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Doctors In Network Leave United Healthcare–Tired of Getting Paid At Rates 12% Less Than Medicare…
This problem is expanding into Kentucky now. I have heard it for years in California with different doctors groups over and over complaining that their net reimbursement from United Healthcare is less than Medicare. For those why buy insurance plans from exchanges, in many areas United pays somewh…
CVS and IBM Watson Project–Please Make It Stop-13 Quarters of Declining Profits for IBM, Is This Is What We Get, More Algorithms Biting Us Constantly So More Data Can Be Mined and Sold Resulting In Excess “Scoring” of US Consumers..
When IBMWatson first came out I thought it was great and still do for cancer research and other areas requiring deep data mining to find cures, but this, with “excess scoring” and selling of data mining has reached the limit. If you read the article they don’t even know what they might find or what…
United Healthcare Finds Yet Another Way to Track You At the Grocery Store–Healthy Savings Card That Will Give You Discounts and Track What You Buy..
It doesn’t stop does it? We all know by now that the savings and rewards cards are trackers and create data on our behaviors that is sold and scored, so here’s another one. Push folks into high bills for their healthcare, then they need these cards to eat right? Problem is that not only the food …
Anthem and Cigna Merge, What’s In It For Consumers, Nothing Really, But There Will Be a Massive Data Mess of Analytics, Budgets, and You’ll Never Get An Accurate Listing of MDs in Network…
That’s about the size of it as today you have to look at the massive IT sides of business and if you don’t give that some thought, well you might be living under a rock as that’s pretty much what banks and insurance companies are today, huge software companies that manage a lot of money as well as y…
United Healthcare Having a Big Bond Sale to Finance Purchase of Catamaran Pharmacy Benefit Management Company, Huge 10.5 Billion
Here we go again, more leveraging and the healthcare we get depends on the financials of such. Everyone thought the huge Walgreens Bond Sale last year of $8 billion was big, but this over shadows that sale of debt, and of course that’s what this is of course. In addition, in case you missed it, lo…
Marylyn Tavenner Takes Over CEO Job of AHIP, Major Health Insurance Lobby Group in DC And United Healthcare Dropped Out a Few Weeks Ago…
Did you read about 3 weeks ago that United Healthcare bowed out of this group after years of membership? I think we have a large group of insurers that are in fact flat out tired of United Healthcare monopolizing HHS and CMS with healthcare. It’s been going on for years and goes back to the the da…
Patients Who Pay “Cash” When Filling Prescriptions Are Now Called “Outliers, Pharmacists Required to Fix Outliers as They Show Up As Non Medication Adherence Compliant With 5 Star Systems Full of Flawed Data…
I had a conversation with a pharmacist who took some time to cue me in to what’s going on in the world of “Medication Compliance Predictions” and the impact it has on the life and job of a pharmacist. To tell you the truth, I was absolutely floored at how much software and algorithms have gone into…
Anthem Issues Yet Another Change to Physician Reimbursement Policies Less Than 90 Days After the Last Change–Here’s A Look at the Other Side of ICD 10 Complexities-Aetna Just Fired Some MDs Over This E/M Services Costing Factor
I guess the question is anymore is “how bad do you want to be a doctor”. The red tape and what insurers and CMS are calling for is not improving care very much at all but rather it’s serving to increase the profits of a lot of Health IT vendors, in this case it’s McKesson with their systems they us…
Aetna Ends Up Buying Humana for $37 Billion-More Medicare Advantage Plans Under One Roof, Stock Buy Backs And the Never Ending Puzzle of Healthcare Profits by the Algorithm….
So we are all watching to see how insurance merger mania goes and here’s the next after Centene bought Health Net a couple days ago. In the Medicare Advantage market Aetna is the distant third behind United and Humana so with purchasing the #2 Medicare Advantage insurer this moves Aetna into the #2…
Theranos Gets First FDA Approval for “Drop of Blood Test” for Herpes
Theranos has stated they plan to get everyone of their tests approved by the FDA in time and it appears this the first. The cost for the test is $9.07 so anyone insured or not insured can pretty much get the test done. In Arizona, people don’t require a doctor to prescribe the test either. I don’…
Health Net Gets Sold-Centene Managed Care Is the Buyer-Conglomerate of Companies Involved in Medicaid, Medicare and Other Care Managing Business Units
Centene is yet another managed care organization which you could say was a competitor of Health Net in some ways. The big pull here is becoming one of the largest if not the largest company managing Medicaid. Both boards have approved the merger/acquisition but as I understand share holders still …
