited At the House Hearing – ”Default Topics” of Abortions and Birth Control Returned to the Floor


On August 1st, new preventive care begins for women according to the new healthcare law.  Hey birth control covered without a co-pay as one example.    Love watching Rep. Barbara Mikulski  and her statement on mammograms.  They just don’t get it.  

 Digital Illiteracy Still Plagues Law Makers–Severe Focus on Abortion Rights Proves It–Is This Where Our Lawmaking Knowledge Leaves Off or Even Begins? Scary…

Let’s not talk about lawmaking here and the technologies that would help our Congress make better laws, but let’s do the “control issue” about abortions, waste of time and money.  Does anyone wonder why Congress looks so bad?  They don’t even know a tool when it is presented to them.  Use a system like IBM Watson and query and get all the information first and then break into committees and everyone will at least have heard the same thing and have the same starting point.  Do we do this, nope default topic of abortions rules all and we get nowhere, get over it.   Personally I laugh my fanny off every time the big “A” word comes up and is debated when there are much more important issues that need attention.  BD  

IBM Watson Capabilities Being Pitched to Financial Industry-Congress Must Not Have Felt They Needed This So Further Behind We Fall With Effective Intelligent Lawmaking

Visit NBCNews.com for breaking news, world news, and news about the economy



http://www.msnbc.msn.com/id/26315908/vp/48431319#48431244

FDA Approves the Ingestible Smart Pill “ChipSkin”–Part of the Proteus Wireless Monitoring System that Currently Uses Patches For Heart Rate Monitoring

This may sound a little confusing as the monitoring system and the smart pill received separate approvals from the FDA.  There’s also a smart patch which reports back to the Proteus system and that part has been approved.  See who the big investors are here with the product, none other that Novartis and Medtronic.  I remember it was reported that Novartis has $24 million invested so I am not sure if there are others and the amount contributed by Medtronic.


FDA Clearance of Wireless Proteus Wireless Monitoring Device Reported – Novartis and Medtronic Have $50 Million Invested in the “Raisin”

Now the European CE was a little ahead with the pill portion imageof this and gave their approval back in August of 2010.  So now the chip can send even more information and is made out of minerals found in food, such as copper, magnesium and silicon.  There’s no battery on the chip and we kind of all can figure out where the exit point is when done.  As I read this, the minute the pill hits your stomach, it gets powered for action right there when it gets wet.  The chip is placed on your pills you take for prescriptions.  I would guess that drugs made by Novartis could be the first ones to be in line to carry the chip?   Here’s a video of a company representative explaining how this works and you can “share” with other folks who have similar conditions.  I don’t know if I’m ready to share what goes on in my stomach and bowels with others yet, maybe more information than some may want to know.  BD




Proteus Digital Health Inc
. (Redwood City, CA) has announced that FDA has cleared its swallow-able sensor, which can be integrated into a pill to monitor medication adherence. The de novo medical device, which the company refers to as an ingestible event marker (IEM), can monitor the timing of drug ingestion in the stomach and relay that information to a patch worn on the body. The patch also can track heart rate, activity levels, and sleep patterns, and relay such information, as well as information regarding drug compliance to caregivers via text message or e-mail. In addition, the device can be used to send text reminders to patients who forgot to take a pill on time. 

http://www.mddionline.com/article/fda-gives-510k-nod-ingestible-smart-pill

Advertising Reaches a New Low–Marketing Campaigns to Promote Walgreens Private Label Drugs and Products at BlogHer Conference –Commentary

This is a new low in my terms and shows how bad some marketing has become.  Below in italics is an email I received today promoting the BlogHer Conference upcoming in New York.  Do I care about having the Medical Quack in Lights on Times Square, hardly.  I hope the information and opinions attract readers with content first of all.  It’s been a while since I looked at the BlogHer site and it’s not what it used to be.  It’s there to sell, sell and sell.  I looked through the book section and there are some of the same solicitations I get on some of these books with PR companies with all the book writers out there today.  Let’s face it the world of “writing books from so called experts” is done.  We have too many experts out there who in fact are just in it to sell a book.

Don’t get me wrong in the fact that I do like a “good book” for sure but I see book after book addressing the same thing,image over and over and over.  If Walgreens wanted to promote their products, why in the world do they not advertise directly with bloggers instead of this nonsense, and nonsense it is.  I could care less if I ever made the BlogHer list after having reviewed what I saw today.  It’s costs money to go to the conference as well and what am I going to get out of it, not much in my opinion. This marketing effort was directed at me to go to the Perrigo booth so they could pass along some products to me…says so right in the email body so I can stock my medicine cabinet.  All they want me to do to enter the contest is “get my social networks fired up” and frankly the content I put out here has no relativity. 

If I need a product I go to the store and buy it and I don’t care if it happens to be the in house brand of CVS either, it’s the store I happen to be in.   This type of promotion reminds me too of the ugly tweets you see on Twitter, like “oh I just need 40 more followers to hit 50”…who cares and I think people have tuned out on those anyway but they are still out there.  BlogHer would do well to look at what they are putting out there and again this is my opinion here as far as being a blogger trying to include some quality material rather than books of poems, nifty foods and hundreds of diet books. 

Again there’s nothing here of interest for me and the name in lights for a contest for the “best voted blogger’ is just about as valuable as all those hospital and doctor compare sites that are riddled with flawed data and gosh knows how many more “data for sale” lists I would end up on.  Here’s a classic post that will give you an idea of how accurate the data is that you read out there today. 

