92648

Excise Taxing the Data Sellers–Nobody’s Supporting the US IT Infrastructure, Especially In Times of Disaster-Companies Have Probably Made Money Off Selling Scraped Data of Those Hurt in the Wake of “Sandy”

Nobody likes taxes but it’s a topic up for discussion all the time. Mining and selling of consumer data is so engrained in the current world of business and it’s the companies that benefit.  Right now some need power in New York for one example and as mentioned in the title many of the consumers affected by the hurricane have already been products that have been bought and sold.  As we have seen the economy depends largely on IT infrastructure in New York and that dependence exists in other places as well, and who benefits the most, companies, banks, other businesses.  Is there a way for them to pay for their use of modern day technologies..nope. 

Consumers pay for highways every time we buy a tire or go to the gas pumps so it’s about time we look at IT infrastructure an creating a source of revenue to maintain as well.  It’s the same thing and the economy doesn’t work without it.  This is a topic I have blogged about frequently here with tapping into this area as it is so profitable for companies to mine and sell data and as consumers we are finding their error rates climbing and we, as consumers and on our own dime have to fix everything banks,corporations, etc. foul up and it’s been going on a long time and with flawed data on the rise with some less than credible data services being sold at times, it’s an expense that is dumped on the consumer, even though we are earning less money today and holding more than one job to just exist. 

It’s not fair and equitable to even dump more responsibility on the consumer for corporate America data flaws and to deny services and credit for one example.  Setting up a quarterly tax and license is not a difficult model as we can pretty much base it on the model used for sales tax and being it would be brand new and not have to be built from existing technologies, the up and running time could be pretty fast. You can’t help but think about this when you see the likes (and this is just one example, link below) of stingy little companies like this that have found a way to operate outside the regulation of the federal government and make millions.  As a consumer you can’t even see what they send out about you.  Is this fair..no.  These folks were Chapter 42 of my Attack of the Killer Algorithm series and there’s more like them out there. 

E-Scoring Credit Algorithms Invisible To Consumers Used to Market and Evaluate, Does Not Fall Under Federal Law And Such Are Used by Insurance Companies - How Will This Work With Exchanges –Attack of the Killer Algorithms Chapter 42

This topic was also Chapter 17 of the Killer Algorithm series.  When you read in the news about companies being more profitable than ever, well this is a big chunk of it, banks too. 

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

 

Behavioral analytics is huge area for abuse and that’s not to say it’s all bad because it’s not but people abuse it like anything else, they write some code, write a study to substantiate their math and off they go.  Do we know they are gaining any “real” value here?  So much of it is information from the web and people lie their asses off on this part of the data, so credible in all area..nope and in some areas you have been “duped” and it goes something like this…

”Hey dude let’s crunch some numbers and see if we can come up with some analytics to sell”

I read a lot of the comments on the web from various sources and it’s even out there with people commenting on the fact that they are tired of reading predictions as they don’t work and this make being an economist a very tough job today for sure, as things change with the drop of an algorithm.  It’s really time to start separating some of garbage out there from what does have value and by licensing and taxing them we will not only gain revenue but it will put the “slick data willies” on alert. 

I keep giving the public example of Walgreens making short of $800 million in 2010 from just selling data only and that example alone can demonstrate how much available money there is to tax..billions and billions.  It would algo give the consumer a break to have a federal page where companies, banks, etc. were required to disclose what kind of data they sell and to who.  Think all these formulas you see out there today are credible..wake up.  In healthcare Cuomo proved it with the algorithms United Healthcare used for 15 years to short pay doctors and hospitals, remember that one and the class action suit finally settled and I think payments were made but again most took the amount United figured they owed them as this situation went so far back neither the doctors or the hospitals had the time and money to pull up and generate all the records for a larger claim, so they won again with the algorithms.  Watch this video and see gullible we are.  I have used it many times here as it applies. 



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


We talk about the algos on the stock market, well they get you in every day life as well and the accuracy is getting worse, again that non credible data that gets sold as a Pandora’s box for knowledge.  There’s 4 videos on this blog on the left hand side, watch them and get educated as to why this data selling tax should exist.  In the wake of the hurricane damage in New York, one more great example to have this as who benefits, banks and companies.  Should we plan for funds to cover disasters, I think so and those who mine and sell the data off our backs  are making millions off the free data sounds like a good place for me and read through the series on the Attacks of the Killer Algorithms if you will to understand how this works behind the scenes, you do not see it, hear it but go try to buy a car, a house or get any loan and the potentially flawed information is there having you guilty of data you never created that is potentially full of flaws. 

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

How do you feel as a consumer knowing that corporations are all getting richer and with this and nobody pays attention and the government certainly is not a getting a share to have funding to help with disasters nor to help fund the NIH and FDA.  The GOP in Congress doesn’t seem to have a clue and even in my area the representative’s office seems to be more concerned about their tomatoes they grow n the patio.  Some of these businesses can’t wait to get up and running with the disaster in New York, they are not making money not having access to mine and sell your data.  Here’s where I commented on relief to the FDA and NIH with such a tax. 

One More Good Reason to Tax the Data Sellers– Create Additional Funding for the NIH and FDA From Sources That Otherwise Are Too Greedy to Share & Contribute

Long and short of all of this, we’ve been Algo Duped and where the money in a time of disaster that could help those who have been hurt…imagedata miners have already made money off their backs and time for a tax for this benefit it is stand continue, which it will as you can’t stop it as Congress seems to think but you and certainly get smart and use some current day methodologies to tax and get some revenue.  Fight fire with fire.  You never know who reads your stuff on the web at times but I had some nice comments on this one from Nielsen.  They would tune in here as they are rating game folks. 

