AMA and United Healthcare Combine Efforts to Once Again To Push CMS To Institute Algorithmic and ICD Coding To Rip Off Patients/Deny Access–It’s the Next Chapter of Excess Scoring in the US To Keeps Inequality/Segmentation Rolling AMA and United Healthcare Combine Efforts to Once Again To Push CMS To Institute Algorithmic and ICD Coding To Rip Off Patients/Deny Access–It’s the Next Chapter of Excess Scoring in the US To Keeps Inequality/Segmentation Rolling

If you have not seen the latest with these two, take a look at to how they want to use segmentation for profit.  It is so much of a "On...

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Saturday, August 10, 2019

Algorithms Rule Us All--Automated Risk Scores…Tons of Error Bars, Bias and More-The US Digital Consumer Scoring System For Corporate Profit Keeps Raging On…VPRO documentary–2018 Algorithms Rule Us All--Automated Risk Scores…Tons of Error Bars, Bias and More-The US Digital Consumer Scoring System For Corporate Profit Keeps Raging On…VPRO documentary–2018

This is a great watch and lot of information from Cathy O’Neil, author of “Weapons of Math Destruction” and computer scientist Jaron Lanier....

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Friday, December 07, 2018

Pharmacy Benefit Managers Are Not Much More Than “Complex Well-Greased Algorithmic Human Scoring Machines” That Deny or Allow Access To Drugs To Create/Substantiate Big Corporate Profits Pharmacy Benefit Managers Are Not Much More Than “Complex Well-Greased Algorithmic Human Scoring Machines” That Deny or Allow Access To Drugs To Create/Substantiate Big Corporate Profits

So let’s get down to what’s really happening here.  Once upon a time the PBM models were a different type of creature but as time moved on t...

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Saturday, March 10, 2018

Optum/United Healthcare Quietly Sold Optum Hospice to Compassus in December of 2016-And Compassus Is Now Contracted Under Optum Services to Manage the Facilities, Services and Provide the OptumCare Doctors Optum/United Healthcare Quietly Sold Optum Hospice to Compassus in December of 2016-And Compassus Is Now Contracted Under Optum Services to Manage the Facilities, Services and Provide the OptumCare Doctors

Optum certainly kept this very quiet when they sold their hospice facilities to Compassus and I don’t think they even told their own investo...

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Wednesday, December 27, 2017

Algorithms, Scoring Metrics, Privacy and more in today’s Healthcare business world–The Healthcare Algo Cartel Algorithms, Scoring Metrics, Privacy and more in today’s Healthcare business world–The Healthcare Algo Cartel

This is a video of a recent presentation I did at the 74th Annual AAPS (American Association of Physicians and Surgeons) meeting.  I don’t d...

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Sunday, November 19, 2017

Pharmacy Benefit Managers Invade Medical Records and Electronically Connect Cash Patients to RX Discount Cards-OptimizeRX-to SingleCare to OptumRX Pharmacy Benefit Managers Invade Medical Records and Electronically Connect Cash Patients to RX Discount Cards-OptimizeRX-to SingleCare to OptumRX

This should not really come as a big surprise as what hasn’t the pharmacy benefit managment business touched?  So what is OptimizeRX ?  Most...

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Wednesday, June 21, 2017

“One Trick Algo World” Needs to be Licensed and Indexed–Spurious Correlations “For Profit” Are Out of Control “One Trick Algo World” Needs to be Licensed and Indexed–Spurious Correlations “For Profit” Are Out of Control

With prediction tools and apps being all the rage today, their reliability and accuracy are not always there.  Before the word “prediction” ...

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Saturday, April 29, 2017

DOJ Enters WhistleBlower Law Suit Against United Healthcare–Risk Fiddling for Profit, A Walk Back Down Ingenix Memory Lane Again DOJ Enters WhistleBlower Law Suit Against United Healthcare–Risk Fiddling for Profit, A Walk Back Down Ingenix Memory Lane Again

Here we go again, back to those Ingenix algorithms and business models, getting a rerun of sorts of what occurred in 2011.  In 2011 there wa...

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Wednesday, February 22, 2017
 
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