Kaiser Permanente Opens Retail Stores In California And Oregon Inside Malls And A Bus With Navigators to Assist Enrollment With State Exchange Programs

To help sign consumers up in coordination with the Affordable Care Act, Kaiser retail stores areimage appearing in northern California and one in Oregon.  Malls with a lot of foot traffic is where you find them.  Below is a listing of where they are in California, so far just in the northern portion of the state.

Kaiser has hired about 40 navigators for the program which will be open for a year at least.  Consumers can enroll in both Kaiser and non-Kaiser plans offered through the exchange. 

In addition there’s the mobile vehicle van which travels around that will have secure internet connections and private rooms where consumers can enroll.  The stores have IPads and personal computers to use for privacy when applying for credits and subsidies.  So far over 8000 people chose Kaiser for their health insurance plan.  BD 


In a row of storefronts between Fuddruckers and Wal-Mart on McHenry Avenue, a major insurer is selling a government-mandated product that’s created quite a buzz this fall.

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Kaiser Permanente chose the North Point Landing shopping center in north Modesto for one of its Shop KP stores, billed as a new way for consumers to shop for medical coverage.

The Shop KP store has iPads and personal computers mounted on tables, where staff members help customers look for plans on the Covered California health exchange or directly from Kaiser. Those who wish to start the enrollment process, or apply for tax credits to lower premiums, can sit down with staff in private cubicles.

http://www.modbee.com/2013/11/29/3060854/kaiser-opens-health-insurance.html

Bill Gates (A Bit Unwired) The Harvard Campaign Video Interview..

This is probably one of the best off the wall interviews with Bill Gatesimage that I have seen, and there’s plenty of humor and he discusses a bit about his personal life and how Microsoft grew from the early days.  He talks a bit about Steve Jobs and Apple and how they were friendly competitors and they financial help Microsoft gave them.  It is funny listening to him talking about how he dropped out of Harvard. 

The big focus here in the last half is the Bill and Melinda Gates Foundation and how Warren Buffet and Bill Gates got together and play a lot of Bridge with each other.  He chats about folks coming to him for money all the time and how he deals with it. 

What excites him is getting rid of Polio when asked about what gets him going.  Bill Gates talks about there are tons of things he’s not good at and he looks for the experts to help him. 

Bill Gates–Unwired, The Harvard Campaign…

Will he ever slow down, Bill Gates says probably in his 80s he will slow down..and will he in his 80s come back and get his degree.  Gates takes a lot of online university courses and recommends them for all. 

http://www.youtube.com/watch?v=cBHJ-8Bch4E

Healthcare.Gov Getting a New Web Host, Moving From Verizon to HP, Site Has No Back Up, Sign Up for Small Business Gets a Year’s Delay

As if we have not had enough changes, here’s one more in the making.  From what I am reading here it appears this was “in the works” a while back and not knowing the specifics on the Verizon Terremark data center, it’s hard to comment specifically but we do know that there were issues and hosting services has to be fixed and upgraded to allow for more bandwidth a while back amongst other issues with code.

HHS/CMS Pulls An “Allscripts” Mistake–”Code’s Not Done With Healthcare.Gov”…And Did Anyone Look at the Oracle and Microsoft “Turnkey” State Health Insurance Platforms…There’s a Time and Place for Open Source And The Insurance Exchanges Are Not It Right Now..

The most disturbing item here to me anyway is the fact that the site is not “backed up”, and that issue makes no sense not to have a couple mirrors going, other than the fact that the code at it’s current state is so unstable that it doesn’t leave itself open to run on other configurations of hardware.  The contract with Terremark (Verizon) ends in March of 2014.  I’m sure there’s reasons given but gee, the DOE has  one of the fastest computers in the world that gives out space and had projects hosted, so why don’t the two agencies work together if they want server performance?  This would certainly take care of any hardware issues with performance:)

US Captures The Top Number For the Most Powerful Computer in the World–First Time Since 2009 - IBM Sequoia At the DOE Lab In California

Here’s an example…and I think Healthcare. Gov would be a qualifying project…at least by today’s news accountings and compared to other projects they host, this would be small by comparison.   

1.7 Billion Super Computer Hours Awarded by the DOE–Biomedical Research Projects Included for Parkinson’s and Cancer

Again as revealed, the code is not done so there’s the impact for the small businesses to enroll.  Businesses and employees can use insurance brokers instead to sign up and again I think it’ time to do a “re-think” with the law being of a static nature with having to deal with all the every day changing business models of insurers as the two can’t mix very well.  BD

Accountable Care Act–Needs To Take Time Out and Re-Group, Implementing a “Static” Law With Current Day Complex Insurance, Banking and Other Daily Changing Business Intelligence Quantitative Math Models Is Becoming Impossible to Manage, One More Delay Announced

The Department of Health and Human Services will replace Verizon Communications Inc. VZ -0.24% 's Terremark subsidiary as its web-hosting provider for the federal health-insurance marketplace, according to people familiar with the matter, presenting a new challenge to the rollout of the Obama administration's signature health-care initiative.

HHS won't renew its contract with Terremark and instead awarded a new contract over the summer to Hewlett-Packard Co. HPQ +9.05% to host the website, the people said.

The Terremark web-hosting data center hosts key elements of the federal site, HealthCare.gov, as well as a digital juncture used to exchange information between HealthCare.gov, state-run exchanges, federal agencies and insurers. The website, which serves 36 states, has experienced a number of technical problems since launching Oct. 1, including crashes that blocked consumers from enrolling in new health plans under the law and outages of Verizon's data center.

The Department of Health and Human Services designed the HealthCare.gov website to handle failures within the application, but its design didn't include a full backup version of the site in a different data center, said people familiar with the matter. HealthCare.gov is still housed within a single data center and doesn't have a backup, said the people.

http://online.wsj.com/news/articles/SB10001424052702303562904579224491970912988

FDA Warns 23AndMe To Halt Sales Of DNA Testing Services–Update

The FDA considers the company’s service a “medical device” and therefor needs regulatory imageclearance.  Risk assessments and safety is the grounds for the FDA letter.  Cancer tests are the big concern with saliva testing.

False positive results is where the FDA is looking as they state a patient could undergo screenings and surgeries that are not in fact necessary.  In addition false negatives are also addressed by the FDA stating that a patient would not undergo appropriate testing and diseases could be missed.  It sounds like it’s a 501k time application perhaps to establish clinical boundaries and values.  There has been ongoing meeting between the FDA and the company. 

Update:  If you have not read this article, do it…see how data selling makes big riches for Google and others as well,  Scientific American article from Professor Siefe, mathematician at NYU gives his take and it’s aimage good one..full story at the link and a couple preview paragraphs below…

23andMe Is Terrifying, But Not for the Reasons the FDA Thinks

“But as the FDA frets about the accuracy of 23andMe’s tests, it is missing their true function, and consequently the agency has no clue about the real dangers they pose. The Personal Genome Service isn’t primarily intended to be a medical device. It is a mechanism meant to be a front end for a massive information-gathering operation against an unwitting public.

What the search engine is to Google, the Personal Genome Service is to 23andMe. The company is not exactly hiding its ambitions. “The long game here is not to make money selling kits, although the kits are essential to get the base level data,” Patrick Chung, a 23andMe board member, told FastCompany last month. “Once you have the data, [the company] does actually become the Google of personalized health care.”

While the FDA concentrates on the question of whether 23andMe’s kit is a safe and effective medical device, it is failing to address the real issue: what 23andMe should be allowed to do with the data it collects. For 23andMe’s Personal Genome Service is much more than a medical device; it is a one-way portal into a world where corporations have access to the innermost contents of your cells and where insurers and pharmaceutical firms and marketers might know more about your body than you know yourself. And as 23andMe warns on its website, “Genetic Information that you share with others could be used against your interests. You should be careful about sharing your Genetic Information with others.”