HealthGrades And Other MD Rating and Referral Sites List “Dead Doctors” on Their MD Information Pages And Even Include the Insurance Plans the “Dead Doctors” Honor


In essence I would more than likely be contributing to the “data for sale” bunch here as a lot of that goes on and I’m not in the mood for more consumer “algo duping” to be sold something I probably don’t need. If you have read my posts before then you are aware of the fact that Walgreens made short of $800 million in 2010, just selling data only, so again attending some of these conferences puts me and my information in the old “data corral” for companies  to:

                            “get the data for nothing and profits for free”

Big Data, Flawed Data, Business Intelligence, Where’s The Future and What Has Been Our Past…A World With ”Algo Duping” of Society and Consumers


Again, Walgreens and CVS would do much better to seek out quality blogs and advertise directly to help keep quality blogging alive instead of this mess.  What a crock of spun marketing and shoot the drug chains could save money that way without the expensive middle folks in here as well.  The poor marketing person who sent me this solicitation probably has no clue as well so not picking one person here by any means at they just pull a list and market, and market and market, as that’s the job description given to them.  Back on the topics of books, here’s a good one that I enjoyed and you may be a little less naïve after reading it as well.  Find out how formulas for spun marketing work and recognize them in full operation every day around you.  Once you know what to look for it’s not that hard. 

“Proofiness–The Dark Side of Mathematical Deception”–Created by Those Algorithms

I’m sure I made no friends here today with this post with PR firms, but gosh get a grip and put some valuable information out there and cut the garbage and I’m sure other bloggers feel the same as I see their comments in Twitter as well.  So the Medical Quack will continue on doing what I have been doing and hopefully providing some interesting and maybe valuable information “about the business of healthcare”.  And for all of the drug chains and other folks who would like to advertise on the Medical Quack you can do so but please leave me out of these insane contest solicitations as they do nothing in my opinion of creating good quality information.  BD




“Are you planning to go to BlogHer ‘12? If so, we hope to see you there and invite you to stop by Perrigo’s booth at the expo to pick imageup some free Walgreens brand medications from our BlogHer booth “drugstore”. Perrigo Company (www.perrigo.com) is the world's largest manufacturer of over-the-counter pharmaceutical products for the store brand market and manufacturers for the nation’s leading retailers.

We would love to pass along some of our products to help stock your medicine cabinet when you get home! 

Also, make sure you enter our contest to give one lucky blogger a spot on the Walgreens Billboard in the heart of Times Square.  It is easy to enter! All you have to do is get your social networks fired up about the contest and vote for your blog. The payoff? Your face and blog address will be on the jumbo screen in the “Crossroads of the World” for millions (literally) to see. Talk about advertising for your blog!  Get more details at www.winthewalgreensbillboard.com and help us spread the word.”

Investigation Continues With Radiology Technologist Accused of Infecting Dozens of Patients With Hepatitis C in a Long List of Hospitals Where He Worked

This is just scary as to how long he was able to go and howimage many hospitals he worked at the the cath lab.  He was taking the pain killing drug to inject into himself and then the syringes were re-used giving the patient something other than the pain medication they were prescribed.  30 people alone in New Hampshire were infected and the hospital in Arizona fired him but when taking a drug test two years ago he passed it.  Another employee found him passed out and he flushed the syringe down the toilet.  He lost his license in Arizona, then moved out of state and went to work in other hospitals. 




The agency responsible for placing him at the various hospitals is also being sued.  He was found in a hotel room with a bunch of prescription drugs and he wrote a suicide note.  Testing has been recommended for about 4,700 people in New Hampshire alone, and officials still are determining who should be tested in a dozen hospitals elsewhere. In addition to Arizona.  The patients never got their pain killers and this man continued to work.  If nothing else moving from state to state and from hospital to hospital I would think could bring up some red flags?  BD



(CNN) -- A radiologic technologists' association didn't punish David Kwiatkowski -- later accused of infecting dozens with hepatitis C -- when he was fired in 2010 from an Arizona hospital because it "did not have first-hand evidence" against him to warrant such a move, the group said Monday.

The American Registry of Radiologic Technologists said it suspended Kwiatkowski on July 24 after he was charged in federal court with obtaining controlled substances by fraud and tampering with a consumer product, namely a hospital syringe, in New Hampshire, according to an affidavit. He is suspected of stealing fentanyl, a powerful narcotic frequently used in hospitals, the affidavit said.

Two years earlier, he was working at Arizona Heart Hospital when a fellow employee found him passed out in the men's bathroom, according to documents obtained by CNN. 

"I looked in the toilet and spotted a 5 cc syringe and a needle floating in the water," the employee said in a statement submitted to the Arizona Radiation Regulatory Agency. "The label was a blue fentanyl label. ... He then said, 'S*** ... I am going to jail.'"

According to state, county and hospital officials, he worked as a radiology technician and medical technician in cardiac catheterization labs in the following locations:

-- Oakwood Annapolis Hospital in Wayne, Michigan, January to September 2007;

-- Saint Francis Hospital, Poughkeepsie, New York, November 2007 to February 2008;

-- UPMC Presbyterian, Pittsburgh, March 2008 to May 2008;

-- Baltimore Veterans Affairs Medical Center, May 2008 to November 2008;

-- Southern Maryland Hospital, Clinton, Maryland, December 2008 to February 2009;

-- Maryvale Hospital, Phoenix, March to June 2009;

-- Johns Hopkins Hospital, Baltimore, July 2009 to January 2010;

-- Maryland General Hospital, Baltimore, January 2010 to March 2010;

-- Arizona Heart Hospital, Phoenix, March 2010 to April 2010;

-- Temple University Hospital, Philadelphia, April 2010;

-- Hays Medical Center, Hays, Kansas, May 2010 to September 2010;

-- Houston Medical Center, Warner Robins, Georgia, October 2010 to March 2011;

-- Exeter Hospital, Exeter, New Hampshire, April 2011 to July 2012.

http://www.cnn.com/2012/07/30/health/hepatitis-c-infections/index.html

Accretive Health Barred From Operating In Minnesota for Two to Six Years–One 3rd Party Collection Agent Patients Won’t Have to Deal With at the Hospital For A While…

If you forget how this all was started it was due to a stolen computer with company personnel sharing actual patient data with investors on Wall Street.  The link below can bring you up to date.  As Steven Colbert called them the “debt panels”.  I hope the patients get some restitution out of all of this.  The attorney though for the company is pretty confident I must say from reading this article as he says it was easier to settle  as doing business in the state was becoming too difficult?  Oh well, just one more corporate excuse. 



