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HHS Facebook Application Winners Announced for the Lifeline Challenge–But Are Any Privacy Policies/Protections Included?

This is just my personal opinion but I think these are nuts and could not for the life of me figure this contest out and the press release says nothing about privacy so again we know who mines data on the web and who sells data so that is my first question here in wondering why privacy was not mentioned.

Sure the intentions here are good but again in case of a hurricane for example if I were a victim, imagewould I find my home owners insurance going up quickly and would I be receiving FEMA contractor coupons?  These are not dumb questions as that’s kind of how things work out there today with everything being connected.  On the other hand if privacy is not protected here would someone be out there ready to vandalize my house too?  When earthquakes occur Twitter is the one that seems to be all over disasters quickly and I’ve watched that many times.

HHS Seems To Be Confused on Social Networks–Facebook for Disaster Support Contest, Give Me a Break Use Twitter Like Everyone Else Does

Secondly how many folks at HHS will be role models and use this application?  We don’t seem to have any role models around that talk about how social networks or any mHealth applications work for them and it’s always for “those guys over there” with experts telling us how great the apps are.  It’s nice that the developers got something for their work but with privacy out there today, I would rather not chance it with Facebook, but I also shut my page down about a year ago as it became a nuisance with taking too much time away from what I need to do.  Let’s see if Ms. Sebelius talks about how she uses the apps in the future, bet we’ll never hear anything on that topic <grin>.

Again my question here is are we putting too much out there for data mines to scrape and make billions in profits as many US Corporations do?  I think we need to license and tax the data sellers myself as even companies such as Walgreens for an example stated on their SEC form that they made under $800 million in selling data, sounds like a good number to tax and just thing when you add all the other big corporations and bank and others in here, they make billions mining “free taxpayer data” so that’s one more reason for me not to contribute to corporate profits in areas as such.  BD 

Start Licensing and Taxing the Data Sellers of the Internet Making Billions of Profit Dollars Mining “Free Taxpayer Data”–Attack of the Killer Algorithms Chapter 17 - “Occupy Algorithms”– Help Stop Inequality in the US

Three Facebook applications designed to help people prepare for emergencies and get support from friends and family in an emergency – from personal medical emergencies or car accidents to natural or man-made disasters – are winners of a Facebook application challenge sponsored by the U.S. Department of Health and Human Services’ Office of the Assistant Secretary for Preparedness and Response (ASPR).

ASPR’s Facebook Lifeline Application Challenge called on software application developers to design new Facebook applications that could enhance individual and community resilience by establishing social connections in advance of an emergency.

Two recent Brown University graduates, Evan Donahue and Erik Stayton, partnered as Team ALP to win first place with their application, named Lifeline. The Las Vegas team JAMAJIC 360 with David Vinson, Erick Rodriguez, Gregg Orr, and Garth Winckler came in second with an app also named JAMAJIC 360. Third place was awarded to AreYouOk? developed by TrueTeamEffort, a team of 11 University of Illinois students led by Alex Kirlik

Although these top three applications differ in how users interface with the app, all three allow users to designate three lifelines -- Facebook friends the person can count on and who agree to check on them in an emergency, supply them with shelter, food, and other necessities, and provide the person’s social network with an update about their wellbeing. Facebook users could use the lifeline app to create disaster readiness plans and share the plans with their emergency contacts, and provide users with news.

The lifeline app is anticipated to be launched in the coming months, prior to the start of hurricane season. The team also receives $10,000 and complimentary passes from Health 2.0 to attend the spring Health 2.0 conference in Boston. JAMAJIC 360 receives $5,000 for second place, and TrueTeamEffort receives $1,000 for third place.

http://www.hhs.gov/news/press/2012pres/02/20120223b.html

The “Shit” Cancer Patients Say–Five Time Cancer Survivor and the Best Looking Amputee in Denver – Woody Roseland

This is quite the video and being he’s a five time survivor he knows the chemo imageroutine and you have have to admire his humor and going though a day in the chemo session here and making the best of it. 

He has a website you can visit to hear his story.  The cancer came back 4 times! 

Shit Cancer Patients Say

Here’s a second video and this guy has been through hell and back and is able to talk and inspire others and have a sense of humor at the same time.  The cancer even took his knee and he’ so young and started when he was 17 years old.  He gives chemo a real face and what patients endure, and he even talks about the “beep” of the machine.  Hope this is the last chemo he has go through as it was a long regimen.  BD

His Story

http://woodyroseland.com/index.php/videos/player

FDA Finds 14 Additional Chinese Companies That Supplied Contaminated Raw Materials Used to Make Heparin And Puts Out Alert –Time To Start Raising More Pigs in the US?

We all remember the Baxter incident from a few years ago.  The FDA has put out a warning list with additional companies listed and they did not know or state if they were current distributors of the raw material that makes the blood thinning drug.  Back in October of 2010 it was back in the news again with another recall. 

B. Braun Recalls Seven Lots of Heparin–Potential Contamination–FDA States Not a Signification Public Health Threat

Despite Tainted Heparin, US Drug and Medical Device Companies Still Like China

We need more home grown pigs intestines from the US is appears as that is one of the raw materials that goes into the drug.  BD 

The Food and Drug Administration said Wednesday it found 14 additional Chinese companies supplied contaminated raw material to make heparin, a widely used blood thinner.

The companies supplied the materials in 2008, when the FDA found a link between contaminated heparin marketed by Baxter International Inc. to some Chinese suppliers of the active ingredient used in heparin. The contamination was linked to 80 deaths in U.S. patients and hundreds of allergic reactions. The same contamination was found in heparin sold by other pharmaceutical companies in other countries.