Also scroll down to the footer to watch “Context is Everything” from Professor Siefe or visit the Algo Duping page for even more videos on how all of this takes place and the huge profits made from data selling.  This is what I think could be done and my campaign to license (start an index) on all the data sellers out there as it’s really totally out of control. FTC thus far as well as Congress have been pretty useless and have not shown any teeth.   BD

FTC Tries to Bring Strong Case for Consumer Protections With Use of Data–But Nothing About Creating IT Infrastructure Path to Allow Regulation–Gov Can’t or Won’t Model?


(Reuters) - The U.S. Food and Drug Administration has warned 23andMe Inc, a company backed by Google Inc, to halt sales of its genetic testing services because they have not received regulatory clearance.

23andMe, which was founded in 2006 by Anne Wojcicki with the backing of Google, sells DNA testing services that the company says detect a range of genetic mutations and provide information about a person's health risks. Wojcicki recently separated from her husband, Sergey Brin, a co-founder of Google.

In a warning letter dated November 22 and released on Monday, the FDA said it considers the company's product a medical device that therefore requires regulatory clearance, "as FDA has explained to you on numerous occasions."

The agency said that if the company's risk assessment for breast or ovarian cancer reports a false positive, it could lead a patient to undergo preventative surgery, intensive screening or other potentially risky procedures. A false negative, on the other hand, could result in a failure to recognize actual risk.

http://www.reuters.com/article/2013/11/25/us-23andme-fda-warning-idUSBRE9AO0MG20131125

CVS Caremark Buys Coram Infusion Business From Apria Healthcare for Over $2 Billion

I guess it’s time to keep up with the other “big drug store chain” as a couple years ago Walgreens imagemade a business swap to secure the Omni-Care infusion business.  Nobody really pays a lot of attention to this business until something happens and that did occur with a security breach with Walgreen’s infusion subsidiary Crescent not too long ago. 

Walgreens and Omnicare Swap Businesses–Giving Long Term Pharmacy Care to Omni and They Get Omni’s Home Infusion Business

Coram has a network of 85 infusion sites as shown on their website. 

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The website has a patient education area to where you can watch videos on how to care for your catheter. how to flush it and trouble shooting your venous access device.  I mention this as it gives an idea of what they do at Coram.  BD


CVS Caremark announced on Wednesday that it had agreed to buy the Coram infusion business from the Apria Healthcare Group for about $2.1 billion. image

Coram provides infusion therapies for the treatment of acute and chronic ailments like immune deficiencies, rheumatoid arthritis, multiple sclerosis and nutritional deficiencies to more than 20,000 patients each month, primarily at their homes. It also has a network of more than 85 infusion sites.

http://dealbook.nytimes.com/2013/11/27/cvs-caremark-to-buy-infusion-business/?_r=0

Violence Erupts at Texas Hospital Where Nurse Was Killed and Four Others Were Wounded

The video is a family below who witnessed the rampage as they were there taking their daughter in for surgery.  The poor nurse just came around the corner to see what was happening imageand that’s when she was stabbed.  It was not a a gun this time, he did all his damage with a knife. 

The nurse who was killed 57 years old and had worked at the hospital for many years.  The actual scene took place in the ambulatory surgical center and one survivor remains in critical condition.  The man with the knife was  the son of a patient at the center.  From the video they stated there was a lot of pushing and shoving going on before all realized he was going around stabbing people.  Police handcuffed and had him in custody quickly upon their arrival.  BD 

CBS 5 – KPHO


A devoted nurse is dead and four other people are wounded after an attack at the Ambulatory Surgery Center at Good Shepherd Medical Center in Longview on Tuesday morning at around 7 a.m.

Police responded to the scene within minutes after receiving calls about stabbings occurring in the surgery center, and though the suspect fled the scene of the stabbings, they were able to apprehend him just blocks away within a very short time.

The suspect, identified as Kyron Rayshaun Templeton, 22, of Longview, fled but was taken into custody a short while later on Sixth Street in Longview. There was a scuffle during his arrest, but no officers were injured. He is now charged with murder and four counts of aggravated assault. He is being held on $2.6 million bond.

One East Texas family arrived at Good Shepherd around 5:30 Tuesday morning because their six-year-old daughter was scheduled for surgery. They say everything was running smoothly until about 7 a.m., when they witnessed a young man, now identified as Templeton, stab two people just feet away from where they were standing.

http://www.kpho.com/story/24078290/family-who-witnessed-stabbing-in-longview-hospital-tells-what-they-saw

Applying for Health Insurance–Using the Exchanges Versus Via Using Traditional Insurer Web Site, The Old Way–Video

This is pretty good and makes some good points for when the Healthcare.Govimage site is working for you.  He waits long enough and the information comes up and this was done a few weeks ago so keep that in mind.  He goes through applying with a health insurance site to compare.  There’s a lot of questions versus the exchange site.  He’s reading all of it too four our benefit. 

At any rate you get the picture and if you have applied via a commercial insurance site then you know what all the questions are about.  So this makes the exchange sites look pretty good as far as what information you need to provide.  BD 

Applying for Health Insurance

Even with all the glitches, it's apparently still faster to apply for health coverage with the new exchanges under the Affordable Care Act than going through the invasive application process with an individual private care insurer that existed before the act went into affect.

http://www.youtube.com/watch?v=ql9RVy6FWkg

Insurance Business Still Clashing With ObamaCare Relating to Policy Cancellations, Quantitative Driven Analytics and Pricing Collisions: “ACA Static Law” Versus “Non Static” Mathematical Insurance Profit Models…

The ACA was created with good intentions for all to have good health insurance imageand not “bare bones” types of policies as we are finding out have been sold all over the US as they were “affordable” and are a step up for sure than not having insurance.  The one big item that has helped in some ways and hurt in other ways is the pre-existing condition clause.  It has helped as consumers can’t be denied coverage but on the other hand it has caused major havoc with risk pools and what the cost of a policy will be. 

Accountable Care Act–Needs To Take Time Out and Re-Group, Implementing a “Static” Law With Current Day Complex Insurance, Banking and Other Daily Changing Business Intelligence Quantitative Math Models Is Becoming Impossible to Manage, One More Delay Announced

Obviously this is not going to go away any time soon and needs some answers and solutions, that is if we can see our way through working with the very complex math models used by insurers as “they” calculate the premiums to be paid.  Insurers are hiring Quants almost like they are going out of style to see what they can do with “new models” but just like the Quants who work at hedge funds are finding out, this too is a challenge and the models are getting harder to create, ones that are accurate that is.  Everyone needs a business model, math or otherwise to run their business.  If you scroll down to the footer and watch the Quants documentary below you will see how some of the original quants in the finance business have a warning for all about models and the #1 Quant in the world, Paul Wilmott talks about how “there is no science” at times and “they just guess and say something like “we will just use six”..

Pre-Existing Conditions

It’s also getting difficult to make decisions based on such models as you can’t figure out who’s in network and who’s not and even the insurers are messing up in telling you who is and who is not. 

Insurance Company “In-Network” Complex Erroneous Algorithms Continue to Wreak Havoc With Patients and Doctors When It Comes To Coverage and Purchasing Insurance–Time to Begin “Sniffing Some Data”, To Include Labeling And Identifying Killer Algorithms

So here’s where it all clashes with the Affordable Care Act provisions butting heads with insurance business intelligence models.  Perhaps at some point this will mean a smaller profit for insurers?  BD 

President Obama’s Decision to Extend Insurance Polices Will Help Consumers While Insurers Bring Out Their Quants to Re-Design Their Business Intelligence Profit Models-And Are We Over Segmented In Practice?