Accretive Health Debt Collector Employee Has Laptop Stolen With Non Encrypted Patient Data from 2 Hospitals And Had Access to All the Data Via Revenue Cycling - Patient Information Was Shared With Wall Street Investors – Algorithms For Profit Again?


I have a series called the “Attack of the Killer Algorithms” as the algos here that attacked were pay for performance for part of the issue.  This was Chapter 28.  Again remember it’s the algorithms for profit that are formulas that drive traffic that create all of this. 

Accretive Medical Collections and Analytics Cited by Minnesota by Attorney General For Collecting from Patients At Bedside and Worse–Employees on Pay for Performance Too? Killer Algorithms Chapter 28

What is also interesting is that the attorney also says the Attorney General could not identify a single patient who had been abused, so I guess he doesn’t read the news as we saw plenty interviewed and quite a few who spoke out.  He must be getting one huge fee to cover this case.  The company was not even responsive to Congress either, so again sound quite arrogant to me.  Sure someone can like their business algorithms but if ethics are compromised in the act then what do we have? 

Accretive Health Fails to Adequately Respond to Congress And Loses Contract with Second Hospital–A Total of Nine Notebooks Were Stolen or Missing


Not one but nine notebooks were stolen so nine times the potential exposure possibly, depending on what they were carrying around. The Vice President of the company left a non encrypted laptop with around 24k patients' information on the computer.  So the attorney is defending the Vice President here, an executive with a title that is supposed to set examples for others but not at this company.  BD    



Accretive Health will be barred from operating in Minnesota for two to six years under a settlement agreement announced Monday by Minnesota Attorney General Lori Swanson.

The agreement ends a six-month legal battle in which Swanson had accused the Chicago consulting firm of deceiving patients, harassing them for money in emergency rooms and mishandling patient data at Fairview and North Memorial hospitals.

Under the agreement, Accretive will pay about $2.5 million to the state of Minnesota as part of a "restitution fund" administered by a retired judge to compensate patients.

Some patients said they were asked to pay while in the emergency room, lying on a gurney or hooked up to morphine. One woman said she was asked for payment while she was being treated for a miscarriage.

http://www.startribune.com/lifestyle/health/164313776.html?refer=y&refer=y

Dendreon to Close New Jersey Plant and Cut 600 Jobs

Sad ending to all the politics and investing stories that took place over this company and it’s not going anywhere but things will be much more difficult and not to mention they have some tough competition today.  They made history for sure with their drug and the new treatment to extend lives of men who have prostate cancer but by the time the politics and banks got done with all of it, this is where we are.  Here’s one example from 2011 and in August of that year there were questions of whether or not their projections would be met. Nice move on the part of the CEO here, for him anyway?   

Dendreon CEO Dumped $1M Stock Before Admitting They Will Not Meet Their Projections for the Year–Layoffs?

In addition, CMS even gave their approval to cover the expensive treatment which was hailed to extend lives around 4 months I believe it is. 


CMS Gives Dendreon Wins Full Reimbursement of $93k for Treatment of Prostate Cancer With No Apparent Off Label Restrictions In Draft Memo

No doubt there was a lot of work and research that went into the creation of the drug to even include their large investment with software for tracking to ensure there were no mix ups with patients when returning the product for re-injection in the patient, Intellivenge is the name.  Again long and short of all of this is what the investing games that were played impacted the company.  BD



Dendreon’s new management team
is making some drastic cuts in a bid to keep its cancer immunotherapy business going, after the company stumbled in its early marketing days and now faces an increasingly serious competitive onslaught.

The Seattle-based biotech company said today it is cutting 600 jobs full-time and contractor jobs over the next 12 months, and closing its original Morris Plains, NJ, factory, in a bid to save about $150 million a year in costs. By making those cuts, Dendreon said it should achieve positive cash-flows once it reaches $100 million per quarter in sales of sipuleucel-T (Provenge). The company didn’t say when it expects to become profitable.

http://www.xconomy.com/seattle/2012/07/30/dendreon-cutting-600-jobs-closing-nj-plant-as-sales-fall-short/

Black Hat Conference Shows How Biometric Identification Can Be Fooled and Hacked With Duplicating the Actual Iris–Some Healthcare Entities Are Using Eye Identification for Medical Records

This is something worth paying attention to for sure and is not a panic to think that all systems currently using such systems are a failure by all means.  This is more or less a new warning for the companies that manufacture authentication system as such to take another look around and go the next step to hopefully further secure this method of identification.  Each year the Black Hat and Defcon conferences are held in Las Vegas, back to back and hackers and others demonstrate vulnerabilities.  These conferences have come a long way since their beginnings to where they were considered a bit of a nuisance to now as we had the US National Security Director in attendance trying to hire some of these folks.  In addition, companies like Apple and Microsoft certainly attend as they too are looking for knowledge and vulnerabilities found by others outside the company.  Here’s an example of a clinic using the “Iris” identification method.  It certainly does it’s job well but and works well, but again this is warning and more work for the biometric company in the area of security. 

Clinic in the Bronx Uses Iris (Eye) Identification Scanning for Patient Records – Always Picks the Right Chart


The commercial systems looks for the iris “code” not an actual eye, so again this goes back to a statement of wisdom made by another security expert, “those who have the code rule the world”.  It’s kind of scary but if you missed this post and video on how criminals use technology, it is worth watching for awareness and not to set everyone off in a panic by all means, but the dark side does exist.  Again, this is how technology works, looking for the “code for your eye” not your actual eye. 

A Vision of Crime in the Future–TED Video By Marc Goodman–”If You Control the Code You Control the World” And A Deep Look at DNA Use by Criminals

The dark side certainly makes it more difficult as well to catch Medicare and Medicaid fraud and so far we have not heard of any state of the art techniques used in the news as most of the fraud in this area are just algorithms that run to beat the the other algorithms in the system to make money and so far that has worked until they get caught of course.  This is all many of the crooks do, work with code so it definitely works havoc and they are not seeing patients, only working for the money.  The link below has a couple videos including an interview with a former hacker who did just this for years. 