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

Yesterday, a study about “math”making you hurt…a little write up on it and from I see just from writing this blog, consumers, the media, everyone runs from this topic so maybe they are on to something.  The media today chases the OMG and the drama queen stories like crazy and if you look hard enough you will find a few that don’t and they are valuable reporters that investigate issues and still work on “reality” stories and I’m glad some of those folks are still around.  The OMG journalists at times get old and too many of the articles reported lack facts and just serve as a distraction with nonsense that stirs you up but gives you no direction to go.

“Algo Duping” – PLOS One Journal Publication Explains Why The Fear of Math Plays a Big Role As One Underlying Reason We All Get Duped And Those Who Don’t Fear Math Take All the Money, Gradually, Using “Mathematical Formulas & Algorithms”

Time to excise tax the data sellers who get their data for nothing (off the taxpayer’s backs) and their profits for free. It’s time they pay their share so we have funds for disasters, for the NIH and the FDA as we need this and some are not paying their share but are rather greedily profiting.  One more shade of greed that maybe is finally coming to light once you realize what goes on with servers operating 24/7 with mining and working your data and dumping out flawed data created by the Killer Algorithms.  You almost can’t find another tax resource area that is as big as this and sits under everyone’s nose because its invisible, but it does exist.  Take some aspirin for for the pain and let’s gets smart and put the responsibility where it belong and help the companies who make tangibles expand and create jobs so they can compete the stingy billionaire data selling data mining businesses.  BD

City of Houston New Health Insurance Plan Not Saving Money, Costing More–It’s Going to be Hard To Save Money With Health Insurance As Economics Change and Financial Algorithms Continue to Shift Money

This is just one example and there will be more and yes there are obvious areas where savings can be had, but we’re getting down close to the end of the barrel and the only way to save money beyond that is to cut services for patients.  They did make a change to a “self insured” model and you can listen to the video and that didn’t have any impact. 

They are a year and half into their new contract and have about the same to go, so they will look at it again soon I am guessing.  Certain elements have rising costs and everybody has those and drugs and devices go up in price as well.  So after all the administrative changes and time, no money being saved.  They moved from Blue Cross To Cigna on a self insured model.  One item they did note though is the higher cost for preventive care.  We know that always costs a little more but hopefully keeps some of the big bills away with care before it gets to that point. 



Last year in 2011 at the TED conference Bill Gates made a few statements in looking over municipality budgets and said “where did you get those numbers” and not this case here.  He identified 3 points that need to be addressed in healthcare that we need now…and here they are..


I think we are gathering a lot of tools but the second one might be next to impossible as we are all duped from the banks, insurers on down with complex business models designed for profit and the 3rd one..well we might be getting closer on a few of those.  BD 

Bill Gates–TED-Talks About States Budgets (Where Are You Getting Those Algorithms) and Educational Needs (Update)(Video)


It was a big fight a year and half ago for the city to switch from health insurance policy to another. But now that they've actually made the switch, they're not sure it actually saved anyone money.

Eighteen months ago, the city switched from a Blue Cross Blue Shield insurance plan to a Cigna managed self insurance plan. It was supposed to save the city money and improve service.

"It went up about $30," James-Davis said.

But more than a year later, it turns out not only are employees paying more, but the city isn't saving nearly as much. In fact, they're bringing in $17 million less than what they budgeted for.

http://abclocal.go.com/ktrk/story?section=news/local&id=8868845

American Hospital Association Files Suit Against HHS and CMS Over 3rd Party Audits Disputing Inpatient and Outpatient Documentation Parameters–Maybe Tired of Swapping Spit Over Payment Algorithms

When you read this, what’s the first thought I think of, attorneys and legal interpretations.  You reach a point to where you can go back and forth and back and forth on the audits.  This makes it hard for hospitals to budget and I have written about this before and really there should be some statute of limitations here and a look at reality. This could go on forever when you run analytics and you might spend a couple million on the project to get back a half a million so does that make sense?  Last month we had this statement and again it is due to the election for the most part as costs went up and let’s don’t mention that more doctors and hospitals are using electronic medical records that connect to coding systems so they get it right according to the rules established by the doctors and hospitals. 

HHS and DOJ Send Letters to Hospital Trade Associations Warning of Gaming Billing System Via Use of Electronic Medical Records–Hospitals Just Learned How to Bill Better & Hired Consultants–Case of Being Algo Duped With Numbers?

This was weak and again an emotional kind of witch hunt as someone felt compelled to find a goat here as there were no specifics mentioned.  In a lot of instances 3rd party consultants are used by hospitals as well to help them, and remember part of their sales pitch is “saving money”.  Everybody has a focus and the analytics don’t see the entire “human side” of this either, just dollars and parameters set in software configurations. 

Bad Algorithms in Healthcare Payment Systems and Risk Assessments–Did the Hospital Bill Fraudulently or Were They Sold Formulas That Did Not Conform

Next week we could be back to the re-admissions algorithms, again formulas that keep the money shifting, so if the government were a business what do you think they would do?  A business if it was not profitable and poured too big of an expense and hassle on their clients would probably move on.  Hospitalists go through this re-admissions documentation all the time and shoot even the hospitals and doctors have trouble understanding what insurers want and don’t get straight answers either, because of complexities.

Medicare Re-Admissions Penalties–Algorithms Keep Money Shifting and Make It Difficult for Realistic Budgets to be Met Along With Good Patient Care–Algos Keep the Money Moving In One Direction or Another

If this were to really be pursued, get the 3rd party consultants who advise hospitals and see what they have going and what they are advising hospitals.  So many of these consultants work right on the floors of the hospital any more so they can see and advise and few are subsidiaries of insurance companies. 