VIRGINIA BEACH, Va. (CBS DC)

— A woman battling kidney cancer is losing her health insurance because her company’s health plan is being canceled due to Obamacare.

Debra Fishericks, who has been working for the past 10 years at Atkinson Realty in Virginia Beach, has been scouring HealthCare.gov for a plan that fits her, but is finding that current premiums and plans are out of her price range.

“On June 30, 2014, I will probably not be offering company insurance for my employees. I just can’t afford it,” Atkinson told CBS News.

President Barack Obama recently apologized for the disastrous HealthCare.gov rollout and the cancellations of millions of health care policies. Obama has called on states to allow Americans to continue to keep their canceled health care plans. Some states have declined

http://washington.cbslocal.com/2013/11/25/woman-battling-kidney-cancer-losing-company-health-plan-due-to-obamacare/

Aetna Buys International British Owned International Insurance Company InterGlobal

The insurers keep growing with adding more subsidiaries and earlier this year Aetna purchased Coventry insurance.  It really is getting to be difficult to see where your bottom line dollar gets spent anymore.  Here’s a couple SEC pages (and here)  and I don’t they are complete with listing all of the companies they own.  A couple weeks ago I wrote about the growing footprint of United Healthcare in the UK and by the way as of April a United Healthcare executive will be leaving the US to run the NHS. 

Cerner and United Healthcare Foot Prints Grow In the UK And Worldwide With Medical Records and “Math Modeled Analytics” Built To Increase Profits–Some Seem To Overlap In Some Business Areas

Go where the money is seems to be the calling.  Earlier this year Aetna pulled out of the California individual policy market which was not very popular among doctors here anyway as it was at the bottom of the barrel for reimbursement so many in network were MDs right out of school getting started.  This is worth a mention here as policy holders got a nice unwanted surprise for their last quarter of premiums, a 19% increase. 

Aetna Who Is Leaving the California Individual Health Insurance Market at the End of the Year Jacks Up Policies 19% for the Remaining 3 Months And Withdraws From Participation in the Connecticut, Maryland and Georgia Exchanges

Also at the beginning of this year there was the $120 Million dollar suit where Aetna got off cheap I think with their participation with licensing the United Healthcare Ingenix analytics for almost 15 years and paid doctors and hospital short on out of network charges.  Aetna was not alone as Blue Cross, Blue Shield, Humana, and Health Net also have lawsuits and had licensed the software from United Healthcare/Ingenix so one good reason to “always” be a skeptic on their analytics for sure.  No dollar value was given for the purchase of InterGlobal.  BD 

Aetna Payment of $120 Million To Settle 15 Year Ingenix/United HealthCare Out of Network Erroneous Payment Algorithms Cuts Income for 4th Quarter


HARTFORD, Conn. -- Aetna Inc. plans to broaden its international reach with the acquisition of InterGlobal, a British company that offers private medical insurance for groups and individuals in the Middle East, Asia, Africa and Europe.

The Hartford, Conn., health insurer did not reveal terms of theimage deal on Monday. It expects to complete the acquisition in the first half of next year and said it should be neutral to Aetna's 2014 results.

Aetna covers more than 22 million people as the third-largest health insurer in the United States. It also runs an expatriate business that provides medical, dental and vision coverage, among other forms of insurance to people living overseas.

http://www.miamiherald.com/2013/11/25/3778208/aetna-to-buy-international-insurance.html

CEO Bob Lorsch of MyMedicalRecords.Com Uses His Company PHR Software With Stored Records And Communication Capabilities To Avoid Surgery And In Turn Gets The Proper Treatment At Hospital…

In the software business, there’s a term called “eat your own dog food” and this is exactly what Bob Lorsch did as a matter of speaking, he used his own company PHR to get the correctimage treatment and avoided surgery.  I don’t know how many times I see people promoting software that is “good for you” and then find out they don’t use it themselves but that’s the not the case here.

Below I have taken Bob’s post from his blog and you can read his entire post about how it all took place.  Turns out he had an infection and needed antibiotics and not surgery.  Getting the copy of the CT scan was vital and keep him out of surgery with a 2nd opinion.   This just goes to show how a PHR can have the potential to save your life and in Bob’s case, no surgery after the CT scan was in hand by the hospital.  What’s amazing here is that we talk about having medical records all connected everywhere and with this example you can clearly see they are not.  Bob was able to react faster in fact than what the hospital staff could have done.  So again a word to the wise with a PHR, get one and at least keep some basic information available and store other medical documents so you can access them when needed.

It’s going to be a long time before the automatic exchange of medical records in in place so in the meantime, take control and listen to your body too.  MyMedicalRecords.com is a sponsor of the Medical Quack and you can find the link in the top right hand corner of this blog to find out how to enroll and get started with a PHR.   This is a good story with a good outcome and I’ll continue to beat one over the head when it comes to the value of PHRs.  BD 


Last Thursday, I was admitted to the hospital with pain in my mid-section and an elevated white count. I had been experiencing mild symptoms of pain in the stomach for more than a week, and when the pain started keeping me up three nights in a row I called my Internist.  He referred me to a gastro specialist whom I saw on Monday, November 18th. The doctor gave me a complete workup which included taking a rush “STAT” blood draw.  After the appointment I was sent home with two antibiotics and instructions to wait for his call. At 9:00 that same evening the doctor called and told me I had a significantly elevated white count and to immediately go for an emergency CT Scan.

I told the specialist that would not be possible as I was traveling to Chicago early the next morning for scheduled meetings where attorneys from around the country were gathering and we were not meeting at an imaging center. I explained that this was an important and time-sensitive meeting and only something like removing my appendix would keep me away.  So unless he could tell me I was having an appendicitis attack, I was going to Chicago.

As it turned out, the only reason I am able to write this blog and appear on Fox News all weekend and again in a special segment later today is because my MyMedicalRecords.com Personal Health Record account kept me out of an operating room.

So since my diagnosis was not definitively an appendicitis attack….. despite the pain (and fever) I was at LAX at 4:30 AM and on a 5:40 flight to Chicago with the Company’s patent attorney (who did not have a copy of my advanced directives).

We arrived at the meeting in Chicago, which by that time was imagethe only thing I could feel good about.  Then, I drove from the suburb of Deerfield to the Chicago Loop for an MMRGlobal investor dinner, returning to the Airport Hilton in time for a few hours of sleep and the morning flight that would get me back to the office for more than half a day of work on Wednesday.

However, that is not exactly what the universe had in store for me. Instead, the ongoing fever and pain made me realize I needed the CT Scan before going to the office.  So I scheduled the procedure from the in-flight Internet. After the three-hour imaging procedure I went home to wait for the results.

At about 6:00 PM that night I received a call from the specialist telling me to get myself to the hospital Emergency Room with specific instructions to be admitted, adding to both my wife Kira and I that it was a life or death situation. The specialist also contacted a surgeon to be my admitting physician and I was in a hospital bed the next morning, which was now Thursday.  I had been told that I would be out in 2 days and I had an infection that that would simply be treated with IV antibiotics.

I quickly learned that now everything was an emergency.  My CT Scan was done outside the hospital so when I checked into the hospital no one had a copy, only a verbal report from the specialist.  However, when a surgical team came to my room to prep me that night, they told me I was not headed to an IV Line but to surgery. Then I started asking more questions. Based on what I learned, I told them that surgery was anything but acceptable. I made it very clear that I did not want surgery and requested a hospital radiologist render a second opinion on my CT Scan. The problem was it was not at the hospital. Because I know how important it is to ask for a disc of the procedure whenever a patient leaves a radiologist, I had one with me. But I did not have the report. I 911’d the specialist, who emailed the report to me. The hospital had no way to receive email from a patient, especially at what was now 7:00 at night. However, every Nurse’s Station can receive a fax.