Medicare Fraud – Criminals Do a Better Job With Filing Claims And Coding Than Providers

In essence with code, it’s not much different than the extreme intelligence used in the stock trading systems with everyone working on one algorithm to out do the other one, find where it’s hiding and execute code. This is what lead me to write my series called “The Attack of the Killer Algorithms” to cite some every day examples on how this happens in real life, with not humans but rather “code” making the call and why we need formulas that give “accurate” results versus “desired” results and the two should be the same, but not always, just read the financial news today and it lives amongst us though, but hard to find and identify as it works in the background and there’s nobody minding the shop with checking for accuracy.  Quants get busted   with formulas that do not give accurate information and sometimes what gets even a bit scarier is that they themselves believe their own formulas are correct as the code makes profit for them.  When formulas are created and marketing media spins the reports that go along with the algorithms, you get a bit of a mess out there.  BD

Attack of the Killer Algorithms–Digest & Links for 35 Chapters–on How Math and Crafty Formulas Today Running on Servers 24/7 Make Life Impacting Decisions About You–Updated 6-24-2012

 



A highly secure biometric form of identity authentication was also undermined at Black Hat. Spanish researchers showed how they could create a lifelike image of the iris of a person's eye. In tests against a top commercial recognition system, the iris scanner was fooled 80 percent of the time, according to the team from Universidad Autonoma de Madrid.

Images of fake irises have been created in the past, but this is the first time the iris of an actual person has been duplicated from data gathered about the organ.

http://www.pcworld.com/article/260008/black_hat_hackers_highlights_awards_attacks_and_apple.html

Olympics Celebrate the NHS–One of Britain's Greatest Accomplishments With Free Healthcare for All- A Message Sent to the US As Patients Here Struggle With Algorithms, Math and Contracts To Receive Care?

If you have not caught any of the opening events these videos show how proud the UK is of their National Health System as being one of their greatest accomplishments.  It has a little bit of everything from the Grim Reaper to Marry Poppins in coming in to take care of the children. 
  
Michael Moore provided the vide as you can see below imagein the credits.  These are real doctors and nurses from the NHS.  As you read on the web, sure they have issues as does any organization but if outside the NHS, you don’t criticize the NHS as in reality they are very happy to have free health services and look at what we have in the US by comparison. When you watch you see the beds all come together to form NHS.  This was very well done with Mike Oldfield with Tubular Bells. 

It is the battle of the contracts in the US as every day when a new one is signed and implementation begins patients are hearing you can’t see this doctor any more you need to choose from this list, or you can fill your prescription here anymore, you have to go here now and it goes on and on.   You can’t take this drug anymore it’s not on our formulary so choose from this list and nobody is immune anymore it seems, not even the government as our insurers battle for turf, and the turf for profits is us.  Here’s just one example and there are many more out there too numerous to list.  BD 

Tri-West Won’t Challenge Tri-Care Military Contract Loss To United Health - Legal Decisions & Contract Awards Allow Machines To Move Money for Profit As Company Will Likely Close Down-Subsidiary Watch



Celebration of Britain's National Health Service from MMFlint on Vimeo.



http://vimeo.com/46530151

Cook Medical Cancels Plans for Factory Expansions–We Need Companies That Create Tangible Products As They Create Jobs–Tax The Data Sellers/Brokers Who Make Billions With Data Mining “Killer Algorithms” And Give the Device Companies a Break

Yes I have said this many times and those folks with a few geeks that mine data, to include banks, social networks, high frequency traders, insurance companies and so on make billions with a little code out there on the internet, while companies such as Cook can’t afford to expand and make life saving medical devices.  Back when the law was written things were different but a lot happens in a couple of years.  Just look at how rich the banks are for one and corporate profits on public companies have been at all time highs.  Nobody has to admit they made a mistake with the law, just fix it to work with current economic times. 



I’m glad Cook announced this to get some attention as we are so wrapped up with mining data today that we not balanced.  Technology has value for sure but look at what the banks do on selling algorithms..software in the words of Bills Gates is nothing but a bunch of algorithms working together.  I can’t eat an algorithm for breakfast, wear one, why we need more tangibles to balance with the intangibles.  Analysts look at this balance all the time.  


“Devaluate the Algorithm” And “Tax the Data Sellers”–A Cure for Both Healthcare and an Economy Based Heavily on Intangibles–We’ve Lost Our Balance


Algorithms don’t need benefits with retirement and health insurance and many can run without humans around.  The data mining folks are getting to be nuisance in may areas as states have to put in governor software to keep of the bots out so us citizens can still get in to servers that are busy with algorithms mining data. Nobody’s going to cry if banks and other business pay a quarterly excise tax on what they make.  Walgreen sin 2010 on their SEC statement made short of $800 million selling data only, so does that give you a clear example on the available money out there to tax?  It

s huge and even bigger than the device tax, so why not??

Sure some device companies sell data but they would be lumped in with everyone else and the cost split among a much larger pool and they could afford it at that point.  We also need a federal disclosure page so as consumers we know who’s selling what type of data to who.  What’s even worse without a balance of intangibles and tangibles is the fact that it keeps inequality alive and growing so there’s bonus right there.  Actually this should be the next chapter in the Killer Algorithm series I have going here. 


Attack of the Killer Algorithms–Digest & Links for All Chapters–How Math and Crafty Formulas Today Running on Servers 24/7 Make Life Impacting Decisions About You

Cook is the largest privately owned device company in the US too, so give that some real thought. Look at what they say about the device tax, will raise over $30 billion in a decade, well shoot tax the data sellers and you could probably hit that number in 5 years or less, half the amount of time.  That’s why it makes sense to pursue another route and keep the tangible companies in business in the US.  Who knows a company such as Cook could probably even jump in with a generic device division for commonly used nut and bolts as are used in back surgeries, etc. as that’s what is beginning to happen and we still win with jobs here in the US to make them.

 

I have done a few interviews with Cook and they have been very informative and not the typical Fortune 500 public company interviews either as they can focus on products instead of shareholders, which is nice.  Here’s a few links below. 