The 14 companies were put on a so-called import alert list that allows the FDA to stop shipments at the U.S. border. The companies are being added to a list that already included eight other Chinese suppliers.

The contaminated heparin contained oversulfated chondroitin sulfate, an altered version of chondroitin sulfate that is used as a dietary supplement and is typically made from animal cartilage. Oversulfated chondroitin sulfate is chemically similar to the active ingredient in heparin, which is derived from pig intestines. Federal health officials have said it is cheaper to make than the active ingredient in heparin. It still remains unknown how the heparin became contaminated and who might be responsible, although FDA is still investigating.

http://online.wsj.com/article/SB10001424052970203960804577239624228625522.html

Closed Hospitals in the Los Angeles Area Get a Second Life for Television and Movie Filming as Turn Key Sets

Some facilities are better than others but when you stop and think of the shows we imagesee on television, hospitals are all over the place as someone is always getting shot, or something along that line.  The location though formerly used for Scrubs though was not as nice as some of the other locations used.

Scrubs Television Show Hospital Filming Site Filled with Rats

The one I remember though was the Bucket List which I believe used the closed Century City hospital for it’s set.  BD 

Bucket List

The scene, for an upcoming episode of the CBS crime drama “Criminal Minds,” actually unfolded last week on the former Sherman Way campus of Northridge Hospital Medical Center, which solely serves as a location backdrop for shows that have included such dramas such as TNT’s “Rizzoli & Isles” and "Hawthorne."
The Northridge facility is among a dozen current and onetime medical centers and hospitals represented by Real to Reel Inc., a 30-year-old Van Nuys location agency that has built a successful niche supplying location managers with something they frequently seek: film-ready hospital settings.
“Hospitals are a staple of crime dramas. Someone’s always getting shot, so we’re always going to the hospitals,” said Jeffrey Spellman, location manager for “Criminal Minds,” which plans to shoot its next episode at another closed hospital, St. Luke Medical Center in Pasadena. “To have a facility like this makes our job much easier.”

Reel to Reel’s clients include St. Luke Medical Center in Pasadena, used in Clint Eastwood’s Oscar-winning boxing drama “Million Dollar Baby” and HBO’s vampire series “True Blood,” and St. Vincent Medical Center, the working hospital in downtown Los Angeles often used by crime dramas such as “CSI,” “The Closer” and “Southland.”

The former Northridge medical center, for example, has gimbal windows that can swing open to make it easier to shoot inside rooms. The nurse’s station table was lowered to improve camera angles.
"These properties are affordable, they’re turn-key and they’re ready to go and directors love them because they offer a variety of looks," Onyshko said.

http://latimesblogs.latimes.com/entertainmentnewsbuzz/2012/02/criminal-minds-other-shows-turn-to-hospitals-for-filming.html

Foundation Medicine - Personalized Medicine for Biopsy DNA Studies - Will Cost $5000 for the “Pan-Cancer” Test - Any Oncologist Will Be Able To Use The Center For Testing

This is very interesting article and goes in depth to discuss how running the DNA on a biopsy can help doctors with prescribing cancer drugs and many of which are still in early testing stages.  It could also lead to more patients in that respect being referred to a clinical trial. image

The big problem here cited with this article is the same old same old with insurance reimbursement and the fact that some of the genes have patents like the HER2 gene which has really been scrutinized by insurance carriers with Myriad.  This however is going to be the way treating cancer will be in a few years as it makes sense rather than guessing.  Of course with reimbursements we have the generic versus the name brand costs to look at too.  Right now the clients are mostly drug companies and of course they want to know where their products would line up as far as treatments as well and really that part of the entire scenario too.  The company also is getting some investments and mentoring from Google.  image

Foundation Medicine too has been rushing to file their patents as well and again we have this same question as to whether or not a gene should be patented. 

“The company also scours the medical literature to provide doctors with the latest information on how genetic changes influence the efficacy of specific drugs.”

“Molecular testing by Foundation Medicine provides precise genomic information about your cancer in a way never before available.”

The commercial end is due to be launched soon and the website has a page of patient stories” available to read.  BD

Michael Pellini fires up his computer and opens a report on a patient with a tumor of the salivary gland. The patient had surgery, but the cancer recurred. That's when a biopsy was sent to Foundation Medicine, the company that Pellini runs, for a detailed DNA study. Foundation deciphered some 200 genes with a known link to cancer and found what he calls "actionable" mutations in three of them. That is, each genetic defect is the target of anticancer drugs undergoing testing—though not for salivary tumors. Should the patient take one of them? "Without the DNA, no one would have thought to try these drugs," says Pellini. 

Starting this spring, for about $5,000, any oncologist will be able to ship a sliver of tumor in a bar-coded package to Foundation's lab. Foundation will extract the DNA, sequence scores of cancer genes, and prepare a report to steer doctors and patients toward drugs, most still in early testing, that are known to target the cellular defects caused by the DNA errors the analysis turns up. Pellini says that about 70 percent of cases studied to date have yielded information that a doctor could act on—whether by prescribing a particular drug, stopping treatment with another, or enrolling the patient in a clinical trial.

So far, most of Foundation's business is coming from five drug companies seeking genetic explanations for why their cancer drugs work spectacularly in some patients but not at all in others. The industry has recognized that drugs targeted to subsets of patients cost less to develop, can get FDA approval faster, and can be sold for higher prices than traditional medications. "Our portfolio is full of targets where we're developing tests based on the biology of disease," says Nicholas Dracopoli, vice president for oncology biomarkers at Janssen R&D, which is among the companies that send samples to Foundation. "If a pathway isn't activated, you get no clinical benefit by inhibiting it. We have to know which pathway is driving the dissemination of the disease."