So using my personal MyMedicalRecords.com account, I uploaded the email to my inbox, moved the report to my radiology file and faxed it directly from my Personal Health Record to the Nurse’s Station.

Records and disc in hand, the surgical team went to a radiologist in the hospital and they all read the film together.  Forty-five minutes later, the team canceled putting me under the knife and started the IV.  Clearly, without a patient-controlled copy of my PHR, I would not have able to be on Fox & Friends Saturday morning discussing the latest on Dr. Afridi and back in my office today. Instead, I would have been in recovery, having had an unnecessary surgery.

Apparently, one set of radiologists from outside the hospital had given one opinion and the radiologist in the hospital another.  Fortunately, the hospital won.

Surgery canceled, and 4 bags of IV antibiotics later, it was off to Fox & Friends.

The best news is of course that I didn’t need surgery, and that the influx of antibiotics seems to have resolved the problem. I walked out of the hospital feeling great and, as a matter of fact, several people have said I’ve never looked better.

Had I not had a Personal Health Record I would not be writing this blog pain-free. This Thanksgiving, Kira and I have a lot to be thankful for in that MyMedicalRecords kept me from having an unnecessary operation.

If you haven’t already done so, I encourage you to use this holiday season to open a Personal Health Record account at MyMedicalRecords.com and collect all your family’s important information when you are gathered together before it’s too late.

http://blog.mmrglobal.com/2013/11/25/home-from-the-hospital/

FDA Approves New Drug From Johnson and Johnson To Treat Hepatitis C

There are two other drugs that have FDA approval that were approved in 2011, however the new drug, Olysio is stated to require a shorter treatment time.  The  drug is in pill formimage so easy enough there.

The drug is meant for those who have both had prior treatment and those who have not been treated before for the disease.  During treatment time patients are advised to avoid sun exposure and use sun screens.  Side effects are pretty minimal with nausea, itching and rash.  BD  


U.S. regulators on Friday approved the use of Johnson & Johnson's Olysio, also known as simeprevir, as a treatment for chronic infection with the liver-destroying hepatitis C virus.

Olysio, a protease inhibitor that blocks a specific protein needed by the virus to replicate, is to be used in combination with interferon, given by injection, and ribavirin, another pill.

Hepatitis C affects about 3.2 million Americans, killing more than 15,000 each year, mostly from illnesses such as cirrhosis and liver cancer.

The often-undiagnosed virus is transmitted through contaminated blood. Infection rates have dropped since the early 1990s, due in part to the introduction of blood and organ screening. Still, many older adults remain at risk, according to the Centers for Disease Control and Prevention, which has called for baby boomers to be routinely tested for the virus.

Olysio is a member of the same class of drugs as Merck & Co's Victrelis and Vertex Pharmaceuticals' Incivek. The FDA approved both those drugs in 2011.

http://www.nbcnews.com/health/fda-approves-pill-treat-hepatitis-c-2D11645059

Dr. Halamka O’Reilly Strata Conference–Electronic Medical Records Sharing, Insights, Meaningful Use, Patients, Apps And Processes With “People” More So Than IT

Dr. Halamka gives a very candid interview here going back to how he got started with technology imageand then medicine.  He does set a lot of the standards in Health IT today as he’s one of those rare “finds” that has two areas of focus being an emergency care MD as well as a computer scientists.  He gives his opinions of the Affordable Care Act and his thoughts with needing the data to provide better care.  He built the IT infrastructure for Harvard Medical over the last couple of years. 

He talks now about how compared to 5 years ago that people are much more informed and know what the healthcare tech discussions are.  He talks about his “care management” model and how the data is analyzed and used.  He focuses on prevention and how the technology is evolving there and the processes with “people” versus IT is what’s making the difference. 

O’Reilly–Dr. John Halamka

In addition here’s another video conversation with former US CTO Aneesh Chopra which is very good as well.  Once you get beyond the first 4 minutes of “Aneesh” talk it gets good with questions asked and discussed.  At the end Chopra does his pitch for data and the the Heritage Group for some additional carrots.  Chopra always over hits this and his true roots come out with some real pitching for their Crimson Analytics.   By the way Jeffrey Zients who is now the trouble shooter for the Healthcare. Gov website was the chairman chief executive officer and chief operating officer of the Advisory Board Company where Chopra worked before being the US CTO and where he returned to work. 

Aneesh Chopra Former US Chief Technology Officer Returns to “The Advisory Board Company” Publicly Traded on NASDAQ That Sells Software Consulting & Analytics

Here Meaningful Use Stage 2 is discussed and the involvement of the patient as well as error factors that arise with healthcare data, as it’s there too with pregnant men for one example that shows up in data queries. 

O’Reilly-Dr. John Halamka (and chatty Chopra)

Dr. Halamka talks about “modular” applications and platforms being built on top of large EMR companies with APIs.  In addition Dr. Halamka talks about personal health records and the value of patients being able to see all of their data at Harvard.  He says it has made a big difference and at the very end the “Big Chopra” ad for the “carrot” contest to write code for the Care Transformation prize, one of those “Cash for Code” projects where the developers are barely compensated.  Overall though putting the Chopra advertising sections aside, this is a very good discussion.  BD

http://www.youtube.com/watch?v=we2FIOds0xY

FDA Approves Bird Flu Vaccine

This not a vaccine everyone will go out and get like a flu shot but rather an effort to have a vaccine imageavailable in the event of a pandemic should it occur.  It would be available for those over 18 years of age.  So far world wide there has not been a need and most bird flu cases have been in Asia.  BD 


(Reuters) - The Food and Drug Administration said on Friday it has approved a vaccine made by GlaxoSmithKline Plc for use in the event of an H5N1 bird flu epidemic.

The vaccine will be added to the national stockpile and will not be available for commercial use, the FDA said. The vaccine does not have a trade name in the United States.

It is the first H5N1 vaccine approved in the United States to contain an adjuvant, or booster, that turbo-charges the body's immune response to the vaccine.

http://in.reuters.com/article/2013/11/24/us-glaxosmithkline-vaccine-pandemic-idINBRE9AL14Q20131124?feedType=RSS&feedName=health&utm_source=dlvr.it&utm_medium=twitter&dlvrit=309303

Accountable Care Act–Needs To Take Time Out and Re-Group, Implementing a “Static” Law With Current Day Complex Insurance, Banking and Other Daily Changing Business Intelligence Quantitative Math Models Is Becoming Impossible to Manage, One More Delay Announced

I don’t know about you but this is the conclusion I have drawn here and we are to the point of having way too many segmentations that exist in healthcare and in other places as well that are directly or indirectly affected by the new law to have much of anything make sense! Digital centric laws are needed soon before we all go crazy.  What we have today is not working.  When you have verbiage that has to be matched with technology after the fact, you have what we have today, as the modifications with all the connected data we have today is making a huge mess.  Businesses are not required to contribute any models and are on their own to change and modify daily as needed for profit. 

If you have not noticed Obamacare is just like the markets with the continuous rise and fall of the machines.  Rules are made but the machines run them.  Nothing changes until changes are made on servers.  Modeling is more important today than it has ever been.  In no way does this mess compare to when Medicare started, it wasn’t that frigging complicated back then so toss that out the door if you think things are going to calm down, as they are not.

How do you take very complex math models from insurers that change all the time and apply a “static” law?  I think I said that already with this post about rise and fall of the “machines”. 

Obamacare: The Continuous Rise and Fall Of The Machines With Complex Insurance Math Models Resulting In Spasmodic, Executing “Killer Algorithms”–And Gov Can’t Model…

Doctors and patients as well as hospitals are trying to figure out what coverage the patient has or will have,  and premiums are all over the place.  Some make sense even though they might not be affordable and some are just off the wall and this is due to many many years of segmentation used by insurers. The ACA is all about minimizing the segmentation, in other words taking the common values and dumping the garbage if you will with developing and maintaining specific risk groups.  The entire focus of insurance is to spread the cost out over the largest risk group you can so it’s affordable.  So we have this with “yes your are in network”, but wait a minute, second thought, “no you are not” and this applied to doctors, patients and hospitals. 

