Four Preview Videos in the Footer
Rite Aid Pharmacies are the Latest to Begin Used Flawed Data Provided by the EQuIPP Platform Relative to “Scoring” Patients for Predictive Medication Adherence–The “Outlier” Patients…
I have had some conversations with pharmacists who are on a pay for performance metric program based on this program and they don’t like it. The big reason is the data that is provided to them is flawed. The program finds information around the web about patients and combines it into a report that…
OptumRX (United Healthcare) Buys Home Infusion Company AxelaCare-Using Algorithms To Determine Your Care With Being Financed By A “Too Big to Fail” US Health Insurance Company…
We all know the home drug infusion business is growing as companies send out technicians and clinical personnel to administer treatments at home versus making a trip to the hospital or to the doctor’s office. This is yet one more subsidiary added to the approaching 400 or so subsidiaries of United …
HHS Joins Optum Labs as Research Partner–Back Peddles Support of FDA Sentinel Program That Does the Same Thing-More Impact from the Six Degrees of Bob Rubin Running Healthcare in the US
We know Optum Labs is there to make money, selling slots to drug, device companies and others to have the “use” of mining their data. So far all we have had of any significance reported is the same thing Kaiser reported from their registry information on hip and knee replacements. A big part of ho…
Where to Find Cheap Generic Prescription Drugs Less Than a Lot of Co-Pays-Use Cash-And Leave the Insurance, Reward Card, And Pharmacy Benefit Credentials at Home..
I have been asked this question many times and with the war on both cost of drugs and the war on cash, I thought this might be helpful to put some links in as a reference. Granted all the drugs you need won’t be on the lists perhaps, but there’s enough of them that cover a lot of what is commonly p…
Catholic Hospital Takes Horizon Blue Cross Insurance Company to Court-Tiered Hospitals With Additional Policy Discounts Unfair to Hospitals of Faith–Killer Algorithms At Work..
Well what’s not to say we’ll see more of this. Yes indeed it’s getting complicated to get healthcare today. We have the elite list and the cheap list it appears with insurance plan offerings. I said a while back that there are armies of Quants hired from banks and other financial firms, i.e. high…
CVS Laying Off 150 Employees at Headquarters, Meanwhile at the CareMark Florida Ranch A New 500 Personnel Facility to Add Support for Mail Order Drugs In the Works..
You can’t make this stuff up and of course this is a big push to save money and get more folks on mail order prescriptions. That sector of CVS is growing and it makes money as you can refill prescriptions easier on an automated basis. Insurers can get billed as soon as “the pills go in the bottle”…
United Healthcare Owns a Bank-Optum Bank That Will Collect Your HSA Money, Give You a MasterCard to Empty It Out-Which Enables Even More Data Mining and Selling Transactions About You
How many people know that Optum has a bank? They don’t offer any retail services outside of an Health Savings Account to the public but many companies offer this for people who have a high deductible health insurance policy. You can read through Yelp and make your own opinions if you want to dive …
If You Are Insured by Cigna, Guess What You Have a New Pharmacy Benefit Manager Named United Healthcare
First question out of the barrel might be “how can that be”. It’s really not too difficult to figure out. A short while back United Healthcare bought a pharmacy benefit manager named Catamaran, and actually took on $10 billion in debt to acquire them. This has been in the news for a while actuall…
The End of “Consumer Common Sense” in the US-Fueled by Excess Scoring for Profit, Sustained By Media Publications Serving To Further The Inability For Simple Every Day Life Decisions…
This is topic that maybe does not get enough attention, simply due to the fact that today, consumers are just blasted with a score for this and a score for that, basically establishing a brain washing process to where we are becoming a “Dupes of Hazard” community in the US and maybe beyond. There …
CMS Medicare Part D Program With Medication Therapy Management–Here Comes the Flawed Medication Adherence Prediction Scores, Make Sure Jane Doe Gets the “Cheap Meds”..
You know they are going to use these flawed medication adherence scores to determine who gets what with medications. This is horrifically flawed. Regulation won’t work and CMS should work towards getting lower drug prices instead of this model that comes back to pound consumers again. That is the…