The Medicare Contractors are subsidiaries of insurance companies so if it was their auditors doing the work, what’s up with that?  I’m not talking about the obvious “fraud” cases where business intelligence software can nail those down because they exist too but the “billing” audits on some of this can go on for lifetimes.  Here’s an example with Mayo clinic.  Upon discovering a billing error in 2007, Mayo promptly corrected it and voluntarily refunded $262,975 to the government.  This case looks like the needed more money to pay the whistleblowers and it settled up with Mayo paying $1 million on top of what they originally paid.  You just have to ask since this began in 2007 was all this time and effort and paperwork to get $1 million worth it?  It was a billing error.  This is what I mean by shifting money back and forth and it went on for 5 years.  Mayo sent money, take it and settle the case and move on.   


Mayo Clinic Agrees to Settle DOJ Legal Suit Dating Back to 2007 Under Whistleblower Provisions–One More Example of Algorithms Shifting Money in Healthcare As Cost of the Lawsuit Had to Far Exceed the End Results With Time and Money–A Waste

How important is it that we have “perfect claims” going back how far and how much time is going to be spent I think is a good question to ask.  By the time you audit all the hospitals in the US this can go on for years and years.  Again I understand that auditors are paid to do a job and that’s what they do under someone else's direction so somebody has to make this call on the parameters of the audits.  BD


 


The American Hospital Association sued the agency that oversees Medicare, saying an audit program aimed at trimming improper payments is unfairly depriving hospitals of reimbursement for care they provide. 

The suit, filed Thursday in U.S. District Court for the District of Columbia, targets the federal Department of Health and Human Services, the parent agency of the Centers for Medicare and Medicaid Services. In addition to the association, the plaintiffs include hospital operators in Michigan, Missouri and Pennsylvania.

The suit focuses on the Recovery Audit Contractors program, which involves third-party contractors that review Medicare payments to hospitals. According to the suit, many hospitals have faced rulings by the auditors that care provided and billed on an inpatient basis should have been performed in an outpatient setting. Hospitals are then forced to return the money paid for the services.

http://online.wsj.com/article/SB10001424052970203707604578093550273882508.html?mod=googlenews_wsj

Jon Stewart and Steven Colbert Are Back and Recapping “Sandy” and Give Out Some Well Deserved Recognition–Namely the NYU Nurses for One

These are great videos and done well with recognition and humor.  We have seen the images all week on the two cities and the Daily Show shows the difference pretty well with humor.   It’s like the north side hasn’t missed a step while rats crawl over those on the south side.


Steven Colbert and his comments…. Everyone is here to charge their cell phones and shower in the sink..but he does a very serious introduction with credit and tells all to donate.  The nurses the first to be recognized.

A Few Beers, a Moustache and A Cause Is Born–Where in the World Did Movember Come From…

 

 

Have you seen that world floating around the web and wonders where in the world did this word come from?  Well Adam Garone is here to tell you the story.  This was one of the TED featured videos this month which I try to catch a few of them and this has humor and he talks about how a charity process came about.  He didn’t really have a cause and a person affected which is how most charities get started.  He talks to the Prostate Cancer Foundation and this is what they said on their first meeting…they have “hairy ribbons” too..he says..
"We're an ultraconservative organization and we can't have anything to do with you... but if you happen to raise on money with this, we'll gladly take it", he heard it twice…very well done and a change from the normal routine.  BD 



http://www.ted.com/talks/adam_garone_healthier_men_one_moustache_at_a_time.html?utm_campaign=&utm_content=awesm-publisher&awesm=on.ted.com_movember&utm_medium=on.ted.com-static&utm_source=t.co

Bellevue Hospital Evacuation Still Underway as Reserve Power Stopped Working And No Plumbing

This is the longest operating hospital in the US and the pride ofimage New York which has been known over the years for it’s psychiatric care but they do a lot more.  If the hospital can re-open in 2 or e 3 weeks it will be doing good with the extensive damage suffered.  There were over 700 patients in the hospital when the evacuation began.  The national guard was called in to form a bucket brigade to get fuel to the generators.  There was no power and plumbing. 

There were prisoners among the patients and several hospitals were used to transfer patients to.  What is amazing is to watch the number of ambulances that keep rolling in.  BD
 

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



NEW YORK (AP) — Flood damage at Bellevue Hospital is so extensive and severe that a full evacuation of patients was necessary, the president of the New York City Health and Hospitals Corporation said Wednesday, adding that the facility would be "doing very well" if it's able to reopen in even two or three weeks.

The hospital had moved out more than 400 patients by Wednesday evening and hoped to have the remaining 300 evacuated by noon Thursday, HHC President Alan Aviles said.

Bellevue lost power during Monday night's massive storm and had been operating on backup generators since then.



The National Guard helped carry some of the patients in more serious condition down as many as 18 flights of stairs, and on Wednesday, it became clear that the damage was so much that all of the patients needed out, Aviles said.

He said Bellevue, which he said was the longest-operating hospital in the country, had never experienced anything like this.

"Irene did not come close to creating a problem," he said, referring to last year's storm. He said the hospital sits about 20 feet above sea level, so "although we certainly prepared for the possibility, it seemed like it was relatively remote given" all of the projections about how high the storm surge would go.


http://www.sfgate.com/business/energy/article/Restoration-at-Bellevue-Hospital-could-take-weeks-3997312.php#ixzz2Aw9tivuW

“Algo Duping” – PLOS One Journal Publication Explains Why The Fear of Math Plays a Big Role As One Underlying Reason We All Get Duped And Those Who Don’t Fear Math Take All the Money, Gradually, Using “Mathematical Formulas & Algorithms”

Well what do you know, we have a PLOS One scientific study that describes why the public, government and many others run away from math.  I have this page dedicated to showing all how Quants and those who do not have “Pain” with math or have healed themselves create formulas to take the money and they have.  If you run from pain created with math, they take your money a little a time via algorithms.  I actually did have to laugh a little when this came up in my reading material and I have noticed this myself.  I have never seen such an avoidance in my life from at least learning a “tiny” bit about this. The Occupy Movement was yet another great example as they knew something was wrong but couldn’t put their fingers on it and Chapter One of the Killer Algorithms was dedicated to that.  How do you battle a foe when when you can’t see it, talk to it or touch it and it runs on servers 24/7 with parameters to look for other parameters that either deny or grant.  It’s the age old query process and lives 24/7. 