Insurance Company “In-Network” Complex Erroneous Algorithms Continue to Wreak Havoc With Patients and Doctors When It Comes To Coverage and Purchasing Insurance–Time to Begin “Sniffing Some Data”, To Include Labeling And Identifying Killer Algorithms

We are getting back to square one where you buy a product and you don’t know exactly what you have, you don’t know exactly what doctor or hospital you can visit and use and last the premiums are based on mathematical risk assessments that clash with all of this.  On top of all of this, insurance subsidiaries are getting to be so numerous you don’t know who does end up getting your bottom line dollar so as patients you end up contributing to big corporate profits and you don’t even know it.  And let’s add on the sequester with yet another issue with the 2% cuts for doctors and hospitals and the insurers like United cutting reimbursements even more, so what’s the next goal, cut doctors to half of the Medicaid rates? 

Formulas and models need simplicity so we can work with it and get care when we need it…government can’t model, insurers use and abuse math models and code so where’s a happy medium here…I don’t see one on the landscape yet and rather see a bunch economists guessing all over the place who used to be experts but are not anymore as the algorithms eat their lunch too when they try to put some kind of economic spin on the mess.  Economists are just about non-effective unless they are physicists and can help create good win-win models and help us can the erroneous ones that have only one focus, profit.    We are going to need to return to some simpler pricing formulas that works for everyone and I think more are winning with insurance premiums but I can’t even say that for sure as the policy may be affordable but the network of providers is far from being adequate.

We are under the attack of the killer algorithms as Algo Duping has become precedence  and the rich who build them are getting richer and won’t share their money.  As Bill Gates said the hardest sell of the “Giving Pledge” is getting the rich to part with their money.   Something needs to give to start the flow of the money back to the middle and lower class and right now I’m tired of reading about some new analytics or code that will set the world on fire with efficiencies as it’s gone, all we have now is code to make the wealthy richer as whatever technologies get created, the low and the middle class can’t afford it unless we have to give up all our data to corporations and banks can get even richer. 

Attack of the Killer Algorithms – “Algo Duping 101″

The Giving Pledge–Philanthropy On Steroids, Extreme Giving Needed As Markets Still Overrate and Over Value Intangible Algorithmic Queries and Executes, “Money Sucking Code”–Not The Tangible Assets We All Need To Exist…

The screenshots by the way reference a game that has been created to exploit the data selling epidemic and you can read more here and watch the video, it’s very well done and factual as well when it tosses reality in your face and of course it’s everyone’s individual choice to choose reality or “so called magic”…again as more algorithmic formulas clash and grind with the establishment of a “static law”, it’s not going to stop or change until we explore some better methodologies so as a consumer of the 99% you can pretty much count on the fact that the rich will continue to get wealthier as we lose even more ground and are at the mercy of what the “rich” corporations want to allow for the rest in the way of money and access…this really needs a fix and a joint effort from all and a full embracement of reality of how the machines are programmed to function to work to direct decisions in today’s word.

Business should be held accountable and be transparent as there’s no other way to even up the technology advantages if not.  Scroll on down and watch the 2nd video in the footer, the Quant video and see how sometimes there’s no physics in business models and as Paul Wilmott says, “we’ll just choose six” when the Quants run out of logic and data mechanics to even build a model so you end up with erroneous fictional algebra that keeps moving money to the 1%. 

So below you have the next “let’s pick six” remedy below with delaying enrollment by a month to allow the Quants of the insurance companies the opportunity to create new models, and will we ask to see them, probably not as gov can’t or won’t model and seems to be permanently placed behind one big eight ball.  Look at the classifieds sometimes and see the large number of job openings at health insurers for Quants.  BD 

President Obama’s Decision to Extend Insurance Polices Will Help Consumers While Insurers Bring Out Their Quants to Re-Design Their Business Intelligence Profit Models-And Are We Over Segmented In Practice?

Health and Human Services plans to delay the start of the second year of Obamacare enrollment by one month to allow insurers more time to set rates after assessing their plan experiences during 2014, a department official said Thursday night.

The decision means that sign-ups for the 2015 plan year would begin on Nov. 15, 2014 and end on Jan. 15, 2015 instead of the Oct. 15-Dec. 7 window previously announced. The date change, first reported by Bloomberg, also lengthens the enrollment period by a week. Doing so would give companies more opportunity to account for individuals, particularly young adults, who come in late during the plan’s first year, which has gotten off to a rocky start. The goal is premiums that more accurately reflect costs for those insured.

The HHS official termed the change “good news for consumers, who will have more time to learn about plans before enrolling.” Insurers would have until late May 2014 to submit applications to offer health plans during 2015, and the state and federal exchanges would get more breathing room to ensure their enrollment systems are ready for individuals.

The change will not affect any coverage during Obamacare’s first year, which is set to begin on Jan. 1.

http://www.politico.com/story/2013/11/health-and-human-services-delay-2015-obamacare-affordable-care-act-enrollment-by-a-month-100247.html#ixzz2lLodTFnA

Boston’s Children’s Hospital Holds Teenager Hostage for 9 Months & Gains Custody When Parents Questioned Diagnosis From Treating Doctors at Tufts & Other Facilities

This is one bizarre story and you can watch the video and there’s a lot of information it seems we have not seen yet.  Why would the hospital basically kidnap the teenager?  The girl imagewas under treatment for one genetic disorder diagnosis and then when she was taken to Boston Children’s Hospital, another diagnosis was given, one of a type of mental illness that would be causing her pain. 

Mitochondrial disease was the genetic disorder she had been diagnosed with.

Somatoform Pain disorder was the new diagnosis from Boston Children’s Hospital.

We are talking 2 very different types of problems one being genetic and the other psychological.  Why would the parents not question this after putting their daughter through treatment for the first diagnosis?  It’s a big change going from genetic to psychological.  If you read the diagnosis it relates to sexual abuse as being part of the reason for the likeliness for Somatoform pain so maybe that’s why protective services jumped on this one.  When tests can’t find the source of pain then this is where the diagnosis comes in.  The girl had undergone surgical procedures for her “genetic” diagnosis and we don’t what the procedures were. 

At any rate, this is very strange and more information needs to come forward I think to explain what has occurred here. It took 4 days for the hospital to gain custody of the girl.   BD 


It has been a bitter custody battle, and nine months after it started, it’s still going on.

In December 2012, Justina Pelletier was an active 15-year-old girl who would go ice skating, laughed and spent time with her family.

But just two months later, her family says their nightmare began.
“[Exhales] It’s beyond any wildest nightmare that you could think of,”image says Justina’s father, Lou Pelletier.

Her longtime West Hartford psychologist has also been following the case.

“It’s the most bizarre situation … I’ve ever been involved with,” says Dean Hokanson, the clinical psychologist who has worked with Justina the past five years.

Justina was diagnosed with mitochondrial disease a few years ago. It’s a genetic disorder that can cause loss of muscle coordination and weakness.

Despite that diagnosis she lived a normal life.

But last February, she also got the flu and was admitted to Boston Children’s Hospital to see her specialist.

Almost immediately, a different team of doctors delivered a different diagnosis, questioning the original diagnosis of mitochondrial disease.

They said Justina had “somatoform disorder.”

In short, they were saying she suffered from a mental illness, not mitochondrial disease.

Her parents, Lou and Linda Pelletier, were escorted out of the hospital by security, and within four days, they lost custody of Justina.

In addition to working with Justina, Dean Hokanson also testified at one of the court proceedings.