 

Cook Medical Interview Discussing PAD Leg Therapies– Rob Lyles, VP Peripheral Intervention Division

 

Cook Medical Announced the new Strategic Business Unit – Interventional Radiology

Regenerative Medicine and How it Works – Interview with Cook Biotech (Medical)

 

Again go after the data sellers who make billions a year and tax that revenue so it won’t be as attractive to mine data instead of creating tangible products and bring some balance back.  We have been basing our economy on formulas being over rated and we the tangible companies for jobs.  Cook says now more of their growth will be focused overseas and they already have facilities in Ireland, Denmark and Australia.  BD



Cook Medical claims the tax on medical devices, set to take effect next year, will cost the company roughly $20 million a year, cutting into money that would otherwise go toward expanding into new facilities over the next five years. 



He said the original plan was to build factories in "hard-pressed" Midwestern communities, each employing up to 300 people. But those factories cost roughly the same amount as the projected cost of the new tax. 

The Affordable Care Act imposed a 2.3 percent tax on medical devices beginning in 2013. It is projected raise nearly $30 billion over the next decade.  

But the Cook Medical spokesman said the impact is greater than just a 2.3 percent uptick in taxes. He said the impact on actual earnings is another 15 percent, and he projected the company's total tax burden next year will rise to over 50 percent. 

http://www.foxnews.com/politics/2012/07/27/indiana-company-scraps-plans-for-expansion-over-obamacare-device-tax/

Florida Pharmacy Association Suing the State As Medicaid Patients Can No Longer Use Pharmacy of Their Choice With Amerigroup HMO Contract

Here we go again with the battle of the contracts and restricting patients to where they can and can’t go.  When all of this started it was not so bad years ago but now that business intelligence hasimage entered the picture so strongly, the choices are getting fewer and the association here states the contract did not have federal approval.  CVS was put on notice that they would no longer be reimbursed for Medicaid prescriptions.  WellPoint just bought Amerigroup for just under $5 billion.  Contract says to patients shift gears again.  They did say other independent pharmacies and other chains would be added…wait till the contract business intelligence numbers are calculated to see which ones I guess.  BD

WellPoint to Buy Amerigroup for $4.9 Billion As the Battle for Medicare and Medicaid Management Contracts/Exchanges Continues Between Two Major Health Insurers–Subsidiary Watch


The Florida Pharmacy Association is suing the Agency for Health Care Administration for what it says amounts to no longer allowing Medicaid patients to use pharmacies of their choice.

The lawsuit, filed on behalf of a host of local pharmacies and Medicaid patients, says that a contract ACHA entered with Amerigroup – a Medicaid HMO – was done without needed federal approval.

After inking its contract with the state, Amerigroup, whose affiliated pharmacy is CVS, notified several pharmacies that serve Medicaid patients they would no longer be reimbursed under the company’s Medicaid pharmacy network.

“Amerigroup has made a business decision to add a number of new independent and chain pharmacies to their network and terminate other,” read ACHA’s letter.

Opponents of the move see it as a dangerous shift of Florida’s at risk patients to for-profit HMOs.

“  Medicaid was designed to be the health insurer of last resort…Such patients cannot be relegated to for-profit HMOs lightly and certainly not outside of the standards and safe-guards established by law,” said Michael Jackson, CEO and executive vice president of the Florida Pharmacy Association.

http://jacksonville.com/opinion/blog/403455/matt-dixon/2012-07-26/pharmacies-suing-state-over-network-closures

FDA Approves Prescription Fish Oil Pill to Treat High Triglycerides–Vascepa

Amarin is the pharmaceutical company that makes the pill.  Patients who have fish or shell fish issues are advised to be careful.  More information below.  BD

From the website:
“Amarin Corporation plc is a biopharmaceutical company focused on the commercialization and development of therapeutics to imageimprove cardiovascular health. Amarin's product development program leverages its extensive experience in lipid science and the potential therapeutic benefits of polyunsaturated fatty acids. Vascepa™ (icosapent ethyl) capsules is Amarin's first FDA approved product. Vascepa is a patented, ultra-pure omega-3 fatty acid, comprising not less than 96% EPA (icosapent ethyl) in a capsule.”

The Food and Drug Administration (FDA) has approved a new prescription fish oil formulation (Vascepa) for the treatment of high levels of triglycerides (TG). The drug is indicated as an adjunct to diet in adult patients with severe hypertriglyceridemia (TG > 500 mg/dL) who are at risk for stroke and heart attack. This is the second prescription fish oil pill to receive FDA clearance. 

Meanwhile, the REDUCE-IT (Reduction of Cardiovascular Events with EPA – Intervention Trial) trial, which is currently underway, is looking to evaluate the efficacy of Vascepa when given in addition to  a statin in reducing major cardiovascular events in a high-risk population.

http://www.cardiosource.org/Advocacy/Issues/Food-and-Drug-Administration/FDA-Updates/Vascepa.aspx?w_nav=Twitter

MMRGlobal Expands Outreach to Asia and UK With MyMedicalRecords PHR Services (Personal Health Records)–Sponsor News

If you read my post earlier this week, MyMedicalRecords is a brand new sponsor at the Medical Quack and this makes sense as there’s aimage lot of PHR information at this site.   New press release out today on the expansion beyond the US with meeting with government officials and healthcare regulators in Australia, New Zealand and Singapore.  If you read the news Australia has launched their own PHR and was cited to be also looking for a bid to contract the administration of their system.  The official press release is below and be sure to visit their MyMedicalRecords and you can always find the link at the top of any page at the Medical Quack.  BD



Press Release:

LOS ANGELES, CA, Jul 26, 2012 (MARKETWIRE via COMTEX) -- MMRGlobal, Inc. MMRF -8.11% (MMR) today announced that the Company has been invited to participate in presentations with government officials, healthcare regulators and telephony providers in the Asia Pacific region, particularly in Australia, New Zealand and Singapore where MMR already holds issued patents for its Personal Health Records eHealth technology with additional claims pending and applied for. While in Australia, the Company plans on attending an Australian Interactive Media Industry Association (AIMIA) event taking place on September 25th.