So why pay $5,000 to know the status of only about 200 genes? Foundation has several answers. First, each gene is decoded not once but hundreds of times, to yield more accurate results. The company also scours the medical literature to provide doctors with the latest information on how genetic changes influence the efficacy of specific drugs. As Krenitsky puts it, data analysis, not data generation, is now the rate-limiting factor in cancer genomics.

Although most of Foundation's customers to date are drug companies, Borisy says the company intends to build its business around serving oncologists and patients. In the United States, 1.5 million cancer cases are diagnosed annually. Borisy estimates that Foundation will process 20,000 samples this year. At $5,000 per sample, it's easy to see how such a business could reward investors. "That's ... a $100-million-a-year business," says Borisy. "But that volume is still low if this truly fulfills its potential."

Insurance companies may also be unwilling to pay $5,000 for the pan-cancer test itself, at least initially. Some already balk at paying for well-established tests, says Christopher-Paul Milne, associate director of the Tufts Center for the Study of Drug Development, who calls reimbursement "one of the biggest impediments to personalized medicine."

http://www.technologyreview.com/biomedicine/39707/?mod=chfeatured

Minute Clinics Moving to Allscripts Medical Records System So I Guess E-Clinical Works Who Started With CVS Clinics Is Out the Door? How Do Medium/Small Companies Compete with Huge Corporate Conglomerates

Back in January of 2010 this article was out with the two companies collaborating on e-prescribing so what did Allscripts do, edge out eClincalWorks with a corporate package deal?  I don’t know that’s what occurred but it’s pretty accurate about 85% of the time today with mergers and acquisitions in healthcareeClinical Works is an excellent EHR that is both web and client based and is used all over the US is connects with most hospital medical record systems and they have a big base of business but they are not a “corporate conglomerate” looking to feed hungry shareholders either. 

CVS and AllScripts Collaborating on E-Prescribing – Minute Clinics Get Joint Commission Accreditation Award

We also have Humana in here hawking some software services too for consumers so they can get some data.  I do wonder what CVS makes on selling data as the Walgreens SEC statement for 2010 said they made just under $800 million on selling data, that’s a lot of money. 

Humana and CVS Minute Clinics Partner To Add More Services for Members such as Life Synch and InnoPsych

You can see that eClinical Works is even sold in Sam’s Club for a simple pre-configured system.   

HealthVault Connects with eClinicalWorks EHR, NextGen EHR/EMR Systems and more…Shop Wal-Mart (Sam’s Club) in the Spring

It just kind of looks like 2 big conglomerates that have shareholders here jumping in together and again the medium and smaller companies have no shot here.  Allscripts of course has been a merger and acquisition game too over the years and almost at it during 2008 with the crash.   This merger action took place in June of 2010.  BD 

Misys Sells Allscripts Shares to Enable Eclipsys Merger – Medical Records

CHICAGO and WOONSOCKET, R.I., Feb. 21, 2012 /PRNewswire/ -- CVS Caremark's MinuteClinic, the leading retail health clinic in the United States, will transition from its existing, proprietary Electronic Medical Record system to the AllscriptsMyWay Electronic Health Record. This transition will assist MinuteClinic in its mission of delivering high quality accessible medical care in hundreds of retail clinics across the United States.

"MinuteClinic is partnering with Allscripts to assure that we are utilizing the most advanced electronic health record platform in the market," said Andrew Sussman, M.D., president, MinuteClinic and senior vice president/associate chief medical officer, CVS Caremark. "This will help support our nurse practitioners and physician assistants in continuing to meet and exceed the high standards we have set for quality and adherence to practice guidelines."

http://www.embedded.com/electronics-products/electronic-product-releases/medical-design/4236629/CVS-Caremark-s-MinuteClinic-to-Deploy-Allscripts-EHR-Nationally

AMA Selling Online Physician Portal to AT&T–The Amagine Project, There’s Money in Selling And Aggregating Those Algorithms

I guess if you are attending HIMSS this year you can find out more about it at their booth.  Writing code or in this case having an outsourced company do you development turns into money, right?   The AMA appears to have been just as busy in developing their software house as many vendors have.  Back in July they made the Allscripts e-Prescribing tool available and enhancements and other offerings have proceeded from here. 

Allscripts ePrescribing Tool Will be Offered by AMA

Not too long after the above announcement it was followed with working with HealthVault personal health records for access. 

American Medical Association and HealthVault to Provide Physician’s Portal – Physicians Will be able to access “Patient Shared” Information

Further along in 2010 the AMA announced their own consulting group to help doctors with choosing medical record systems, so they have been busy in the software department with branding their installations and support as well and here’s a little more history on the Amagine project so this kind of gives you an idea as to some of the partnerships that were developed along the way with the Amagine project with large Health IT vendors, one owned by an insurance company,Care Tracker, owned by United.  image

“In addition to agreements with Ingenix for its CareTracker product and with NextGen, the Amagine project has inked deals with DrFirst for e-prescribing; Quest Diagnostics' Care360, a suite that includes lab ordering, e-prescribing and other tools; WellCentive's patient registry; and Dell, which will offer e-mail and data-storage services, as well as discounts for Amagine customers who want to upgrade their hardware.”

AMA and Other Medical Groups Joining Forces with EHR and Health IT Businesses–More Software House/Consulting Choices

Here’s a quick screenshot from the AMAGINE page with some examples of a couple partners in Revenue Cycling and I see NaviNet who was just in the news as being bought by a group of Blue Cross Groups so they all are seeming to mesh together in some fashion or another and no wonder mergers and acquisitions in Healthcare today are so confusing at times.  BD

image

The American Medical Association will combine the platform of its online physician portal, Amagine, with that of AT&T Healthcare Community Online in a deal that would have AT&T owning and operating the combined product. No financial terms were disclosed.