Before entering Boston Children’s Hospital, Justina was on several medications and had undergone complex surgeries. The Pelletiers say Boston Children’s accused them of “overmedicalizing” their daughter.

But the family showed Fox CT proof that every procedure and prescription was sanctioned by doctors, including Tufts Medical Center specialist Dr. Mark Korson.

http://foxct.com/2013/11/19/hospital-holds-west-hartford-girl-for-9-months-after-parents-argue-diagnosis/#ixzz2lOJm9TcC

Doctor Reimbursements For Patients Covered By “State Exchange Policies” Dropping Even More Doctors Below What Medicare Pays And In Some Areas Less Than Medicaid

Back in November of 2012, a year ago I reported that in California that along with doctors automatically being opted in with Blue Cross, their reimbursement was looking to be around 30% less than what they receive from a standard commercial policy.  Somebody just asked me about that the other day who signed up and I shared that information as and far as I know unless doctors in California sent a registered letter to opt out, they are automatically in network.  This also recently changed a bit as doctors in the rural areas said no and Blue Shield on their contracts had to kind of back down.  Too few doctors agreed to the 30% drop so Blue Shield had to revise their contracts allowing an opt in instead of the opt out to see exchange patients.  I am not sure exactly what happened to the Blue Cross side of this. 

Blue Cross in California Automatically Opts Doctors In for Insurance Exchange Participation And Reimbursement Looks To Be Around 30% Less Than They Receive Now For Individual Policies - Employer Provided Insurance Is Not Affected

So now we have the same situation hitting New York and maybe even harder hit for the MDs.  United has very complex contracts and has been paying doctors in some areas way less than Medicare already as the AAFP confronted them with a while back.  Insurers don’t want reduced profit margins that’s for sure.  The New York folks won’t get the same treatment as California did though as United is different, just look at all the doctors they are firing. 

The AAFP Confronts United Healthcare On Reimbursements, Some Are Below Medicare Rates In Parts of the US–Payment Algorithms/Formulas Calculated Deep Within IT Infrastructures Do the Job

Everyone compares this to the Medicare roll out but let me tell you we did not have all this connected data and executing algorithms back then and it will not be something that will settle down as this will not go away.   You cannot have a “static” formulated law and have insurers with math models and algorithms that can change by the minute based on profit…it will all tumble in time.

One doctor commented and stated that in south Florida United is paying  paying 75% of what Medicare pays using a 2001 Medicare fee schedule and the company keeps telling everyone they are out to reduce MD compensation with their press releases sometimes. 

UnitedHealthCare Looks at Doctor’s Pay for Savings, Nothing New There Been Doing It for Years But Keep In Mind We Have the Annual Medicare Cut Fix on the Floor Again with Congress–Timing?

The only relief that doctors did receive earlier this year in the reimbursement area was a decision from the Supreme Court that now allows doctors to group together to litigate which United Healthcare fought tooth and nail to not allow this as it has been in their contracts for years to have one doctor against the big corporation.

US Supreme Court Rules Physicians Can Work As A Group To Fight Unfair Business Practices of Health Insurers–Victory Over United Healthcare (Oxford Subsidiary)–Context Once Again With Contracts

Some of the rates bottoming out in some areas are even less than Medicaid.  If that were to happen in California which has like the lowest in the US reimbursement rates, there would be very few doctors to see.  It’s the bottom of the barrel, so no more goes the balance of commercial and Medicare rates, and actually that was gone a long time ago.

Something of interest United their new biggest single share holder, Brazilian Billionaire Edson de Godoy Bueno who came into power and has a board seat when United bought Amil, the largest HMO in Brazil. 

United Healthcare Negotiated to Buy 90 Percent of the Largest Managed Care Provider in Brazil, Where Insurers Can Own Hospitals and Physician’s Practices

In addition United wants to make even more money consulting and being the implementer for the biggest medical records companies in the US, an outsourcer. 

United Healthcare (Optum Insight Subsidiary) Wants To Be Your Allscripts, Epic And GE Centricity EHR Consulting Service Starting With Implementation And Beyond

I say watch United and their contracts and deals as they have some scars from the past to include the big AMA class action suit to where by design with “math models” and computer algorithms, they under paid out of network charges for 15 years and all the other big carriers licensed their model and did the same and there’s still tons of lawsuits out there. 

AMA Announced Settlement of Class Action Suit of $350 Million

You can also go back and re-visit the biggest derivatives settlement to date with back dating stock to where the former United Healthcare CEO, William McGuire  resigned and took the hit but if you read the court documents, their current CEO was doing the same thing but dollar amount was smaller.  BD


Insurers are slashing payments to medical practices in many of the plans they sell through the new health-law marketplaces—sparking worries that Americans signing up for coverage will have fewer doctors to choose from if low fees spark an exodus from the plans.

UnitedHealth Group Inc. UNH +1.29% sent some New York City physicians contract amendments as recently as this month setting rates well below what doctors normally see from private insurance, including less than $40 for a typical office visit and about $20 for reading a mammogram, according to confidential documents reviewed by The Wall Street Journal.

"We have heard from a lot of physicians the rates [insurers] are offering them are very low, and physicians are questioning whether they are going to participate," said Sam Unterricht, a Brooklyn ophthalmologist and president of the Medical Society of the State of New York.

More physicians may leave the plans as awareness of the new rates spread, doctors and experts said. Many doctors surveyed in September by the Medical Group Management Association said they weren't aware of the fees they would be offered for treating patients gaining coverage on the exchanges. Of those that had heard, 37% said the rates offered were lower than Medicare, and 18% said they were lower than Medicaid rates, according to the survey.

http://online.wsj.com/news/articles/SB10001424052702304607104579212450545926912

United Invests in Another Low Income Rental Housing Project–Minnesota–$50 Million This Time

We have doctors seeing Medicare Part D patients being fired right and left but there’s still enough money around to invest in the housing market.  United is the first and largest investor in the program named the Minnesota Equity Fund.  With current economic conditions with banks and insurers controlling all the money these days, I guess this is the way to help solve the problem, turn more folks into renters that can’t find decent paying jobs?  Google is also investing in low income housing to the tune of around $86 million. 

UnitedHealthcare Doesn’t Want To Let Wall Street Own All the Rentals, One More Housing Community Opened in Ohio With An Almost a $9 Million Dollar Investment, While Doctors Caring for Medicare Advantage Patients Are Being Cut From Their Networks…
United Healthcare Gets in The Low Income Housing Business With Partnership to Finance Housing Projects in New Mexico

By the way, United does own it’s own bank…

“OptumHealth Bank, Member FDIC, is dedicated to health care banking. It is a leading administrator of health savings accounts (HSAs) for individuals and families, with more than 500,000 accounts. OptumHealth Bank also offers credit programs to individual account holders to help them pay for out-of-pocket medical expenses.

The bank has other investments that are outside of the FDIC insurance area of health savings accounts as well and you can get a MasterCard debit card.  BD 


UnitedHealth Group Inc. said Thursday that it is putting $50 million into a fund to construct hundreds of low-income housing units in Minnesota and the Upper Midwest.

While the investment brings financial benefits, officials at the nation’s largest insurance company said it also aligns with a corporate belief that stable housing is a key component of better health.

“It’s a way to build healthier communities and healthier lives,” UnitedHealth spokeswoman Lynne High said. “It fits with our mission perfectly.”

The insurance giant is working with the Greater Minnesota Housing Fund, a 17-year-old nonprofit that recently created a new program to attract “socially motivated” Minnesota companies as investors.