During the imageAIMIA gathering, MMR plans on meeting with software and hardware manufacturers regarding the integration of its products and services into telemedicine systems and 4G devices as imbedded apps. The invitations followed last week's news release with the Company's Australian licensee VisiInc PLC to launch a unified Personal Health Record incorporating some of MMR's Australian patented health IT solutions.

According to Bob Lorsch, MMRGlobal CEO, "MMRGlobal's visit through the Asia Pacific region will give us an opportunity to personally present our Personal Health Record products and services to government and private business and industry on a one-on-one basis and to explain the benefits of incorporating our patented MyMedicalRecords services into their eHealth plans for the future."

MMR also announced plans to establish a greater overseas presence in the UK headed up by Executive Vice President Richard M. Lagani. Mr. Lagani will manage the launch of several new Chartis/AIG International programs and oversee sales of the Company's MMRPro professional systems and PHRs to hospitals and other healthcare providers.

The Company has been expanding overseas over the past several years starting with the launch of its Unis Tonghe MMR International Health Management Service Co., Ltd., Joint Venture in China. This was followed by the signing of license agreements in Australia and currently the integration of its PHR services at St. Helen's Hospital in the United Kingdom.

http://www.marketwatch.com/story/mmrglobal-continues-expansion-to-asia-pacific-region-and-the-united-kingdom-2012-07-26

The Institute for Research on “Humanism in Medicine” Created by The Gold Foundation–To Better Define the Role of Compassion, Altruism, and Respect To Support the Importance of the Doctor/Patient Relationship

imageNow this is a bit long over due but very welcome in my opinion.  The Institute for Humanism is concerned that the Affordable Care Act will divert attention from the doctor-patient relationship.  Have we not all looked for compassion in healthcare at some point and find it missing? 

It happens as people get rushed, have busier schedules and have to meet all the reporting issues required today. If you have a good caring doctor, you can recommend them to the foundation to become a “Gold Doctor”.  I think this foundation is one we can all relate to and reminders are needed to not to get caught up in the technology and miss the compassion today in healthcare.  BD 

image“That idea was conceived in response to a disturbing trend. Burgeoning scientific discoveries and advances in technology seemed to dwarf the interest of taking care of people who were ill, suffering and/or dying. Physician trainees were scientifically proficient and technically well-trained, but often demonstrated a sad lack of caring and compassion. Dr. Gold decided, with Sandra Gold's help and prodding, to do something about it”

When I think of humanism I think back to the commencement speech given by FDA Commissioner Margaret Hamburg, as she emphasizes the same thing and gave a great speech at the Albert Einstein College of Medicine this year. 

FDA Commissioner Margaret Hamburg Delivers Commencement Address at Albert Einstein College of Medicine–Video

The other side of the coin though when the doctor/patient relationship is threatened is very well shown in the documentary called the Vanishing Oath and you can use the backlink here and see how this video also plays an important part. BD

“The Vanishing Oath” – Documentary About the Diminishing Doctor-Patient Relationships When the Environment Does Not Allow Doctors To Care - Exhaustion As Well As Struggles to Take Care of Themselves Sets In




Press Release:

Englewood Cliffs, N.J., 23, July, 2012 – The Arnold P. Gold Foundation ( www.humanism-in-medicine.org) is developing a first of its kind institute for research on humanism in medicine. Concerned that implementing the Affordable Care Act could divert attention away from key elements of the doctor-patient relationship, this new institute is designed to facilitate and disseminate research to better define the role of compassion, altruism, and respect in the delivery of high quality health care. Currently in development, the institute is seeking financial support, including a naming opportunity.


The institute will provide a source of funding and technical assistance for investigators interested in expanding our understanding of how humanistic care contributes to patient outcomes.  Special emphasis will be placed on the development of validated measurement tools for evaluating the personal care provided by individuals and teams of healthcare professionals.  The institute will also assemble relevant research results from elsewhere and will serve as a central resource for updated information about humanism in medicine for the public, journalists, and policymakers.

 

“Substantiating the impact of compassion, empathy, good communication, and cultural awareness on
the outcomes of care is critically important as we embark on fundamental reforms of our healthcare system.  We must not lose sight of these invaluable aspects of high quality care as we explore more efficient and less costly models of healthcare delivery,” said Gold Foundation Board Chair, Jordan J. Cohen MD, immediate past President of the Association of American Medical Colleges.


“Now, more than ever, evidence of the impact of humanistic, relationship-centered methods and models of healthcare must inform how we practice and educate the next generation of health professionals,” said
Elizabeth Gaufberg, MD, MPH, Gold Foundation Professor and an Associate Professor of Medicine and Psychiatry at Harvard Medical School/Cambridge Health Alliance. Dr. Gaufberg will serve as the  institute’s founding director.


About the Arnold P. Gold Foundation: The Arnold P. Gold Foundation, established in 1988, is a public not-for- profit organization dedicated to improving the quality of healthcare by enhancing the doctor-patient relationship. It encourages the development of physicians who combine the high tech skills of cutting-edge medical science with the high touch skills of communication, empathy and compassion. Learn more at humanism-in-medicine.org.

Cerner EHR Remote Hosting Service Goes Down This Week for Several Hours Causes Concern For Hospitals and Physician’s Offices Across the US

How safe is the cloud?  The good news is that like any of the other outages it was restored and some hospitals reported they were not able to chart the entire day.  With complexities today and data platforms, imagewe are almost all learning to live with it, but with healthcare it’s critical.  Obviously it sounds like a failover to another data center was not in the picture either as that is normally what happens when one goes down, the other takes over and there’s no interruption of service.  I do want to hear what the “human error” was here when it comes out.  There are other glitches around to, but maybe not as critical such as this one, which delayed attesting for stimulus money for some with GE which related back to a SAP software issue.  What is the back up plan in most cases, grab the pencil and paper until the system is live again. 