AT&T will lead further development of the platform, though the AMA “will remain actively engaged” in collaborating on business strategies and expanding availability of health IT for physicians, according to a joint AMA-AT&T news release.
Both Amagine and Healthcare Community Online operate on platforms powered by Covisint, a Detroit-based subsidiary of Compuware Corp.

http://www.modernhealthcare.com/article/20120221/NEWS/302219983/

Healthcare Blogger Gets Spammed by Hedge Fund Using Internet “Reputation Restore” With Some Really Bad Algos–Attack of the Killer Algorithms Chapter 20

First of all who was the blogger, it was me of course and this is my story on how this all took place.  If you are not familiar with “Reputation Restore” you can search it on the internet and find many companies who will provide this service for you if you feel you have been slammed with bad publicity on the internet or just want to hide what is out there.  You will find quite a few pages with companies that advertise on the web and run a business to fix your reputation.  Here’s  a screenshot of what a simple search turns up.  As you can see there are a lot of folks out there offering to fix your reputation on the internet.  image

I won’t get into the specifics of it here yet but if you watched 60 Minutes a couple weeks ago and heard the story about the Duke Cancer Clinical Trial, at the very end of the story they mention the doctor who created the false information was found on the internet, practicing in another state and they mentioned “Reputation Restore” was used.  New information about the doctor was created on new websites to show a more favorable side of the doctor.  In case you missed it you can watch the video at the link below where I covered the story and added it to my series on the Attack of the Killer Algorithms as Chapter 15. 

Story of Duke University - The Sad Case of Flawed Data Published in Medical Journals That Was Declared Inaccurate 60 Minutes –Attack of the Killer Algorithms Chapter 15

I’m a Healthcare blogger that has been around for about 5 years now on the internet and the name of the blog, Medical Quack sometimes attracts attention by tags and keywords that may or may not be relative.  This seems to be happening quite frequently today as free text is being mined and searched for words that can bring relative information of value to various posts I have.  Everybody gets this today with search engines and aggregation of data.

Sometimes using such methodologies can create some very surprising results too and in my case with Reputation Restore, it created a ton load of spam.  Anyone who blogs today pretty much uses their “spam” filters, and I do too so spamming comments are not allowed to “auto populate” on my blog posts; however the spammers are still alive and well out there and keep trying.  I get an email notification on every comment so this way I can approve the comments and this is done to keep the spamming commenters out.  When you see such comments you can easily recognize them as they are comments not relative to the topic at all and usually contain a link that advertises something or is a link to promote their own site.

I have other healthcare bloggers who post and have a link back to related material they have, it’s not a problem for me to allow those as it is good sharing of information and I do encourage that; however, when the unrelated and imageeasily recognized spammers hit, again I don’t want those and neither do my readers want to see such clutter either. 

The commenting is also done to create links back for SEO purposes as well and if you read the news last year both JC Penney and Overstock were a couple of the companies busted by Google for using text links to move their ranks up higher in the search engines.  They were both put in the penalty box by Google for a while and then once fixed they were back out again.  What was also interesting about this though was a few months later Google was challenged on their own policy with such links.  The whole idea here is too keep things fair and not allow certain companies and websites to monopolize search engine results and rank at the top unfairly as I see it. 

Now back to the story line here and as a disclosure I don’t’ own any stocks and thus have no ties one way or another to anything in this story other than the fact that I do a website that helps give small cap companies exposure.  I am a 1099 webmaster here and they are a publishing website so I wanted to put this out front so there’s no confusion there with the sponsor of my blog.

Ok so here goes…about a year ago my spam filters and email notifications one day started going crazy.  When you do a blog you have few comments that come in every day and depending on the size and circulation of your blog it varies but when you get about 20-30 from the same source in a matter of 15 minutes coming in, you go look.  My first thoughts were that someone was trying to game the search engines and was placing a number of links on my blog posts.

Again these are all non related topic “generic and canned” comments that an algorithm created.  I have had these before but not quite this heavy as they continued on for a number of days. 20-30 blog comments each time were being sent to my blog.  It would stop for a couple days and then about 2-3 days later, the next rush of spam comments would fill up the spam filter and my inbox notification system.  Well after a few days of this I decided to check into this as I had not seen anything as persistent as this and the fact that every few days more loaded up got my curiosity going. 

In looking at the spam comments I noticed that all of them contained links and they went back to the same 10 to 20 websites and decided to do some looking around.  They were comments all made by Lindsay Rosenwald that had links back to other websites.  Well needless to say I got an education in this process and found some very interesting websites and some that are very quirky, which are known as “splogs”. If you have not heard that term before this is a new word that was created to be a merge of the words spam and blogs which means these are not in fact “real” blogs but rather aggregated material from various sources.  Lindsay Rosenwald is a Biotech related Hedge Fund manager and all of these comment links lead me back to the splogs. 