The businesses provide the equity capital to finance low-income housing projects, and, in return, are awarded federal tax credits for 15 years.

http://www.startribune.com/business/231933561.html

John Boehner Finally Has Success With Enrolling at Healthcare.Gov–Having A Few Less “Magpies” In Congress Is Always Welcome With Members Being “Hands On” Using Consumer Technologies

I had some posts going back where I used the term “Magpie Healthcare” when it came to executives and members of Congress and the White House never trying for any “first hand experience” and so you can’t say John Boehner is a “magpie” anymore, he dove in there and not without the same frustrations experience by many.  The site is better but not completely stable as the combinations of items queried and the execute actions that follow up are varied as they change from individual to individual with putting together a different map with each enrollment.  That’s the stable part the engineers are working to fix.  I know, used to haunt me years ago and it’s a bear finding some of those glitches as some would do fine with querying certain patients and data related to medical records and others once in a while would “dive” so finding the “dive” bug can be a real challenge.  We all know by now that we have yet more omissions with the creation of the website…you can read my rant below on that one…issues that set things off on the wrong foot from the beginning as the “data logic” in planning was not there.

HHS/CMS Pulls An “Allscripts” Mistake–”Code’s Not Done With Healthcare.Gov”…And Did Anyone Look at the Oracle and Microsoft “Turnkey” State Health Insurance Platforms…There’s a Time and Place for Open Source And The Insurance Exchanges Are Not It Right Now..

Up until recently you never saw Sebelius taking advantage of trying to be some kind of a role model…it was always for “those guys over there” and she carried that message clearly in her public addresses and she probably didn’t even realize that she gave off that perception, but she sure did along with a few others. 

ONC New Health IT Video for Consumers–Very Well Done But Where’s Sebelius, Benjamin and Other Executives With the Role Models We Need? What Do They Do for a PHR? Inquiring Minds Want to Know…

Patients don’t engage for one because there’s too many “healthcare magpies” running around out there and secondly we have the data selling epidemic that continues to grow and make the rich, richer.  If Walgreens pulls in about a billion a year on selling data just add the banks and tons of other companies in and you’ll see where the easy money is made, selling “our” data. 

Licensing and Excise Taxing Data Sellers, Facial Recognition Yet One More Tool Used To Secure & Match Data - The Epidemic, Billions in Profits for Banks and US Corporations Using Killer Algorithms to Further Erode Consumer Privacy

When it came to personal health records, we have more magpies running around in this area than any other that don’t use their product  themselves but crash down on you if you don’t use their creation (grin).  The same can be said for mobile developers too with consumer apps, it’s fun to bust them here and there and find out they don’t use their own creations but yet will stand on a soap box to get you to use it (grin). 

Right now though consumer interest in apps and devices is probably growing to a snail’s pace as the insurance issues are center stage, I know it is for me.  This is really a good thing that the Speaker of the House went “hands on” and a little bit of a voice to challenge others to do the same, they will understand more about the issues with the website and the frustrations.  Granted constituent input is always great but nothing stands out like doing it yourself.  BD 


About an hour after Speaker John Boehner’s office said he couldn’t sign up for Obamacare coverage on the District of Columbia’s exchange, his office said he’s now officially enrolled.

“Kept at it, and called the DC Health Link help line. They called back a few hours later, and after restarting the process on the website two more times, I just heard from DC Health Link that I have been successfully enrolled,” Boehner’s office wrote.

 http://www.politico.com/story/2013/11/john-boehner-blocked-from-health-sign-up-obamacare-affordable-care-act-100228.html#ixzz2lKsjcBJG

Hypnotoad Healthcare–Bound To Be The Best Behavior Modification mHealth App To Come Along In Ages, Can Be A Great Addition for Portals Too..(Video)

You know what we have tried just about everything else and if you can’t get folks to engage then why not put Hypnotoad to work, can’t be any worse that some of what has shown up in apps.  He’s an interesting character as the sound that comes along here is a recording of a turbine engine played backwards.  Sounds reasonable to me as everyone has tried just about everything else.  Yes there’s an IPhone and Android app for him. 

ALL GLORY TO THE HYPNOTOAD

Video is interesting and I didn’t stare at it long enough to give it the full test…but anyway here’s to the glut of behavior modification apps that we keep getting marketed with as the answers to all our problems and the fix to all their profits, but Hypnotoad scrapes and sells no data:)

Hypnotoad Healthcare


Hypnotoad is a large toad-like creature that has large oscillating multicolored eyes and emits a droning hum. His eyes glow all the time. The toad apparently uses these as a power of hypnotism on surrounding people and animals.[1] Hypnotoad hypnotizes sheep into a pen at a pet contest and then hypnotizes the judges and the audience into awarding it first prize (see clip below). He is also known to hypnotize crew workers into committing suicide when his show is interrupted.

Hypnotoad also has its own television show called Everybody Loves Hypnotoad. It consists of a stationary camera filming the Hypnotoad and its noise continuously. Despite the odd premise behind the show, it ran successfully for over three seasons, possibly because it hypnotizes the audience.

http://futurama.wikia.com/wiki/Hypno-Toad

US Congressman Gets One Year Probation Cocaine Possession In Florida, A State That Passed A Law to Drug Screen Medicaid Recipients…Should Members of Congress Be Screened?

I think we need to start drug screening Congressmen.  The law by the way has not been enactedimage due to a judge putting it on hold.  It was passed in 2011.  Governor Rick Scott was hot after this bill convinced that Medicaid and Welfare recipients had too many druggies in the crowd.  The state did have a four month run and had 108 negative tests and only 2.6 percent failed.  The state had to pay for than $100,000 to adults who paid for the test and passed. 

“The 11th Circuit Court of Appeals did not evaluate the constitutionality of Florida's law, though judges remarked they were skeptical of it surviving the lawsuit. In a 30-page decision, Judge Rosemary Barkett said attorneys for the state did not prove that children of families who receive TANF are more at risk without drug testing in place.”

So again, cheaper to drug test Congressmen, you think?  Over the years I worked for companies that had drug testing that was random and that’s a company decision of course and not a law.  So now we get to probably pay for his rehab?  Funny drug dealer turned him in and bought his stuff right in DC.  BD


(CNN) -- U.S. Rep. Trey Radel was sentenced to a year of probation after pleading guilty Wednesday to misdemeanor cocaine possession -- a charge that authorities say came after he bought a small amount of cocaine in a sting in the nation's capital last month.

Radel, a 37-year-old first-term Republican from Florida, said at his sentencing in D.C. Superior Court that he plans to enter an inpatient drug treatment program in Naples, Florida. It wasn't immediately clear how long he would be in treatment.

The plea and sentence were part of a deal that Radel's attorney struck with federal prosecutors. He could have received a maximum sentence of 180 days imprisonment or a $1,000 fine, or both. Instead, he was placed on one year probation, and if it is "successfully completed," his guilty plea will be cleared from his record.

http://www.cnn.com/2013/11/20/politics/congressman-cocaine-possession/

Reaching a New Low: Wellmark Blue Cross Running Ads About Healthcare.Gov Being Impossible To Work With, Talk To Us Instead…(Video)

This is kind of interesting since Blue Cross of all the major carriers is participating big time with the exchanges and now wants consumers to call them direct.  Yesterday thought it really got bad with HHS and CMS not being honest about all the code being written for the “financial transactions” being even started.  I had my rant with that and why they chose to write code from the bottom up with a short time frame is beyond me.  I guess this must have come out when Sebelius sat down and had the site crash on her in Florida, but she’s got bees in her bonnet and dislikes technology anyway, body language and speeches say it all. 

HHS/CMS Pulls An “Allscripts” Mistake–”Code’s Not Done With Healthcare.Gov”…And Did Anyone Look at the Oracle and Microsoft “Turnkey” State Health Insurance Platforms…There’s a Time and Place for Open Source And The Insurance Exchanges Are Not It Right Now..