This journal report was just an absolute “gift” of an explanation for me to include and look at the GOP these days with their interpretations…the 50 shades of rape and I guess when thinking math and experiencing pain for some reason or another and this is especially dangerous when creating laws or when campaigning,  they go to something they can think about controlling and from what you have seen on the news and ridiculous statements made, I’m guessing “math” and this substantiated fear really had them running for the hills. 

The content I’m talking about contains 4 videos that explains how those who have adapted or have no problem with math hurting their brain use it.  As stated in the first video from Charlie Siefe “oh the formula has a square root in it and looks ok so it must be right”…all you have to do is throw a formula in front of someone who has the “math brain fear” syndrome and it’s pretty bad and yup rather than to question, they just “dupe” on in.  The media will help you with that too with repeated topics over and over and if you hear it 6 times or more than “gee well it must be so” <grin>.   



When I was young, I too hated math but I got over it quickly when I learned how to write code and it opened a whole new world of logic, also known as reality and I try to share that here so we don’t get duped as the media will do it.  I get emails from PR people and here’s an example:

“There are many more stats in the study that I think your audience would find very interesting and timely as the election is just around the corner.”


Just that line above they are telling me that I should publish their study and that you would like it as a reader, but too bad you’re not going to see it as it’s junk:)  You can say thanks any time.  Ok I can’t be a tease and here’s one line of it below, total crap out junk as if I have not seen this a thousand times. 

”Registered voters in the U.S. ranked Obamacare, as one of the topics most likely to influence their vote. Interestingly, more than three in four believe that the healthcare system will stay the same or worsen if Romney is elected.”

READ ALGO DUPING 101 (there’s also a link to Algo Duping 101 at the top links here)

To continue here, I feel I must apologize to my readers as I really don’t mean to put the fear of math into your brain every time I mention “math”.  Below are a few paragraphs from the study and it’s long and lengthy for the average reader and below is an image that shows “the fear factor in the brain” when math is discussed or a simple math test is given. 

image


Additional information on how we get abused and duped is also given in everyday examples at the link to the Attack of the Killer Algorithms.  Here I took every day examples where consumers were mostly denied something or judge improperly and it was the result of algorithm.  If you look for this, it happens all around you every day, so when something doesn’t seem right, ask that question and see if you have been duped with a formula that perhaps used a priority of “corporate desired results” over accuracy. 

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

 
I guess I can sum this up and say thanks PLOS One for substantiating why our society can be such an easy target with the fear of math.  Obviously the CEOs making millions at the banks over came this fear a long time ago as well as many others.  This fear of math will, according to what is written in this journal, is so powerful that it will continue to lead those in fear down a path to where the algorithms seize more money sadly.  BD 


“SUMMARY:  When anticipating an upcoming math-task, the higher one’s math anxiety, the more one increases activity in regions associated with bodily threat detection and the experience of visceral pain itself (INSp). Given our findings were specific to cue-activity, imageit is not that math itself hurts; rather, merely the anticipation of math is painful. Anticipatory anxiety about math is grounded in the simulation of visceral threat and even pain. These results also provide a potential neural mechanism to explain the observation that HMAs tend to avoid math and math-related situations, which in turn can bias HMAs away from taking math classes or even entire math-related career paths”.

”Participants completed a word task and math task (block-design) while neural activity was measured using fMRI. Thirty-two blocks of each task-type (16 hard blocks and 16 easy blocks; 4 trials/block) were randomly interleaved and spread over 8 functional runs. In the math task, participants verified whether arithmetic problems of the form (a*b)−c = d were correct, where a≠b, c>0, d>0. For hard math problems, 5≤a≤9, 5≤b≤9 (a*b≥30), 15≤c≤19; subtracting c from a*b always involved a borrow operation; for foil problems, d±2. For easy math problems, 1≤a≤9, 1≤b≤9 (a*b≤9), 1≤c≤8; subtracting c from a*b never involved a borrow operation; for foil problems, d±1.

In the word task, participants verified whether a word, if reversed, spelled an actual word (e.g., reversing the string yrestym generates mytsery, which is not an English word, so participants should respond ‘no’).

For the word task, hard trials were seven letters in length; easy trials were four letters in length. Behavioral differences were not found between easy-math and easy-word tasks for either group (
Table 1). In contrast, HMA participants performed significantly worse on the hard-math relative to hard-word task, replicating prior research showing that high-math-anxious individuals underperform on difficult math problems relative to difficulty matched non-math tasks [20]. Given that we found behavioral differences only between the hard-word and hard-math tasks, only the hard-blocks are analyzed below.



MRI data were acquired using a 3 Tesla Philips Achieva scanner with an 8-channel Philips Sense head-coil. A T2*-weighted echo-planar imaging sequence was used to acquire functional images covering the whole brain (32 axial slices) with a repetition time (TR) of 2000 ms and an echo time of 25 ms (ascending acquisition; FOV: 240×240×127.5 mm; 80×80×32 matrix; flip angle: 80°). In-plane resolution was 3×3 mm and the slice thickness was 3.5 mm (0.5 mm skip). Signal from the orbital frontal cortex (OFC) and surrounding tissue was recovered using additional volume shimming with a box of 60×60×60 mm centered on the OFC area. This method utilizes multiple ‘pencil beam’ acquisitions to compute shim values (algorithm provided by Philips). High-resolution anatomical images were acquired (axial plane: 300 slices; slice thickness: 1.2 mm, −.6 mm gap; x-y dimensions: 1.04×1.04; FOV: 250×250×180 mm, 240×240×300 matrix) with a standard Philips T1-weighted SENSE-Ref sequence.

