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Half or Better of the Accountable Act Call Center Jobs Will Be Part Time With No Benefits in Contra Costa County, California
Half or Better of the Accountable Act Call Center Jobs Will Be Part Time With No Benefits in Contra Costa County, California

This pertains to one of the call centers and ironically these people get no benefits and might just have to fork out and pay for insurance themselves through the exchange.   In reading this article, there seems to be some confusion, mismanagement or both of the above in how many of the jobs were to …

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26Jul2013


UnitedHealthcare Expands Their Cheap Hearings Aids Subsidiary With Marketing To Add More Profits To the Corporate Bottom Line and Sell More Devices And Policies –Subsidiary Watch
UnitedHealthcare Expands Their Cheap Hearings Aids Subsidiary With Marketing To Add More Profits To the Corporate Bottom Line and Sell More Devices And Policies –Subsidiary Watch

If you read here often enough then you know United has more subsidiaries than Carter has pills as the old saying goes.  I do these posts so people are aware when they spend their money today so they have an idea as to what big conglomerate benefits with profits to their bottom line.  The article sta…

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24Jul2013


Doctor Gets Prison Sentence For His Medical CPT Coding Interpretations, Even Though Jury Found Him Innocent–Under Charged Himself
Doctor Gets Prison Sentence For His Medical CPT Coding Interpretations, Even Though Jury Found Him Innocent–Under Charged Himself

This is an interesting story and probably won’t be the last and you can read all of it from the link at the bottom here.  It’s a bit complex with what the doctor was doing with his coding and the irony here is the fact that it cost the government “less”  not over billing at all.  As new procedures c…

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24Jul2013


UnitedHealthcare Making Bigger ACO Payments in the Future? Guess They Would Be When Either Attaining Ownership or 51% Controlling Interest in 130 Surgical Center Physicians With Beach Surgical Holdings, Another Subsidiary
UnitedHealthcare Making Bigger ACO Payments in the Future? Guess They Would Be When Either Attaining Ownership or 51% Controlling Interest in 130 Surgical Center Physicians With Beach Surgical Holdings, Another Subsidiary

When I look at the news of late of course payments would grow and represent a larger dollar amount as United and their “Tiered” subsidiaries gain either ownership for 51% controlling interest.  Here’s a couple paragraphs from a recent press release and in the reference here when it says MemorialC…

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23Jul2013


TSA Joins the MoneyBall Scene,  Collecting Your Personal Data For a Price With Express Scanning Services, But They Can Continue to Smell My Stinking Feet…Guess NSA Won’t Share
TSA Joins the MoneyBall Scene, Collecting Your Personal Data For a Price With Express Scanning Services, But They Can Continue to Smell My Stinking Feet…Guess NSA Won’t Share

Oh is everyone not trying to figure out how to make a buck!  It’s not bad enough that we have a data selling epidemic in place with raising the levels of flawed data every day, but now TSA wants to express check you through the airports and if you pay them $85 they won’t check your feet anymore.  We…

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22Jul2013


States Reviewing Selling De-Identified Medical Record Procedures–The Data Selling Epidemic
States Reviewing Selling De-Identified Medical Record Procedures–The Data Selling Epidemic

This is a good article that they are now reviewing what they are selling which does NOT fall under HIPAA.  Recently data analytics and re-matching has become a lot easier with new methodologies.  In the article below a couple folks say there’s not really anything to fear, but I would guess those are…

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21Jul2013


Who’s Going To Verify Income With Insurance Exchanges, HHS Gives Contract to Equifax To Do So and CMS Says the IRS Will Do It Via the Hub, But When..Contingencies Maybe?
Who’s Going To Verify Income With Insurance Exchanges, HHS Gives Contract to Equifax To Do So and CMS Says the IRS Will Do It Via the Hub, But When..Contingencies Maybe?