Now upon finding these “splogs” I decided to do a search to see if they came up in general searches, and guess what, they did.  They are easily recognized as the “splogs” all have very similar names so if you spend time searching the web enough you see patterns.  Here’s an example of one of my notifications I had in my inbox.  You can read the comment and clearly see that it was created by a “bot” just by the content.  I had a bunch of these. 

image

It looks like the “splogs” were updated since the comments in April.  By following the imagelink I find out that he has a hedge fund called OpusPoint Partners.  How does one know this is a “splog”…one look at the blogroll tells all as all the past articles have the same title…his name…

Ok so in searching this link from April of 2011 and finding a link to a September 2011 updates, this tells me the “splogs” and Reputation Restore seems to be alive and well and occasional updates have been made.  The good thing though is that I didn’t get “spammed” again with 20-30 comments this time as back in March and April of 2011 I had over 200 spam comments, all just like the screenshot above. 

image

Ok so looking at this splog a little closer I see several categories here and decided to poke around a bit and see what’s there as we have Mystery, Romance and Adventure posts here to see.  At the bottom of the page is an advertisement stating the page was done by SRS Solutions a marketing firm.  The romance column is hysterical as you can see this is “filler text” and I wonder if anyone else besides me was curious and read this?  Here’s a small preview of the filler text, again all arranged and put in place by some algorithm bots…kind of funny…and I don’t know what novel or book this came from but random text as filler (enjoy) …and see how the algorithms put his name in place in selected tag areas with links back to other “splogs”.  In reading this I am thinking if perhaps his wife saw this?  If she didn’t know a lot of questions could come about <grin>, but we all know this is filler text created by an algorithm. 


“No matter how much she hung around him, she couldn’t help but stare – not at his well toned physique, not at his startlingly blue eyes, not at his near transparent blonde hair – but at his perfectly straight teeth, as bright as polished white marble.  Normally she had to stop herself from watching him quite this intently, but “the guys” (Michael, Ryan, and Wes) were all occupied.  Michael was in the kitchen, where he meticulously topped off three shot glasses with smooth, amber-colored tequila. Meanwhile, Ryan and Wes in the other room.

Stacey pried her eyes away from Lindsay Rosenwald, the man she kept staring at, and looked at the blank white ceiling for a moment, startled to realize that it now seemed off-white compared to Lindsay’s teeth.  The white was a strange contrast to the eight-decade old wood paneling that covered all the walls.  Stacey slouched back into the couch – which was mostly a khaki color, though marked artistically with various chocolate, rum, and soda stains. The couch was easy to sag back into; Stacey gave in to the sensation of being devoured by the plush micro-fiber fabric.

Lindsay Rosenwald took a gulp of his beer then lifted it into the air in a mock salute and said “I’m lame.”  Stacey laughed, and Ryan jokingly flipped Lindsay off.

As the guys started doing shots (yelling inappropriate words before each one) Stacey stood and silently went into the bathroom, turning on the light and closing the door behind her, leaning against the counter.  She started looking herself over in the mirror.

In the back of her mind, she knew she was checking how she looked.  Checking to make sure she looked like the cute girl-next-door that she had always been labeled as.  She knew she was making sure because of the unspoken temptation in the back of her mind.  A temptation she had completely resisted during the two years that Becky Fullmer and Lindsay Rosenwald were together, but that was getting harder and harder to ignore.”


Going back to the home page on this particular “splog” we see that Mr. Rosenwald has his hedge fund discussed and also has some other pretty high credentials to his name as well, such as his involvement with Cougar Biotech and selling the company to Johnson and Johnson last year and this bit of information below. 


“Rosenwald has had an extensive career in managing investment funds, most notably for the Aries Fund (1994 – 2007) and the Orion Fund (2002 – 2006.) Both of which are highly regarded. In the year 2000 under the overseeing of Dr. Rosenwald the Aries Fund invested a substantial one billion dollars into healthcare.”

Dr. Lindsay Rosenwald partakes in many other activities outside of his professional career at OpusPoint Partners, most notably he sits as a member of the Board of Directors in the Republican Jewish Coalition. Though maintaining his thriving business is his main goal, he foresees its continued growth and works diligently to expand and preserve his solid contacts in the biotech and life science financing industry.”


When you follow some of the links, you are lead to even more “splogs” and again you can see where the algorithms mess up with formatting text…like here…you find the same text over and over and again in some areas the algorithm really messed up <grin>.  Utah SEO is another company listed at the bottom of the sites for producing some of these.  I would call this a rogue algorithm here that got a little out of control and we read this happening to in the stock markets and a company called Nanex is very good at reporting these incidents with great images, but this is one little algo who couldn’t spell or follow formatting rules. 

image

Here’s another “splog” page and again all the past articles have all the same titles..wild stuff!

image

Coming back around here I would have probably cared less and never would have seen any of this if it were not for the big spam attack on my blog.  When the company did the “Reputation Restore” process it was probably not a good idea to hit a rather well read healthcare blog like mine, you think?  Did they check that out, obviously not.  Here’s yet another spam comment, again one of a few hundred that infiltrated my blog, so I went to go check out this link that goes way back to the New York Times in 1988 and talks about his Director of Finance appointment at D.H. Blair.  Well before I read this link I didn’t know who or what D.H. Blair was but after reading several of these links I thought this was some of the content that was maybe meant to be hidden or buried?  Keep on reading…

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Ok so now my curiosity is aroused to find out what is D H Blair since this article was so old and was obviously put in there for folks to read, right?  So let’s go see what a search turns up here.  This is what shows up with a search…OMG Bernie Madoff?   We all know who that is, so I decided to do some reading as I do a lot of that but now I’m curious and boy what a reading file Google pulled up for me.  I also looked at Google images via a search and he was the first picture that came up.  Actually it was a good thing that my spam filter caught a lot of the comments as more of my Medical Quack readers may have done some additional reading. 

image

Ok so now it’s starting to set in as to why this Reputation Restore campaign might exist as I begin reading? From what is published on the web, there’s a lot of players here and again I don’t know any of these folks here and didn’t know any of this, but I do now after being spammed.  Shoot this was more reading than I bargained for in just my small pursuit of finding out who spammed me!  Let’s dig around and check out another spammed comment shall we. 

image

So I followed this link and found yet another so called “splog” and checked it out.  I found out he was a Republican and part of the Republican Jewish Coalition as a member of the Board of Directors and there’s a video at the splog that references the other “splogs”..and it was done in March of 2010 but it looks like they have his age wrong in the comments at stating 76? It was created by this firm it states under the comments.  Looks like a bunch of bad algorithms to me. 

