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Covered California Insurance Participants to be Risk Assessed With Individual Scores To Be Sent to CMS By Anthem–Appears To Be No Opt Out For Privacy, Payback Time For the ACA Subsidies As Feds Get Your Scored Data
Covered California Insurance Participants to be Risk Assessed With Individual Scores To Be Sent to CMS By Anthem–Appears To Be No Opt Out For Privacy, Payback Time For the ACA Subsidies As Feds Get Your Scored Data

When you read this article entirely, it’s like what in the heck is this now?  Seriously read the analytics that will be taking place and the company Anthem has contracted with of course is seeing some big dollar signs.  Your medical records are up for review and risk assessment from this third party…

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29Jun2015


Hospital News Rigging Now? UPMC and Local Paper In a Dispute Over What’s Covered in the News, Takes Paper Out of Hospital Gift Shops…
Hospital News Rigging Now? UPMC and Local Paper In a Dispute Over What’s Covered in the News, Takes Paper Out of Hospital Gift Shops…

Here we go again, and advertising from the Pittsburgh newspaper has also been cut, but the article states that has gone on for a few years with disputes over what has been covered in the news.  This doesn’t surprise me as “news rigging” is very much out there today.  You can read comments on Twitter…

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28Jun2015


Operation “Perception-Deception” Into Full Swing in the US, With Killer Algorithms, Algo Fairies, Algo Duping, The Grays, and Of Course, Flags As Consumers Confuse Virtual World Values With the Real World…
Operation “Perception-Deception” Into Full Swing in the US, With Killer Algorithms, Algo Fairies, Algo Duping, The Grays, and Of Course, Flags As Consumers Confuse Virtual World Values With the Real World…

What a week it has been so far as well as last week as well.  It is worrisome as to what the American Public perceives today as a “real” value and it’s not their fault for the “Perception-Deception” mania that is filling the news waves and causing folks to create and follow fake grass root campaigns…

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24Jun2015


Medication Adherence Predictions Enter the World of Quantitated Justifications For Things That Are Just Not True, Members of the Proprietary “Code Hosing” Clubs Out There Destroying Your Privacy
Medication Adherence Predictions Enter the World of Quantitated Justifications For Things That Are Just Not True, Members of the Proprietary “Code Hosing” Clubs Out There Destroying Your Privacy

This is just taking this a little too far and we know when you let Quants go wild, they will go, and go and go and quantitate and create spurious correlations and sell and market you on the fact they they have value and they do not.  If you read around the web enough there are many Quants and mathem…

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22Jun2015


CMS Chasing Wild Virtual Horses-A Big Distraction on the Hope of Finding Some “Algo Fairies” By Giving Entrepreneurs Access to Medicare Claims and Other Data…Marketing & Astro Turfing “The Sebelius Syndrome”..
CMS Chasing Wild Virtual Horses-A Big Distraction on the Hope of Finding Some “Algo Fairies” By Giving Entrepreneurs Access to Medicare Claims and Other Data…Marketing & Astro Turfing “The Sebelius Syndrome”..

One thing I think that can safely be said is Andy Slavitt, a one time Goldman Sachs banker and United Healthcare Subsidiary CEO of Ingenix who tons of folks sued for flawed calculating algorithms on short payments on claims is trying to divert some attention from this fact.  It was interesting to wa…

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17Jun2015


CVS Buys Independent Pharmacy, Picks Up A Slew of 7000 Ready Made Prescription Customers With Data To Mine and Sell…
CVS Buys Independent Pharmacy, Picks Up A Slew of 7000 Ready Made Prescription Customers With Data To Mine and Sell…

For the independent pharmacy, generic drug costs have gone up  as high as 30 percent and the pharmacy cannot price match big chain drug stores as regulations do not permit that to happen.   In reading this article further the pharmacy said they break even on 17% of the prescriptions and over 7 perce…

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14Jun2015


For Profit Hospitals Like Stock Buy Backs Too–HCA Buying Back $7.7 Billion Worth of Shares Over 3 Years…
For Profit Hospitals Like Stock Buy Backs Too–HCA Buying Back $7.7 Billion Worth of Shares Over 3 Years…

I talk a bit about stock buy backs, why?  Because as a consumer or a patient, we pay for them.  Insurance companies, all the majors on the S&P 500 are all doing stock buy backs with United leading the pack and also shoving out some dividends.  Why do they do this? To increase the price of their sto…

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11Jun2015


Virtual World Values and The Real World, We Have A Big Problem: People Can’t Tell the Difference Anymore as Perceptual Madness Grows to Further Accelerate Inequality…
Virtual World Values and The Real World, We Have A Big Problem: People Can’t Tell the Difference Anymore as Perceptual Madness Grows to Further Accelerate Inequality…

This is a republished blog post from March of 2014 and someone asked me to run it again, so here it is with a couple updates in the body and a few new links… This unwelcomed phenomena that exists today…”The Grays”…. Well somebody had to say it and sure we are experiencing the return of virtual re…

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09Jun2015


Walgreens, No Time For Charity, Moves Truckloads of Closed Store Inventory to Landfill, Mayor of Wyoming Town Upset As New Products Perfectly Usable Were Trashed
Walgreens, No Time For Charity, Moves Truckloads of Closed Store Inventory to Landfill, Mayor of Wyoming Town Upset As New Products Perfectly Usable Were Trashed

We all know how big business has to focus on stock buy backs, acquisitions, etc. today so donating perfectly good products that have been inventory to charity is just too much for a big corporation to deal with.  Instead, items like toilet paper, canned goods, toys, and much more were just hauled of…

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06Jun2015


Communities and Cities Rebelling Against Chosen Locations of New CVS Stores Across the US…
Communities and Cities Rebelling Against Chosen Locations of New CVS Stores Across the US…

I read one article and of course this is something that always occurs with new zoning and changing the landscape in the US, but darn there sure seemed to be quite a few communities not happy about where CVS plans to either open new stores or is working to secure locations.  This is not just an east …

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06Jun2015


With Humana Up For Sale, What’s the Impact of the Medicare Risk Assessment Re-Run for Said Medicare Fraud? It’s a Big Potential Monetary Exposure For Humana and Other Insurers…
With Humana Up For Sale, What’s the Impact of the Medicare Risk Assessment Re-Run for Said Medicare Fraud? It’s a Big Potential Monetary Exposure For Humana and Other Insurers…

If you are not aware of the Medicare Advantage Re-Run of the Risk Assessment model, I’ll give you a link where you can read up.  At risk would be the two largest Medicare Advantage Insurers, Humana and United Healthcare.  This issue has been spurred by the number of lawsuits that have been filed and…

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04Jun2015
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