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Small Practice Physician Talks About Health Insurance, For Him, Family, His Staff And Of Course Patients
Small Practice Physician Talks About Health Insurance, For Him, Family, His Staff And Of Course Patients

I took a few of the highlights from this article but the doctor is talking about the increases first of all with his own insurance being pretty big and then continues on to how he will have to adjust for his staff.  As a small employer has has provided insurance for his staff for many years and now …

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30Sep2014


Big Business CEOs Call To Action to Fix US Healthcare, Some of the Very Same Companies That Are Creating Obstacles For Consumers in Healthcare, Selling Data, Creating Models for Better Care That Don’t Work And More…
Big Business CEOs Call To Action to Fix US Healthcare, Some of the Very Same Companies That Are Creating Obstacles For Consumers in Healthcare, Selling Data, Creating Models for Better Care That Don’t Work And More…

I’m sorry I had to laugh at this article as some of the very same problem companies think they can fix healthcare.  First off, look at Aetna, who now wants to get out of their agreed reimbursement of doctors based on the AMA settlement from a few years back. They just want to cheat and get out of p…

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30Sep2014


United Healthcare Buys Another Company in Texas That Manages Physician Practices With Software-Hiding in Plain Site, Accumulating More Subsidiaries Furthering a “Too Big To Fail” Insurance Company - Big Focus On Money Ball Analytics Versus Quality of Care
United Healthcare Buys Another Company in Texas That Manages Physician Practices With Software-Hiding in Plain Site, Accumulating More Subsidiaries Furthering a “Too Big To Fail” Insurance Company - Big Focus On Money Ball Analytics Versus Quality of Care

You may be living under a rock as most of the press is with watching subsidiary actions of big corporations and this one here is huge.  Of late some are now brought under the Optum umbrella so they may or may no longer show as separate subsidiaries as they have on SEC filings, but again that’s not a…

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30Sep2014


Seniors Facing Some Sharp Medicare Advantage Premium Increases And Many Plans are Being Dropped As CMS Gets Their Next Dose of Said Algorithmic Fraud To Sort Out With the Risk Fiddlers…
Seniors Facing Some Sharp Medicare Advantage Premium Increases And Many Plans are Being Dropped As CMS Gets Their Next Dose of Said Algorithmic Fraud To Sort Out With the Risk Fiddlers…

Not too long ago CMS said such plans should remain flat as far as price increases and once again they were wrong.  CMS needs some new models and obviously Burwell is just in a guessing game as she’s not any better than Sebelius in essence and I have not seen much that is impressive at all that has c…

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30Sep2014


Hospital Abruptly Closes as Creditor Called in Debt in Ohio-300 Jobs Gone Instantly
Hospital Abruptly Closes as Creditor Called in Debt in Ohio-300 Jobs Gone Instantly

Here’s yet another abrupt closure and a hospital in Texas just went through the same thing recently.  As you can read Toshiba called in a note on their MRI and there was no money left. Nurses, doctors, and other staff stood in the street protesting.  The hospital closed Friday and they were told th…

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29Sep2014


Hospitals Suing Highmark Over Reduced Payments–Medicare Advantage 2% Sequester
Hospitals Suing Highmark Over Reduced Payments–Medicare Advantage 2% Sequester

Here we go it starts and this goes back to the 2% sequester decrease that is being passed along.  As we all know hospitals are struggling to survive as they have a number of fixed costs that can’t be reduced.  The article didn’t say if the 2% sequester cuts were also passed along to doctors or not. …

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29Sep2014


Practical Steps With Addressing Healthcare Interoperability - HITECH and Meaningful Use focus Must be Beyond EHR Vendors
Practical Steps With Addressing Healthcare Interoperability - HITECH and Meaningful Use focus Must be Beyond EHR Vendors

Today, here’s a guest post from the founder and CEO of Zoeticx Clarity Cloud solution for interoperability.  My comments here are above the line below and this is reproduced with his assessments on the future and is in response to the former director of ONC, Dr. Loonsk.  I have have written about 3 …

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26Sep2014


MIB Business Model Changes Over the Years–They Still Collect Tons of Coded Data Files About You, Over 500 Insurers
MIB Business Model Changes Over the Years–They Still Collect Tons of Coded Data Files About You, Over 500 Insurers

The MIB has been around for a long time and now according to their website you will only have an MIB file to access if you have applied for any type of insurance coverage in the last 7 years.  Now that doesn’t mean they purged the files necessarily as they go back forever and insurers might have acc…

