Latest News


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 "One Trick Algo” World out there anymore, the can’t hardly create enough bullshit commentary to cover up what’s really going on.  These two have been doing stuff like t…

Read more »
10Aug2019


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.   Nobody is minding the shop as you can’t ask a machine for an appeal or know how the machine computed the results. “Engagement is just a sanitized term for ad…

Read more »
07Dec2018


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 they became less about a better and affordable price for prescriptions and more about and algorithmic machine to create profits, hidden for the most part as we c…

Read more »
10Mar2018


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 investors.   I could not locate any SEC 10k filings or even a Form D from a search I did and this sale took place a year ago.   Optum is not not out of this business t…

Read more »
27Dec2017


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 do too much blogging anymore as I don’t want to be confused with all the “junk” news out there but thought this is worth a look and listen for all.The presentati…

Read more »
19Nov2017


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 have probably not heard of this software but it is a connect to EMRs that will send your prescription right to the pharmacy.  Oh, now you say, well the PBMs do …

Read more »
21Jun2017


“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” took over, we used to have words like “trending” and number crunches used for a lot of what we saw, but today it’s the big buzz word “prediction”.  Machine lear…

Read more »
29Apr2017


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 was one main lawsuit from the AMA along with many others that were filed (some being still settled) over using formulas that short changed doctors and patients on…

Read more »
22Feb2017
123 ... 2496»
 
Top
Google Analytics Alternative