I have tweeted this a couple of times but when you read news about both it does make one wonder…who’s going to do the verification work.  I blogged the Equifax news at the link below that says this will be done in real time.  Government Gives Contract to Equifax to Verify Incomes of Those Who Appl…

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21Jul2013


Small Business California Insurance Exchange Option Went From a Choice of One to a Choice of Zero as WellPoint Pulls Out–Stay Tuned As More Develops
Small Business California Insurance Exchange Option Went From a Choice of One to a Choice of Zero as WellPoint Pulls Out–Stay Tuned As More Develops

Nationally Blue Cross/Blue Shield was the one national choice that was to be available on all exchanges but it seems we have a change of plans, but California is still at work with finalizing the list so we might guess another carrier might come in to this space.  Small business insurance will still…

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19Jul2013


Health Insurance Company, Medical Mutual of Ohio Pulls Out of South Carolina, United Healthcare Picks Up the Insured Policy Holders
Health Insurance Company, Medical Mutual of Ohio Pulls Out of South Carolina, United Healthcare Picks Up the Insured Policy Holders

Well United scores once again with more business and they won’t have to go to court and sue anyone this time.  In 2007 the Medical Mutual purchased Carolina Care Plan and I am assuming this is the big portion of the policy holders that will be moved over to United.  United Healthcare Files Lawsuit…

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19Jul2013


Community Health Systems Gets Hit With Another DOJ Subpoena Amidst 57% Drop in Income–Still A Suitor For HMA?
Community Health Systems Gets Hit With Another DOJ Subpoena Amidst 57% Drop in Income–Still A Suitor For HMA?

Just a few days ago it was out in the news at Bloomberg that Community Health System was a potential suitor for buying up Community Health Systems..only problem is HMA has their own problems with subpoenas from July of 2011 too, see link below.   A couple months ago the HMA CEO got out of Dodge with…

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18Jul2013


Senate Finance Committee Hearings on EHR Incentives Make a “Huge” Case for Restoring the Office of Technology Assessment for Congress–They Need a Bigger Brain
Senate Finance Committee Hearings on EHR Incentives Make a “Huge” Case for Restoring the Office of Technology Assessment for Congress–They Need a Bigger Brain

I had a little time to listen in and watch the video and again all I can say is we go way back to square one again, same questions, same everything and those testifying we doing a good job trying to explain.  Baucus appeared to want a simple answer to all of this and believe me if there was one, it …

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18Jul2013


Hospital Denied Access to Electronic Medical Records Over Billing Dispute With Vendor
Hospital Denied Access to Electronic Medical Records Over Billing Dispute With Vendor

Since 2008 the hospital has paid $3,083,607.64 and the system has never been fully functional and the hospital claims it was not HIPAA compliant in all areas.  Business Computer Applications is the vendor who sold the hospital the system and who is demanding payment.  The EHR system, Pearl electroni…

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18Jul2013


United Healthcare Files Lawsuit Against the City of Birmingham Disputing Contract Award To Blue Cross
United Healthcare Files Lawsuit Against the City of Birmingham Disputing Contract Award To Blue Cross

This is not the first time the company has filed a lawsuit as the most publicized was the Tri-Care contract in which the company sued the Department of Defense and we have never heard details of exactly why that was but they got the contract.  United Healthcare has truckloads of subsidiaries an as i…

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17Jul2013


One Pioneer ACO Saved Money Using Software From AMA Subsidiary Who Provides Software From a United Healthcare Subsidiary
One Pioneer ACO Saved Money Using Software From AMA Subsidiary Who Provides Software From a United Healthcare Subsidiary

It’s what I keep saying, the actions takes place with subsidiaries today in healthcare and lot with insurers.  United popped in and bought Humedica in December of last year, 2012 so the processes were ongoing before United purchased them at Beth Israel.  I don’t know if a United clearinghouse subsid…

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17Jul2013


The Privacy Report, License Plate Data for Profit–Privacy Exploitations, The Next Frontier?
The Privacy Report, License Plate Data for Profit–Privacy Exploitations, The Next Frontier?

First off, I have no problem with police agencies using monitors in their cars as this is what it was designed for but what we have here is yet another problem with the word “context” and it gets replaced with the word “profit’.  That’s the problem as now more see it as an opportunity to run some qu…

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17Jul2013


VA Launches CareGiver Pilot Program, Giving 1000 iPads to Families of Veterans–IT Infrastructure Innovation Work In Progress
VA Launches CareGiver Pilot Program, Giving 1000 iPads to Families of Veterans–IT Infrastructure Innovation Work In Progress

This looks interesting and is obviously developed to provide better care and of course information.  The big question with using a pilot is to find out “will they use it”.  We see a lot of that with the over loaded medial apps we have out there today.  A group of 4 different software companies were …

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17Jul2013
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