GE Centricity EHRs Need To Fix Their Algorithms (Math)-Some Customers May Not Be Able to Attest Until The End of November After the Software Update

One other healthcare issue was when the AWS Cloud server went down in 2011 and a patient monitoring system was hit and I think we all remember those 3 days whether one works in healthcare or not.  BD

What Happens When The Cloud Server Goes Down When Monitoring Patient ECGs At Home With No Fail Over - Disturbing Thread From Amazon Web Services Forum

 



Cerner Corp.'s remote hosting service went down for several hours on Monday, July 23, affecting Cerner's hospital and physician practice clients all over the country. This unusual outage, which reportedly took down the vendor's entire network, raises some new questions about the reliability of cloud-based hosting services.

Responding to an inquiry from InformationWeek Healthcare, Cerner spokesperson Kelli Christman said, "Cerner’s remote-hosted clients experienced unscheduled downtime this week. Our clients all have downtime procedures in place to ensure patient safety. The issue has been resolved and clients are back up and running. A human error caused the outage. As a result, we are reviewing our training protocol and documented work instructions for any improvements that can be made."

http://www.informationweek.com/news/healthcare/EMR/240004446?cid=InformationWeek-Twitter

Medicaid Cuts Take Place in 13 States in Order to Balance Budgets–Business Intelligence Algorithm Shift of Dollars and Cents

These are a few of the highlighted areas.  Thank goodness California doctors were not cut anymore as it’s so hard to find MDs who still take Medicaid.image  Yes it is the business intelligence software that helps government and companies on figuring where to cut money, where to move company branches, and so on.  Also looking here at what has been reported, look at how varied the cuts are as well.  No wonder it’s hard to figure out what is covered and what is not from state to state.  Again if we began taxing the data sellers/brokers it would certainly stand to add a lot more money to the Medicaid pot.  BD
 

Congress To Investigate the Data Sellers - Need To Create a Law to Tax Them As The Algorithms Used For This Business Generate Billions of Dollars, Partly Why Corporate Profits Are So High - Remove the Medical Device Tax as They Produce Needed Jobs/Tangibles


Most of the cuts went into effect this month, according to a 50-state survey by Kaiser Health News for USA Today. Among them:


--Illinois cut enrollees to four prescriptions a month; imposed a copay for prescriptions for non-pregnant adults; raised eligibility to eliminate more than 25,000 adults and eliminated non-emergency dental care for adults

.

--Alabama cut pay for doctors and dentists 10 percent and eliminated coverage for eyeglasses.

--Florida cut funding to hospitals that treat Medicaid patients by 5.6 percent – following a 12.5 percent cut a year ago. The state is also seeking permission to limit non-pregnant adults to two primary care visits a month unless they are pregnant, and to cap emergency room coverage at six visits a year.

--California added a $15 fee for those who go to the emergency room for routine care and cut reimbursements to private hospitals by $150 million.

--Wisconsin added or increased monthly premiums for most non-pregnant adults with incomes above $14,856 for an individual.

South Dakota, Maryland, Colorado, Louisiana, New Hampshire, Hawaii and Maine also are making reductions to their programs. Connecticut is weighing cuts likely to go into effect this fall.

http://www.kaiserhealthnews.org/Stories/2012/July/25/medicaid-cuts.aspx?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed:+khn+%28All+Kaiser+Health+News%29&utm_content=Google+Reader

Health Insurance Companies Continue to Outsource Jobs Overseas With Large Focus on the Philippines–Subsidiary Watch

The mention in this article is WellPoint and their subsidiary company Radiant Services which has moved many of their jobs overseas.  imageAlso too, I don’t know how it is in other parts of the country, but hospitals here in southern California employee a lot of nurses from the Philippines as their training they receive there is up to US standards, unlike other countries such as Mexico.  The article below was from 2010 where layoffs and outsourcing of jobs took place in North Carolina with Blue Cross.  All the action when it comes to profits and business intelligence as far as where to cut, move and so forth comes from those algorithms to create business models.  Sourcecorp was the company named in handling this contract. 

Blue Cross and Blue Shield of North Carolina To Outsource Jobs–Laying Off About 90 Employees

 

This does get kind of scary as when the queries and the algorithms point to a location to where money can be saved, jobs are cut in the US and to other countries they go.  India has also been a longtime outsourced country for the insurers and many other industries.  If you read the entire article you can see there’s mention of everyone to include United who’s policy is not to comment but they have more subsidiaries than one can shake a stick at and sometimes it’s hard to keep track of them all.  ChinaGate is one of their subsidiaries that works with other United subsidiaries and companies to promote and bring more Chinese drugs and devices to the US and the world so maybe they are in quite a bit deeper here?  At any rate the article says they don’t want to talk about it.   

UnitedHealth subsidiary (Ingenix Subsidiary I3) Acquires ChinaGate – Working to Sell Chinese Products Globally


It’s hard to kind of hide some of this though when you call and your hear a specific accent and you pretty much know where your call has been directed.  There’s specific software marketed to some of the countries where English is not the native language and read this below to find out more as the folks in the call centers are given signals via the software to tell your “current state”.   So this is what we get, folks outside the US assisted by some voice algorithms to help us out with customer service and other issues.  

Emotionalysis is the name of the technology and it’s kind of odd that they also say the software can predict prostate cancer so who knows what goes on outside the US as maybe you might be getting a free prostate cancer analysis if you are a male and of course that would be useless for us females

Behavioral Software Decodes Human Voices to Identify Person’s Present State Over the Phone – Voice Driven Algorithms for Analysis


As contracts for Medicare and Medicaid administration continue to be a battle zone, you might want to look at this post to where via IT and subsidiaries it appears that Untied has a bit of an attack going on with Blue Cross as the former Tri-Care contractor (Blue Cross subsidiary) maybe go out of business over the loss of the contract to Untied, who now employs the former HHS director who is accredited with writing most of the healthcare reform laws and also a few months ago hired former Minnesota Assistant Attorney general to add as general counsel.  I don’t know exactly what he does there in that capacity but United did sue the DOD for the West Tri-Care contract and they go it as a cost that the Blue Cross subsidiary says was higher.  BD



Tri-West Won’t Challenge Tri-Care Military Contract Loss To United Health - Legal Decisions & Contract Awards Allow Machines To Move Money for Profit As Company Will Likely Close Down-Subsidiary Watch

United HealthCare Awards Contract to One Blue Cross/Blue Shield Subsidiary to Process Tri-Care Claims While The Other BlueCross BlueShield Company Lost the Over All Tri-Care Bid To United In the West




WASHINGTON — After years of shipping data-processing, accounting and other back-office work abroad, some healthcare companies are starting to shift clinical services and decision-making on medical care overseas, primarily to India and the Philippines.
Some of the jobs being sent abroad include so-called pre-service nursing, where nurses at insurance firms, for example, help assess patient needs and determine treatment methods.