Our data go beyond these results and suggest that even anticipating an unpleasant event is associated with activation of neural regions involved in pain processing.”


http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0048076

Ameridose Sister Company of NECC Company Linked to Meningitis Outbreak – FDA Recall for “All” Their Drugs Which May Worsen Existing Shortage of Sterile Injectable Drugs

So far there have not been any problems associated with any Ameridose drugs.  Ameridose is a different type of company which is FDA imageapproved for distribution of injectable drugs.  The company has the same owners as NECC and was actually a spin off of that company a few years back as business was good.  Ameridose has already ceased manufacturing in light of the NECC situation.  Ameridose is contacting customers and sending information on how to return the products.  In the past it was noted there was one issue with sterility a few years ago at the plant and this recall is precautionary. 


Additional Information About NECC and Ameridose Continues as FDA Inspection Report is Released

Just a couple days ago Massachusetts regulators shut down another compounding company which is not related to NECC or Ameridose called Infusion Resource and it was a surprise visit by the FDA.  So far 28 people have died from the meningitis compounded drugs distributed by NECC.  In the Ameridose recall, the FDA is not requiring doctors to follow up with patients.  BD



The U.S. Food and Drug Administration announced today that Ameridose, LLC, based in Westborough, Mass., is voluntarily recalling all of its unexpired products in circulation. Products from Ameridose can be identified by markings that indicate Ameridose by name or by its company logo disclaimer icon. A complete list of all products subject to this recall can be accessed at www.ameridose.com

The FDA is currently conducting an inspection of Ameridose’s facility. Although this inspection is ongoing, the FDA’s preliminary findings have raised concerns about a lack of sterility assurance for products produced at and distributed by this facility. Use of non-sterile injectable products can represent a serious hazard to health that could lead to life-threatening injuries. Most products produced at and distributed by this facility are represented by Ameridose to be sterile products. Ameridose entered into a voluntary agreement with the Massachusetts Board of Registration in Pharmacy to cease all pharmacy and manufacturing operations starting on Oct. 10, 2012.

This recall is not based on reports of patients with infections associated with any of Ameridose’s products, and the agency recommended this recall out of an abundance of caution. Therefore, at this time, the FDA is also recommending that health care professionals do not need to follow up with patients who received Ameridose products. Health care professionals should stop using Ameridose products at this time, and return them to the firm.

Hospitals, clinics, health care professionals, and other customers with Ameridose products on hand should contact Ameridose at 888-820-0622 to obtain instructions on how to return products to Ameridose.

Health care professionals and patients may dial the FDA’s Drug Information Line at 855-543-DRUG (3784) and press * to get the most recent information regarding the Ameridose recall and speak directly to a pharmacist.

http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm326361.htm?utm_source=twitterfeed&utm_medium=twitter

Health Insurers in California Prepare to Negotiate Contracts with “Covered California” the Branded Name for the California Insurance Exchange–Complexities of Contracts Today Running on Corporate Servers 24/7 Opens the Door for More Sophisticated Algorithms

The insurance exchange business since it was created under the Affordable Care Act has certainly changed it’s landscape since the law was signed.  In addition to the state run insurance exchanges, there has been a flurry of “private” exchanges, some run by insurer subsidiary companies appear.  This just goes to reinstate how things move rapidly in the world today and don’t stay the same for very long.  I would guess insurers want every opportunity they can to have exposure to consumers to get their product offerings out there, but how this rolls out, we just don’t know yet.  Are the exchanges going to be productive and carry a model that works?  We don’t know.  When you remove the over glorified word “exchange” it still health insurance contracts and a few weeks ago I wrote an article about the negotiations of such are “just a bitch” which I think pretty well describes is with the number of disputed health insurance contracts in the news. 

Contracts and their negotiation processes have certainly changed and the way the insurance carriers bid…just read the news.  Complexity of course adds to this and we see things like this with once carrier hiring the former executive from HHS accredited with writing a lot of the Affordable Care Act on their payroll at a VP now?  It just makes one wonder what the other insurers might have to say about this?  Are lawsuits and hiring former Assistant Attorney Generals as general counsel and other examples of such becoming the norm? It’s all about those algorithms for profit, created by Quants for banks and companies with CEOs that can’t even begin to explain to consumers and Congress for that matter as to how they work.  Scroll down and look to the left on this blog for some great educational videos and see if you have been duped a bit and see how fictional math enters into corporate business models today.  Here’s some back links on this topic.

United Healthcare 3rd Quarter 2012 Profits Increase 23%–Algorithms and Formulas Create Complex Multifaceted Business Models To Do It Again And Those Health Insurance Contracts are Still a Bitch

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?

US Health Insurance Regulator Leaving to Take a Job at UnitedHealth Care As Vice President of the Optum Division – Moving to the “For Profit Side” With Business Intelligence Algorithm Dollars To Review



When you get right down to the topic, these are just more complicated health insurance contracts to be negotiated and then there’s a new line up of other folks that will sell consumers software that will help them navigate the complexities.  If they aren’t selling software to consumers they offer it free and scrape and mine your data it seems so they get you one way or another. 

Aren’t These Health Insurance Contracts a Bitch!


A lot of these companies show up in “Incubators” or “Accelerators” and guess what, insurance companies are right there to sponsor too, as we all know all start ups don’t make it but when looking to expand their own IT needs, it is a good place for insurers to shop for “cheap code” either by investing to maybe one day buy or buying it now.  I’m just following the code and data trails here. 