Paramount BioCapital

If you look around under similar videos that appear we seem to have the same video created by SEORouters here and another one here and yet one more here that dates back to the same time when I was being spammed. 

The only half way decent page linked in all of this is Wikipedia but guess what, I found different links  and some other artifacts such as the New York Times paper article from 2008 stating he had been offered $85 million for his penthouse in New York and again the sale of Cougar Biotech to Johnson and Johnson.  What I also found interesting on this page were the “dead” social network links, in other words they don’t work and take you back to the home page. 

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Needless to say this is the work a a ton of “bots” to say the least.  Anyway getting back to the search I did above now I’m reading Deep Capture, Market Rap and a ton of other archived articles which I probably would not have known existed otherwise:) 

So the question here is what purpose has the Reputation Restore accomplished? Did this Hedge Fund manager get taken for a ride on his money spent?  I am guessing he did spend some money on this project as these folks would not work for free with creating and running these algorithms.  

With all the wealth and money I wonder what he was sold on the job this company did and why the bots used were so “not good” as they connect to “splogs” and when you look at the examples you can see what is out there.  Let’s go one more step and see what Google has for searches that are related…and here it is…

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We come right back around to D H Blair again for one and Madoff, along with a few others added in there.  Guess what, I get a lot of the same “splogs” again and a few other tidbits and this time the Market Rap and Deep Capture results are at the top, (which I am guessing is the portions meant to be buried in searches)  so what is this campaign doing besides making a mess out there?  The You Tube videos in the splogs have little play so hardly anyone is looking at those either.

This even gets better as when you do a search for reputation restoration there’s even a link on the Deep Capture page where a company wrote a story about this and is probably looking for new business.  What I did learn by reading is that Deep Capture did not profile Mr. Rosenwald very favorably and again Deep Capture has their own naked short selling tale to tell and who knows what the whole story is once it all comes together.  Now in my travels around searching Google I ran across a few other blogs with the same “spammed-canned” comments, like this one.  My spam catcher caught mine but no back links from the Quack to the splogs which doesn’t do anything for “splog search engine optimization” <grin>.

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Also this came up in a search, a comment that is exactly the same as the posts on the “splogs”…at a reverse merger page back in 2009…

http://www.reversemergerblog.com/2009/08/08/cougar-biotech-wow/

Here’s yet another one by a blogger called “Noel Vega” and yup it’s all about Mr. Rosenwald and is yet one more splog it appears.  Actually I was not the first site to notice this activity as a site in Germany (which I don’t know if they were spammed or not) figured it all out too.  Below is what that site had to say as he linked right over to the Deep Capture site, which by the way is published by the CEO of Overstock.com.  He did a pretty good job as describing the whole lot of web sites.

Real-Life Reputation Management Example

“These are all simple WordPress installs with a few articles. It’s pretty obvious they’re only here to occupy the first page on Google.
As soon as you dig deeper into the SERPs (search engine results pages) you’ll find tons – and I mean TONS – of web 2.0 properties linking and pushing his WordPress sites and the EDU profile among others”

“Lindsay Rosenwald may be the son-in-law of “the king of stock fraud.” And he was once the vice chairman of D.H. Blair, a firm affiliated with the Mafia – a firm that was run by two former top lieutenants of Michael Milken before it found itself at the center of one of the biggest Mafia investigations in the history of the FBI and on the business end of a 173-count federal indictment.”


In some cases the splogs even spam themselves with comments such as here…

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And there’s some links back to some cached pages of Cougar Biotech floating around out there which we know now was purchased by Johnson and Johnson mainly for their prostate drug which is now on the market. 

It sure looks like he got soaked on this deal on repairing his reputation as with browser and search changes imagemade by Google and others, all it appears to be doing now is stuffing the web full of spam and again I would not even be aware of this if who ever they hired knew what they were doing and wouldn’t have spammed my blog so badly.   You know we hear in the news all the time about money not matching up or they can’t find it, like Corzine and no wonder if the big guys at the the top get sucked in by folks like this who did this some what make shift reputation restore effort which only serves to bring all of the stuff I feel they want to hide out into the forefront. 

How do they make business decisions today one might ask?  Obviously nobody can be an expert in every area but gee to use one of these services that does a job like this?  I would hope they could hire staff that could at least get a quality job done if pursing such a project.

These are a bunch of programmed algorithms that go out and mine the web and relate articles and such on tags, keywords and so on.  I still laugh at the romance section that was just jammed in there as filler.

Mr. Rosenwald got attacked by the very algorithms he hired to help hide him it seems to me. 

I am now much better educated on the past of the financial markets and biotech having been spammed and have passed along some of the articles I found interesting to others to read.  His bot did try to comment on my Happy Doctor’s Day post though to let us know he went to school at Penn State and this was yet another comment that the algorithm was responsible for. 

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I had pages of these comments stacking up and of course when you read them the English is not that good and of course never would been written from a man in his position and education, so maybe “splogs” have a side benefit of not making one look to smart?  Anyway, I wouldn’t want my name attached to such <grin>.

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This page at Google Knol which will end on May of this year even has a Creative Commons License listed, pretty funny as splogs can have those too.  SEO Services of course is one of the commenters here so those are his fans the SEO folks it seems:)  Again I have just never seen anything so extensive and they must be working hard to justify their contract with Mr. Rosenwald.  I have to say the algorithms that created these sure did use and re-use the same text to the maximum!  It’s over here at the Knol site too, so blog platforms were not issue for the algorithms to cross with speed running bots at work. 