But the latest outsourcing, which have contributed to the loss of hundreds of domestic health jobs, is done for financial reasons. And the outsourcing of nursing functions, in particular, may be the most novel — and possibly the most risky — of the jobs being shifted.
At the forefront of the trend is WellPoint Inc., one of the nation's largest health insurers and owner of Anthem Blue Cross, California's biggest for-profit medical insurer.

Health Net Inc., which is laying off dozens of information technology and accounting workers whose jobs are being sent to India, said its outsourcing has generally been confined to administrative and IT functions. UnitedHealth Group, the nation's largest health insurer, didn't respond to inquiries.

Few have been as aggressive as WellPoint, which made a profit of $2.65 billion last year on revenue of $60.7 billion. WellPoint's total employment at the end of last year was 37,700, down from 40,500 two years earlier.



http://www.latimes.com/business/la-fi-healthcare-offshore-20120725,0,5854713,full.story

Hospitals Forgive Medical Care Bills for Victims of Aurora Theater Shooting–No Release Yet on How Many Victims Have Insurance Coverage And What Type of Coverage They Have

This article makes some pretty strong statements and for good reason.  What about those who are not involved in a tragedy as such?  imageGranted is is nice that the hospitals chipped in here and again one does wonder if the forgiveness includes those who do have health insurance?  It does make one wonder about the bills and why such a statement came out if there was not some concern for perhaps some of the victims not having insurance.  Stay tuned as I guess we could more on this later.  Michael Moore somewhat addressed this question in his recent interview with Pierce Morgan.  Two of the hospitals have not made a public statement yet on covering the emergency care.  Charity funds have also been established to help the victims and one would guess contributions would be toward the cost of medical bills incurred. 

One victim it states already has a 2 million dollar tab and they do have insurance but how much will be covered with extensive rehab costs and so forth?  The article states again that some victims might not have any coverage.  So again, great move on the part of the hospitals for sure at a time like this but it does remind us that the healthcare issue as a whole still needs a lot of work.  BD 




The Aurora theater shooting has spurred new debates about gun control laws in America, but could it also play a role in the ongoing health care debate? Three of the five hospitals that treated victims of the shooting say they will limit or even forgive medical bills for patients who were wounded in the attack, many of whom are still being treated. Most of the wounded are expected to have medical costs in the hundreds of thousands, if not millions, of dollars and many appear to have inadequate or non-existent coverage.

The hospitals have not released information about which patient may or may not be covered, but over 1.5 million Colorado residents are uninsured or under-insured. The two hospitals that didn't announce a plan to forgive bill already provided more than $750 million in free care every year, as two of the state's biggest "safety net" hospitals. Several different charity funds have established to help the victims, but it's not clear how much they will cover and it also underscores another uncomfortable issue — what about all the people who aren't injured in a major, highly public tragedy? There are many, many other Americans who don't get relief funds or have their medical bills forgiven when things go wrong.

http://www.theatlanticwire.com/national/2012/07/aurora-shooting-victims-hurt-lack-health-insurance/55042/

First Robotic Assisted System for Coronary Artery Stent Procedures Cleared by the FDA–Interventional Cardiology/Radiology

If you have seen the daVinci robot then this one will look a bit similar as far as the interventional cardiologist or radiologist being seated at a console to guide the stent through your body.  The image below gives the picture of how it works. 

imageA few years ago I had the chance to speak with Dr. Bart Muhs about this procedure and this certainly looks to improve the precision versus having to use an X-Ray which is pretty much what most do unless in the last couple of years they have upgraded to new systems that monitor with better imaging. 

Interview with Bart E. Muhs, M.D., Yale School of Medicine – Aneurysm Repair Surgery

Basic endovascular repair is becoming more common place as treatment procedures with technology advances.  The video below shows how the procedure works with using joysticks.  The CorPath 200 would also seem to be adaptable for remote use in time. 



Clinical trials were conducted in the Washington DC area.  You can bet the system will be a bit costly but one of the big trade backs here is less exposure to radiation for the surgeons.  BD


   
NATICK, Mass., July 25, 2012 /PRNewswire via COMTEX/ -- Corindus Vascular Robotics, a leading developer of precision vascularimage robotics, today announced FDA 510(k) clearance has been granted for the CorPath 200 System to be used in percutaneous coronary interventions (PCI). The technology is now approved in the United States to assist interventional cardiologists in performing PCI, a procedure to restore blood flow to blocked arteries in patients with coronary artery disease (CAD).

The CorPath 200 System is the first and only robotic-assisted procedure to allow for controlled placement of coronary guidewires and stent/balloon catheters from an optimized interventional cockpit. The lead-lined cockpit protects the interventional cardiologist from harmful radiation exposure and the seated position in front of monitors may provide enhanced view of the angiography screen while reducing fatigue and minimizing head, neck and back strain.

The Company's FDA cleared CorPath® 200 System is the first medical device that offers interventional cardiologists PCI procedure control from an interventional cockpit. The CorPath open-platform technology and intellectual property will enable Corindus to address other segments of the vascular market, including peripheral, neuro and structural heart applications.

http://www.marketwatch.com/story/fda-clears-first-robotic-assisted-system-for-coronary-artery-disease-stent-procedures-2012-07-25