New York Digital Health Accelerator–Health IT Hub For Emerging Technologies–Remember All Start Ups Don’t Make It And It’s A Potentially Good Place for Health Insurers to Shop for Inexpensive Application Code

I know there’s been a lot of time and money spent here on this but again the changing world around us changed the landscape once again.  What makes this even a bit more complicated too is that with the number of acquisitions and mergers, heck some people don’t even know who the corporate owner is of the companies do business with as it kind of gets disguised in the long daisy chains emerging today as a subsidiary may be 2 or 3 or even more steps down the ladder of ownership.  What this can lead to is some questions for conflict of interest too.  When a subsidiary loses a bid on one end are they in place for a different contract with another service?  Yup this is happening but nobody talks much about it as again the long daisy chains kind of hide some of this.  One thing to remember though is that corporate data chains are not dumb by definition and of course the entities exchange data of some sort and how much we don’t know but they do it as all you have to do is listen to a quarterly report on profits and they mention is then, especially if the subsidiaries are contributing to big dollar bottom line profits.

Subsidiary Watch-Corporate Conglomerate Insurers Reduce Compensation Contracts Using One Subsidiary Then Market Same MDs With Another Subsidiary in Health IT

Here’s a few examples of contracts that have or are difficult to where everyone is duking it out and there’s more, just read the news. 


Blue Cross Protesting Award of Texas Employee Retirement Health Plan to United Healthcare–Price Cut by $25 Million With Little or No Out of Network Coverage for Members
Blue Cross and United Healthcare Duking It Out In Nebraska Over State Health Insurance Contract–We Have More Subsidiaries My Cost Algorithms Are Better Than Yours?
State of Louisiana Rejects United Healthcare’s Protest Over Awarding Blue Cross/Blue Shield Contract To Manage State Employee Health Insurance–Battle of the Insurance Algorithms Continues..

So now let’s look at the other side of the coin, how does this affect doctors and hospitals…this back link kind of sums it up..

Doctors Going Broke–You Can’t Even Give a Practice Away–Only Folks Buying Them Are Hospitals and Insurance Companies As It Relates to Reimbursement and/or Profits


Here’s an example below on a private exchange and you canimage see this is a subsidiary of Wellpoint now since they bough the company.  Later down the road will folks remember that Wellpoint owns Bloom, maybe and maybe not, but if profit arise, it will be noted on those quarterly reports and conference calls.  Also don’t forget that with the bidding process, insurers now own a great number of HMOs across the country too, and big ones, so there’s a little note of interest there as well. 

WellPoint & Partners Buy Bloom Private Health Insurance Exchange From Their Own Venture Capital Company (Sandbox) –Subsidiary Watch

So to sum all of this up, the exchange are just more contracts that could end up being a “bitch” as we see in the news today. Again this is complex rhetoric I think and leads us one step closer to a single pay system as I don’t know about you, but I’m gettingimage real tired of corporate America making more difficult for me as a consumer and the lack of Algorithm knowledge in the government as they are fighting with one hand tied behind their backs.  Consumers all hate math for the most part and dive into the OMG news in the press and the media drives so much of this and it keeps all of us distracted as to what’s really happening behind the scenes and this keeps the disparity alive in the US as you are Algo Duped.  Did you hear the 60 minute interview with the former Goldman executive?  He said it right out that they looked for the most non sophisticated consumers they could find, why?  Not much changed there over the years, it’s an easy sell.  I was in sales for 20 years and I didn’t sell that way at all but there are tons that do. 

So these exchange contracts will be full of complexities leaving most of us again wondering what corporate America is up to with the “Algorithms for Profit” and I see this something too that states and the federal government still needs to look at before it’s too late.  The complexities and design of IT infrastructure for profit will continue to grow and the Killer Algorithms will move and take more consumer money.  It is what it is, more links on that topic below. 

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


Your exchange contracts with the insurer you pick will run on servers 24/7 and make decisions about your coverage and what is allowed today and what is allowed tomorrow as it changes as they update their business models.  So is there a “real” future here other than just another bunch of algorithms for shopping for insurance..who knows..but that’s what it will be and this whole idea right now could already be dated as corporate business models move like rockets while the government still invests in snails in way too many areas.  BD



California's health insurance exchange said more than 30 plans are expected to vie with one another for spots in the state-run marketplace opening next fall.

State officials, and those in other states, are eager to flex their purchasing power under the federal healthcare law by selecting only certain individual and small-business health plans for 19 different regions across California. 

The exchange, branded Tuesday as Covered California, will negotiate with insurers for the best rates and will assist consumers and small businesses in choosing a plan by separating them into five categories based on cost and level of benefits.

Insurers who aren't chosen to be among the exchange's plans can still offer policies outside the exchange. But many people seeking coverage are expected to go through the exchange because they can get government financial and educational assistance.

California's four largest insurers in the individual market — Kaiser Permanente, Anthem Blue Cross, Blue Shield of California and Health Net Inc. — have indicated interest in the exchange. Smaller insurers and large hospital systems may offer health plans in specific areas.

Officials are expected to pick the winning health plans and negotiate rates by June. Consumers will start enrolling in the exchange next October for policies taking effect in January 2014.



http://www.latimes.com/business/la-fi-insurance-exchange-20121031,0,1916732.story

Hospitals In New York Encountered Data Disruptions with Electronic Medical Records Systems While NYU Scientists Scrambled to Save and Transfer Research Materials And Information During the Storm

By now we have all probably read about the dramatic evacuation at NY Langone but in addition to the patients themselves there were imagea few other areas that were affected.  Of course getting patients out of the facility was the number one priority but there were a couple reports of some of the other items that are of importance as well.   Long Island Jewish Health System had their back up generators working but the data center that handles the medical records had issues and the Staten Island Hospital had to go back to paper records.  Sunrise Clinical Manager from what was Eclipsys was the system installed and is now part of Allscripts.  The NYU hospital websites as of this morning still appears to be down with a message that gives you an update on where they are in coping with the storm. 