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26Sep2014


Drug Companies are Calling On Hospital Administrators That Decide On What Drugs Are On the Formulary For Doctors To Prescribe- Works On Keeping the Costs Down…
Drug Companies are Calling On Hospital Administrators That Decide On What Drugs Are On the Formulary For Doctors To Prescribe- Works On Keeping the Costs Down…

Sure there are still doctors who run private practices that see pharmacy reps but with more doctors working for hospitals directly or with a group that is specific to a hospital, the MDs no longer are in control of making the decisions on what drugs can be prescribed.  We know what this is all abo…

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25Sep2014


Eric Holder Resigns As Head of the Department of Justice–Next Person Heading that Agency Needs to be a Hybrid, Part Technology and Part Lawyer, Hard To Find, But Talent Is There If You Look..
Eric Holder Resigns As Head of the Department of Justice–Next Person Heading that Agency Needs to be a Hybrid, Part Technology and Part Lawyer, Hard To Find, But Talent Is There If You Look..

60 Minutes just did a story about identity theft and it was also covered in the story that Eric Holder was also a victim of identity theft and how someone used his social security number and date of birth to file a fake return.  Maybe this was the final straw?  I don’t really know but it goes to sho…

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25Sep2014


Lap Band Surgeries Go Full Circle With Lawsuits–Now United Who’s Being Sued, Files Case Against Company Who Provided the Advertising and Services
Lap Band Surgeries Go Full Circle With Lawsuits–Now United Who’s Being Sued, Files Case Against Company Who Provided the Advertising and Services

Ok so we have other lawsuits already in place so we add one more here.  United is saying they were tricked now into paying high claims costs, but what about their fraud prevention algorithms they sell to help hospitals and providers all across the US?  Don’t these somehow come along and kick in with…

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25Sep2014


ACO Models Are Dying Out In Value, They Make More Press Than Anything, Complexities Are Making Goals Just About Impossible With Constant Variables, But ACOs Sure Sell a Lot of Software…
ACO Models Are Dying Out In Value, They Make More Press Than Anything, Complexities Are Making Goals Just About Impossible With Constant Variables, But ACOs Sure Sell a Lot of Software…

Those selling software in the Health IT business are the only winners here.  Patients don’t even know if they are in one and much less what one is.  The initial savings for an ACO might show promise but what do you do once you hit the first year or two?  A new model is needed here or maybe new ter…

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23Sep2014


HCA Buys Patient Keeper Software
HCA Buys Patient Keeper Software

For as long as I can think back and remember PatientKeeper has been around.  Their platform has been in use in HCA hospitals so I guess why not own it.  The platform integrates with many types of software and provides workflow support for the physicians and works on mobile computers and phones.  P…

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23Sep2014


NueMD Launches A Survey Relative to HIPAA Compliance and Readiness
NueMD Launches A Survey Relative to HIPAA Compliance and Readiness

NueMD is conducting a survey of healthcare professionals to gauge their knowledge of HIPAA and help them prepare for an audit.   NueMD is one of the valued sponsors at the Medical Quack so please when you have a moment be sure to take look at the right hand side and see what all have to offer.  Adve…

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22Sep2014


Emerge.MD to Delivery Video Enhanced Telehealth Using Polycom Real Presence Solution
Emerge.MD to Delivery Video Enhanced Telehealth Using Polycom Real Presence Solution

Polycom is about as top level as you can get with quality video and has been around for a long time.  The company has partnered with Microsoft and may others over the years and now Emerge.MD is using the platform for telehealth.  It can be used to engage the patient, other doctors and so on.   The v…

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22Sep2014


Antiquated Ways Hospitals Report Cost to Medicare “Really Distorts” The True Cost of Care–New Model Please..
Antiquated Ways Hospitals Report Cost to Medicare “Really Distorts” The True Cost of Care–New Model Please..

Here we go again with the same discussion of antiquated models with way too much math and quantitation.  This is a discussion with several hospitals in the Ohio area as the are talking about the future of hospitals and yet still have the noose around their necks with the government on quality report…

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21Sep2014


One More Reason to License Data Sellers–Income Tax Fraud On the Rise-Who Are You Buying Your Data From And Who’s Buying Your Data? 60 Minutes Report
One More Reason to License Data Sellers–Income Tax Fraud On the Rise-Who Are You Buying Your Data From And Who’s Buying Your Data? 60 Minutes Report

If you read here often enough then you know about the campaign about data selling and the campaign to license data sellers.  We don’t like this as consumers as the data gets flawed and removes our dignity.  60 Minutes has a good report on Income Tax Fraud and when companies are buying data, where is…

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21Sep2014
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