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There was actually one “real” press release from PRWeb buried in the splogs and I wonder why he doesn’t use avenues as such to promote himself instead of splogs?  If you publish enough legitimate information out there the other stuff with age will go down the ranks.  Link at the title below from March of 2011. 

Lindsay Rosenwald: Biotechnologies Financial da Vinci

Once more it is amazing that a well known hedge fund manager would not know the difference here and is more comfortable with the Splog efforts. 

One thing too about the web is that what may have been an effective tool yesterday, may not be so today and some Killer Algorithms here appear to be biting the Hedge Fund Manager.   I happen to have a series on the Attacks of the Killer Algorithms that you may want to check out.  I certainly was attacked by the Killer Algorithms here with spamming my blog and Mr. Rosenwald has them biting at his back too as they are getting to be just in the way and not really serving a purpose any longer. 

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

Perhaps to his good news or maybe not so good news, this post will now be circulating and searched in Google and other browsers as well and perhaps it may even give Mr. Rosenwald ’s “splogs” some real competition for that top spot:) 

So why did I do this story, that algorithm woke up and snuck in another spam comment!  I was attached by the Killer Spamming Algorithms hired by a Hedge Fund who maybe didn’t have a clue on what he thought he was paying for.  BD 

AMA Announces Doctors And Patients Can Expect To See the UnitedHealthCare/Ingenix Class Action Settlement Checks In the Mail Soon - Out of Network Short Payments–Attack of the Killer Algorithms Chapter 19

This falls under the series as it was a group of formulas and algorithms that allowed the short payments to continue on.  When the claims were submitted, doctors had the choice of either substantiating their actual shortages or could accept their portion of the settlement by letting United (Ingenix which is now Optum) calculate it for them.  We all might remember when Cuomo from New York questioned and found the data base was out of whack with normal and customary fees charged and most of the other insurers licensed and subscribed to the same data base so United collected from their use of the data base as well it appears. 

I did one story here a while back to where HealthNet agreed to pay claims at 14% higher than the data base called for until the actual settlement was reached and the data base was disbanded.  This goes back to June of 2009. 

Health Net Agrees to Stop Using Ingenix Database for Calculating Reasonable and Customary Fees

That was an interesting time as with the Tri-Care bidding going on United ended up buying a big chunk of HeatlhNet in the New England area.

United HealthCare Purchase of HealthNet in the Northeast Did Not Include Transfer of Employees

The Tri-Care battle over contracts is still going on with a lawsuit filed by United as that was and probably still is an administrative mess.  This goes back to June of 2011 and I have not seen the outcome of this one yet.

Update: UnitedHealthcare Sues Department of Defense Over Tri-Care Contracts–They Said They Would Do This – Is This A Case Of My Algorithms Are Better Than Yours?

Long and short of this outside of the checks being sent out is a reminder of the fact that United has been in the analytics business a long time and the settling of this lawsuit reminds us all to at times ask questions and see how the analytics are being used and make sure you are not under the Attack of the Killer Algorithms unknowingly.   Last week I commented about the new “cloud” services that is due out soon to market hospitals and doctors and over at Seeking Alpha a writer was very kind to link back to this post and he mentioned how United was winning the war with Health IT, and again from someone outside the industry a very good look at what has been done, but in reality their analytics and algorithms produced have been around for a long time, just behind the scenes where most either don’t look or see. 

UnitedHealthCare Launching Cloud Platform Via Optum Subsidiary Will Sell Apps Like the Apple Store But They Won’t Be As Much Fun And Solicit Hospitals for Record Storage

About a year ago was the last time I covered the Fair Data base which is now run by a non profit who hopefully has some analytics of their own to make sure insurance companies keep their algorithms in check. 

New FAIR Data Base Slated to Be Available Later this Year To Replace imagethe Corrupted Data Base Used by Ingenix to Calculate Out of Network Insurance Charges

“FAIR Health is a national independent, not-for-profit corporation whose mission is to bring transparency to healthcare costs and health insurance information through comprehensive data products and consumer resources. FAIR Health uses its database of billions of billed medical and dental services to power a free website that enables consumers to estimate and plan their medical and dental expenditures. The website also offers clear, unbiased educational articles and videos about the healthcare insurance reimbursement system. In addition to its consumer offerings, FAIR Health licenses data products to businesses, governmental agencies, healthcare providers and researchers. With its professional staff of experts in healthcare, statistics, technology and communications, FAIR Health strives to offer accurate, consistent and timely information to all stakeholders in the healthcare system.”

There are still a few more lawsuits that are smaller out there floating around related to this data base and who knows when they will all be solved.  This one also just sprung up last yea.

Outpatient Surgery Centers File Class Action Lawsuit Against UnitedHealth and Ingenix for Underpayments

In this case just due to the settlements here with with math and formulas, this makes a good case to stop and think about the algorithms in use and perhaps as yourself if you think they are designed for “accuracy” or “desired” results. 

The 2 should be the same but as the outcome of this lawsuit shows they are not always and that goes for any area of healthcare but especially the payables end of the equation as that’s where all the ruckus and lawsuits always take place. 

I have a summary post of how the Killer Algorithm Attacks occur in other businesses and other areas of healthcare too that has a great video that explains how “context is everything” so ask question today by all means as the amount of flawed data out there used for analytics is certainly on the rise with data mined from the internet combined with steroid marketing for a sometimes “big spin” and it’s hard to tell the difference .  BD 

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

Twelve years after the original AMA v. UnitedHealth Group litigation was filed, and three years after the class-action settlement was announced, physicians and patients can expect to see checks in the mail soon, representing their part of the $350 million settlement.