In addition during the power failure scientists were working hard to save their research material as NYU Langone is rated top in the nation for their research.  Thousands of mice were drowned  that were used for cancer research  and big refrigerators were being rolled to areas to where there was some power, for a while.  The mice that died contained a lot of genetic research information, etc. so some scientist’s work could be set back a few years.  These were mice that were genetically altered.  I don’t know but depending upon how they were changed, the alternative of the mice populating with what’s already out there in the wild could be yet something else just to maybe give some thought to as well.  If you read in the news today this is yet one more concern from the storm, where are the rats going to go.  BD



North Shore-Long Island Jewish Health System, one of the largest in metropolitan New York with 16 hospitals and 300 ambulatory centers, experienced power outages at several of its hospitals. Backup generators were working, but a data center that handles electronic patient records for Staten Island University Hospital lost service and forced staff to use paper records, according to the system. 

http://www.foxnews.com/health/2012/10/31/northeast-hospitals-carry-on-in-storm-wake/#ixzz2AtFJ4VwQ

Scientists are in a desperate frenzy to save what they can and transfer what can be moved to other areas of the hospital. In one case,image scientists were rolling a big freezer -- the size of a big refrigerator -- to an area of the hospital with emergency power, the source told the News.

Even more alarming, thousands of mice that are used by scientists for cancer research and other experiments, drowned during a flood. It is unclear how the mice died, but the source told the News that many of these mice are genetically modified for certain research and took years to produce. It will likely set back several scientists' work by years, the source said.

"This does not equate to a loss of life, but it is extremely disheartening to see years of research go down the drain," the source said.

http://www.huffingtonpost.com/2012/10/30/nyu-hospital-storm-damage-research_n_2045844.html

Bayer Buys Utah Nutritional Supplement Company for Over 1 Billion–Schiff Nutrition

Recently too Bayer purchased the pet and animal business from imageTEVA and this seems go along with what others pharmaceutical companies are doing as far as diversifying as prescription drugs come off patent.  Most of the Schiff products are sold in retail locations with Costco and Wal-Mart have the lion’s share of the business and I see their products in Grocery stores too. 



Bayer AG agreed to buy Utah’s Schiff Nutrition International Inc. for $1.1 billion to add a faster- growing vitamins and nutritional supplements business to the German drugmaker’s consumer-health unit.

The deal marks the third billion-dollar acquisition of a state-based company this year.

Schiff has a 75 year heritage of providing consumers with qualityimage nutritional products," Tarang Amin, president and CEO of Schiff, said in a prepared statement. "We are focused on building premium brands and leading innovation. We believe Bayer is well positioned to take our leading brands to the next level."

Schiff sells its brands primarily through retail outlets, with Costco and Walmart its largest customers.

http://www.sltrib.com/sltrib/money/55176444-79/schiff-bayer-billion-million.html.csp

Those Shoes have Teeth! Predator Shoes Just in Time for Halloween

Now you know where all those teeth go that the dentists pull:)  Well maybe not really but when you look at the teeth on these shoes it appears they are not supposed to look the same.  Each pair has over 1000 denture teeth.  I think there some some on Wall Street that these might appeal to:)  Shoes that bite for appeal:)  I always say algorithms have teeth that bite when you are not looking but you would not miss a bite off old toe here.  BD 

image


http://streetanatomy.com/2012/10/30/predator-shoes-to-go-with-your-predator-suit/#comments

Cleveland Clinic is Next Medical Center to Enroll IBM Watson–Too Bad Our Lawmakers Won’t Use This Technology to Enhance Research To Make Better Laws

Cleveland Clinic joins the ranks of a few other hospitals that are giving big data a shake to sort through the information and allow doctorsimage to sift down to what they need and where they need it without a huge amount of time and effort.  Memorial Sloan-Kettering made their announcement and their focus with IBM Watson is cancer.  In Los Angeles we have Wellpoint footing the bill for use at Cedar Sinai Medical Center.  The research of this is great to help treat patients and I hope that the clinical focus with IBM Watson stays at the front of the game and it doesn’t get diluted into a “payers” game with doing least cost routing and using algorithms to put patients and doctors where they would rather not be. 


IBM Watson Going to Work at Memorial Sloan-Kettering Cancer Center–Data Loading and Training To Begin


Wellpoint to Bankroll Use of IBM Watson at Cedar Sinai Medical Center to Research Cancer Data/Information To Provide Guidance for Physicians

On the other hand let’s not forget where big data can work in the financials markets as Citigroup is also embracing the technology, more complex and complicated algorithms here and hopefully they won’t extend beyond Quant capabilities to make it even more difficult to understand as we see bank CEOs, like Jamie Dimon when asked about their business models saying “I don’t know”. 

Right now this is the last thing we need is Watson becoming a computerized Quant and figuring out even more ways to get our money.  The human quants have done fairly well up to now and use a lot of fictitious formulas to create profits with “desired” results taking over where accuracy should be the front concern. More here on that topic is you want to dig in deep.

 
IBM Watson Going to Work At Citigroup on Wall Street–Congress Didn’t See Big Data As A Tool (Hadoop Framework) When They Had Their Chance…For Consumers The Attack of the Killer Algorithms–Chapter 22

Again with a clinical focus and leaving the coding and money out of the picture IBM Watson can be a wonderful tool and too bad as I have said in several posts that our US Congress won’t use such a tool to make better laws and be better informed.  I guess they still see it working on game shows only.  There would be nothing better than to see lawmakers being able to use speech recognition together and getting all the “same” information they need and want, and then go to committees to work out the provisions of a law as right they just kind of stab in the dark and have a real lacking of the time and money it takes for IT infrastructure and don’t realize the “short order code kitchen burned down a few years ago”.  Watson can process 200 million pages of information in 3 seconds.  Maybe that’s moving too fast for those folks in DC:)




If you read the news today how many stories, and there are tons of them with coding, billing and reimbursement thus if one leaves the work of Watson to research and clinical areas without that mess, we might have some good intellectual break throughs.  I commented on that a while back as when you have multiple layers of new code running through the machine does what it learns and is taught and you run close of getting to a bottomless pit at times, but again for research and clinical use this is a good deal. With medical students using the system and asking questions, the algorithms of Watson will get smarter. BD

Machine Learning Software Working Behind the Scenes Should Move With Caution in Healthcare-Writing the Unreadable With Rogue Algorithms With No Human Intervention



The announcement was released early this morning by IBM and the Clinic and will be followed up at the Cleveland Clinic Medical Innovation Summit today with a 4 p.m. panel discussion on the role of Watson in the future of healthcare.