U.S. District Court Judge Lawrence McKenna signed an order Feb. 2 allowing for the settlement disbursement. The money is meant to compensate millions of doctors and patients for payments lost as part of a system under which United and other insurers underestimated the "usual, customary and reasonable" charges for certain services.

Some insurers base what they pay out-of-network physicians on UCR. Physicians had argued for years that the UCR payments bore little relation to typical charges, and that the methodology behind them was hidden in what they called a "black box."

"While the monetary settlement is important, far more important is the fact that under the settlement agreement, United and other health insurers will no longer be able to use the flawed Ingenix database to determine out-of-network payment rates," Rick Abrams, executive vice president of the Medical Society of State of New York, said in a statement.

Now that the litigation has been wrapped up, the $350 million -- plus interest, and minus attorneys' fees and the cost of sending the settlement notices and checks -- is on its way to doctors and patients. Checks were expected to be in the mail beginning in February.

The new medical charge database, known as FAIR Health, is up and running, and offers not only a new database for insurers and physicians, but also a new online tool for consumers to see typical charges for medical services in their area.

http://www.ama-assn.org/amednews/2012/02/13/bisf0216.htm

MTBC Healthcare IT Company Buys United Physicians Management Services, Revenue Cycling and Practice Management Company–Subsidiary Watch

Here’s yet one more merging of software technologies to aggregate more functionalities into one software kit.  We certainly do not have a shortage of medical record vendors today.  There are many companies that already provide this integrated service to so stay in the game here’s one more out there.  BD 

SOMERSET, N.J., Feb 13, 2012 (GlobeNewswire via COMTEX) -- MTBC, a leading healthcare IT company serving providers throughout the United States, announced today that it has acquired United Physicians Management Services, Inc. (UPMS), a revenue cycle and practice management company based in Winston-Salem, North Carolina.

"We are privileged to have the opportunity to work with the many healthcare providers who have relied upon the UPMS team for more than a decade," according to Stephen Snyder, President of MTBC. He continued, "We're confident that our proprietary, technology-driven solutions will reduce the administrative expenses, increase practice revenues and enhance the workflows of our new clients in North Carolina."

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About MTBC

Founded in 1999 and based in Somerset, New Jersey, MTBC provides practice and revenue cycle management services and proprietary software solutions to private physician offices and hospitals throughout the United States. Its integrated and competitively priced premium plan, MTBC PracticePro(TM), presents a service suite unmatched in the industry for its scope and value. Features include an ONC-ATCB certified EHR provided and supported at no charge, a practice website with patient scheduling, automated appointment reminders, e-prescribing, lab connectivity, real-time insurance eligibility verification and much more. MTBC has been consistently recognized by Deloitte LLP - 2009, 2010, 2011 - as one of the fastest growing companies in North America and has also been recognized in each of the last two years as an Inc. 500¦5000 company.

http://www.marketwatch.com/story/mtbc-acquires-united-physicians-management-services-inc-a-winston-salem-nc-based-medical-billing-company-2012-02-13

Bat Infestation Closes Hospital in North Carolina- Bats in the Belfry?

I would say these are not your normal patients needing care:)  It appears they have imagefound a home in the duct work and other areas in the ceilings.

Imagine being a patient and having a visit from a bat when you might be expecting the night nurse instead, hope these are not vampire bats.  For now until they are removed, no new patients will be admitted and current patients get your bat swatters out.  BD 

ROCKINGHAM, N.C. A Rockingham hospital has temporarily closed its doors until a colony of bats can be removed.

Officials with FirstHealth Richmond Memorial Hospital said Saturday that no new patients would be accepted and existing patients had been imagemoved out for the time being.

The hospital has been working with a professional bat removal service to expel the bats, which have been living in the walls. Hospital employees called county officials about the problem on Friday, and teams inspected air handling units, patient rooms, common areas and ceiling tiles, among other areas.

http://www.charlotteobserver.com/2012/02/19/3027932/nc-hospital-shuttered-while-bat.html

The Placebo Drug Effects–Clinical Studies, Trials and Research With Anti-Depressant Drugs and the Degree of Effectiveness

Women running through daisy fields as the commercials indicate with advertising.  This is perplexing to see where the placebo effect lies.  Severely depression imagedoesn’t seem to be of question but more so moderate depression is questioned.  It’s interesting the way the comments are made on how the FDA approves the anti-depressant pills.  Are the negatives being thrown out with studies? 

The degree of effectiveness is a big area of discussion, so if there’s only a very small improvement there may be no need for the durg to be prescribed.  None of the drug companies wanted to go on camera to talk about it.  Lily said that patients on placebos are more likely to relapse (huh), that is an odd statement. 

If you want to hear someone in the US who’s looks at the math with clinical trials, use the link below as he discusses he same issues with the numbers without all the data being included when looking at the data. 

Context is Everything–More About the Dark Arts of Mathematical Deception–Professor Siefe Lecture Given at Google’s New York Office–Big Healthcare Focus

Maybe there is more Asymptomatic Depression, in other words depression that is better treated with human intervention, exercise and other methodologies?  Shoot even if you are not diagnosed depressed none of this can hurt you anyway.   

Asymptomatic Depression: Hidden Epidemic and Huge Untapped Market (Reality Check)

Back in 2008 a study showed that half of US doctors often prescribe placebos too.  BD

Half of U.S. doctors often prescribe placebos

http://www.cbsnews.com/video/watch/?id=7399362n&tag=contentBody;storyMediaBox