Nobody expects the giant thinking machine to graduate in a few years, don a white coat, walk into an operating room and perform surgery.

The goal is to fill Watson's brain with journal articles, conference papers and more medical research than any human could possible cram into his head, then have it come up with a list of possible diagnoses to help doctors make better, faster, more accurate decisions about how to treat their patients.

"This is the next big challenge for Watson and IBM," Mehta said. "They have built a second-generation software and they want us to help refine these algorithms to help Watson build its confidence in its answers."

Lerner's 160 students and Watson will pose questions to each other to help the computer become a more analytical thinker, refine its ability to generate hypotheses, rank those hypotheses and come up with answers.

"Every question that is asked is going to help Watson," Mehta said. "He's going to say, 'Oh, this is how humans think.'



http://www.cleveland.com/healthfit/index.ssf/2012/10/ibm_supercomputer_watson_is_he.html

“The Doctor Algorithm” –Yet One More Way to Sort and Filter Medical Big Data For Decision Making Processes–MEDgle Software as a Service

Here’s yet one more decision making tool taking advantage of sorting big data.  If we get enough of these folks they may all merge one day and have one heck of a system:)  It is working in India as the video imagepresentation states.  Yes we have financial slant here with the information offered asking “what is my financial exposure” as seen on the website.  They have apps for patients, Big Patients (I don’t it is meant for the overweight but rather playing on big data) And Clinical GPS.  The more I look at the various software platforms out there I realize how much the US spends being the only country in the world that ties ICD codes to reimbursement.  No wonder other countries move faster on some of this as the US needs jillions of more queries and data sets to make our stuff work and when we go to the new ICD 10 system, we’ll be catching up with writing the additional code and software and if you have not noticed, there’s tons of software out there already for that purpose too. 

There’s also the sales pitch here for the ACOs, once we all figure out exactly what one is that again talks about saving money.  One thing with all of this and I see it day in and day out on every software company’s page is that they talk about savings through working algorithms (and if you read here often enough I tell you all the time that algorithms move money, especially on Wall Street with queries for desired results instead of accurate) but we do have to to consider that there’s a ton of disruption with emerging technologies besides analytics and that’s a moving train so as soon as you feel you have something locked down in one area for cost, another one springs up and sometimes it’s lifesaving drugs or devices that we need to hop on right away and then, depending on what you are treating, your whole business model on saving money in particular area returns to a crap shoot.  That’s why I sit by and watch as just due to everything that is happening in healthcare, the solutions are subject to change at any time:)  The analytics are only good until the next innovation hits the road. 

The data input column for the API is interesting and included the usual medical information but says Withings sensors are coming soon, you know that wireless scale that is out there.  Quite a bit of information on the structure using comma delimited query strings using mostly a “get info” format for most of the desired information. If these folks that have this product that is software as a service would get together with folks like ClinicalKey and put it all together to allow easy research too at the same time, that would be nice too as if you are going to do analytics and have the algorithms set up for that, connect to the credible sources to where a doctor can read up too.  Maybe what I said two years ago in jest is coming around, data addiction and abuse is going to be the next upcoming 12 step program on the horizon.   I keep telling all who read here to get into a little math and this analytics is all about math and software, but we have to remember we are still in the people business and if not applied in a human fashion, people by the groves are going to go running to join this group…Humanism in Medicine.  BD 

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

The institute for Humanism is definitely worth a mention here as we need to figure out what algorithms work and especially outside the clinical data area, we need to figure out how not to get Algo Duped either and the field of predictive analytics is full of it with quantative analytics that don’t scale over the years or that are a far stretch of the imagination, but there is some good information in that area too, but I see it highly abused when using non credible data for predictive purposes such as some social networks as people lie, and I do laugh at times as Charlie Siefe has said people see a formulas and gee if it has a square root in it, is has to be good..not always.  BD





There are numerous interactions between the patient and the care infrastructure. Maybe over the phone with a nurse practitioner, or at an emergency-care center, or with a physician. Each place where care is provided should be personalized. We see this trend toward hyper personalization, with Google, Amazon, and the rest. They deliver individualized experiences at scale.

The question for us: How do you scale a physician’s expertise?

image
We’ve mined data from the CDC, the WHO, articles, and textbooks. We’ve presented them to physicians, who have spent 20,000 hours ensuring that the data are quality. And that’s how we developed the ‘doctor algorithm.’ It’s a graph of medicine that looks at how illnesses relate to age, lifestyle, or gender. For example, what is fever plus asthma, plus the patient is 32 years old? How do you combine these data into a meaningful diagnosis? That’s what the doctor algorithm is. It’s that synthesis that makes sense of the world’s health data.”

http://www.fastcompany.com/3001691/medgles-doctor-algorithm-creates-personalization-through-data?utm_source=twitter

NYU Hospital Back Up Generator Fails In Manhattan, Patients Being Evacuated


Patiens are being moved to Memorial Sloan-Kettering Cancer Center and Mount Sinai.  You can see the ambulances but it looks eerie with no lights.  Coney Island was also reported of being surrounded by water.  That’s kind of scary seeing everything dark outside the hospital.  BD

New York News | NYC Breaking News



NYU Langone Medical Center's backup generator failed when power went out in Manhattan Monday evening due to the effects of Hurricane Sandy, according to Mayor Mike Bloomberg.

http://www.myfoxny.com/story/19948591/nyu-hospital-evacuating#.UI9DnxRHkrk.twitter