Now in addition to all the complexities of insurance and let’s not forget who created a lot of them, insurers, they now to bring in their Quants to create new “math business models” just like the banks and hedge funds use.  Look at the classifieds, more insurers now are hiring “Quants”…how many actuaries write C++ or Python?  That’s what this takes to develop “insurer profit models”.  I explain a lot of this and there’s my Algo Duping video page as well that shows exactly what Quants do.  Subprime anyone?  It could not have occurred without Quants and the models so same thing going on here and there are good models that we all need and use too, but keep in mind there’s always that other side and it did show it’s big ugly face during subprime. I think everyone should be exposed to the truth and methodologies used and you don’t have to be a mathematician but rather just understand the processes and how servers running 24/7 make life impacting decisions about all of use and make other even richer. 

President Obama’s Decision to Extend Insurance Polices Will Help Consumers While Insurers Bring Out Their Quants to Re-Design Their Business Intelligence Profit Models-And Are We Over Segmented In Practice?

Nobody has ever been asked to be accountable for their math either..way over what the government can do it seems and I keep saying the Feds should hire an army of quants so they know what goes on with the other side.  We have useless folks like Richard Cordray that is building a data base so he can learn…we don’t have time for that either.  BD

Richard Cordray, Fail With Understanding Flawed Models and Algorithms -Big Case of“Algo Duping”With Big Data-Save Time, Hire Quants Who Know How Consumer Financial Models Are Built and Function…Geez


A couple of days ago, I received two letters from my health insurance company.

One welcomed me to its autopay system -- which was a touch odd, given that I had been in its autopay system for many years.

The second told me that I was about to have my health insurance cut off, as I hadn't paid my monthly bill.

Please forgive me, then, if I'm not bathed in admiration for the way health insurance companies do business. There is one, however, that wants me (and you) to believe it's the apogee of efficiency.

Wellmark Blue Cross Blue Shield wants you to know that the Obamacare Web site is just a painful affair, while its Web site will cure you of all ills.

http://news.cnet.com/8301-17852_3-57613203-71/obamacare-web-site-mocked-by-yes-insurance-company/

HHS/CMS Pulls An “Allscripts” Mistake–”Code’s Not Done With Healthcare.Gov”…And Did Anyone Look at the Oracle and Microsoft “Turnkey” State Health Insurance Platforms…There’s a Time and Place for Open Source And The Insurance Exchanges Are Not It Right Now..

Here we go again and now we hear “code’s not done”…well a couple years ago a medical records vendor by the name of Allscripts got into trouble with shareholders with not having their code integrated on time and were projecting sales on the the fact that they could not go forward until the code wasimage done and had to get Microsoft to help them out.  Once CEO ended up out of a job.  You don’t do this as it will always catch up with you.  If you want to read back a couple of years, there’s the lawsuit actions that took place.  It’s not magic, you need code so either believe in magic or math, I choose math and code.

Class Action Lawsuit Filed Against Allscripts For Misleading Investors With Merging Data Systems–Too Much Code and Not Enough Time – Attack of the Killer Algorithms Chapter 30

Ok enough about that topic and on to CMS not having their code done…this is bad and I’m going to make my case once more.  It’s great to take advantage of Open Source code and write your project from the bottom up, but good grief the time element was not here to do that.  Why write tons of code when you can license commercial software and have a website and data base apps that are already integrated?  Sure there’s still more coding to be done but gee wiz if you can cut half or better out and not have to write that from the ground up with applications that have not been integrated in such fashions as this project calls for…well what are you doing?  I thin Henry Chao got put on the hot seat and caved in with trying to appease the dummies at the top who thought they could put a band aid on this and buy time, it doesn’t work and digital illiterates like Kathleen Sebelius (we have to hurry up Health IT speech she gave) are the root the problems here.  She has no IT logic and I know how IT folks bend over backwards to try and accommodate, as I have been there done that and you do reach a point to where you have to say “NO”. 

After you do that though the digital illiterates with no “data mechanics logic” look at you like “you just can’t do the job”…oh yes the follows as they think they can grab someone else to work some magic..not there…”short order computer code kitchen burned down years ago and there was no fire sale”…listen to the video here..

CMS–Code’s Not Done…

The system is not 100% there as Henry Chao says…it’s not working and it is getting better but you need stability and there’s no rhyme or reason why some folks can get through while others have problems.  It’s the way the algorithms work together and if one applicant is connecting to data that has some corruption for example or is connecting to a module that the next person does not need to connect with, the executions are different so when you say a “stable” system you need one that won’t have interruptions and will process all executes successfully.  I know, I have been there done that too with finding bugs that would haunt me until I figure out what the code error was to be fixed and recompiled to eliminate that and sometimes it took a few weeks on some of them, it’s the software world folks.  Spent many non sleep evenings working on fixing bugs, and well that’s why I don’t write anymore:) After you fix it and have tested it in your own environment then you go install and have you 2 doctors looking at you saying “what the f**k is not going to work when you get done this time”…and sometimes that would happen and back to the drawing board to hunt down another problem that the “fix” created..are you getting this yet?

So why in the hell are they writing code from the bottom up?  Sometimes contractors like to bid projects that way as it’s more money in their pocket versus using “modular off the shelf components” in the project.  Want an example, look at Covered California, guess what they did… modular.  I wrote this up once already, link below and added a little Jon Stewart to add some entertainment to the post.  Who ever thought they could buy time this way was a fool.

Daily Show–Jon Stewart Takes on the Healthcare.Gov Website And My Questions On Why Were Oracle and Microsoft “Turnkey” State Exchange Platforms Not Used or Mentioned–Could Have Saved Writing A Lot of Code

From 2011, both the Oracle and Microsoft State Exchange Technology Platforms they built..here’s a 40 page pdf that includes the screenshots from below, and yes Oracle has been doing transactions for years…I’m focusing on their technologies as the contractor did buy a “few” of their modules and instead of buying more they are writing them in Open Source from the bottom up…Oracle Fusion Middleware anyone with a WebLogic server with integration already built in anyone?  This is not a commercial this is just flat out common sense…and even an Oracle installation is not simple and needs code but a hell of a lot less with writing apps and with a server that scales better right now until JBoss and some of the other technologies catch up.  Just for good measure, here’s a link to the Oracle Financial Management solutions. 

Oracle turnkey State Exchange Software platform…

Oracle's Solutions for Health Insurance Exchanges- Oracle Website

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Microsoft turnkey State Exchange Software platform…

Now who doesn’t want streamlined access right about now to Healthcare. Gov…this is an image from the Microsoft page with HIX solutions. 

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I watched the testimony from Congressman Issa and everyone was an adult and good questions were asked and it was much better than listening to Sebelius who has pretty much canned responses anymore as everyone can pick her apart but this one was good; however this little fact didn’t come out then either.

Would everyone just quit lying their ass off?

House Oversight Committee Testimonies Today With Technologists Was Informative, Had Good Questions and Answers and Everyone Was an Adult

Now the next situation with insurers is to call in their Quants to create new math models for the extensions of the current day insurance polices and they are not too happy about that I can guess as now this changes their entire business plan and projected profits and revenues.    If you look at the classifieds, insurers are hiring more Quants by the week and they need Quants on this type of project as this is beyond actuaries (that don’t write C++, Python, etc.) if they are going to have models that work like the banks use for profitsJust like Hedge Funds, it’s getting harder with more segmentation methodologies for the Quants of Insurers to write models that will work, the two have something in common and this makes an important time for the Hippocratic Oaths to be honored I might throw in. 

If you don’t know what a Quant does scroll on down to the footer and watch video #2, that’s will get you up to speed and if you want more, visit the Algo Duping page for more videos done by folks smarter than me. 

President Obama Extends Current Insurance Policies For A Year With Stipulations As Goes With The Continuous Rise and Fall of The Machines In Healthcare Just Like The Markets…And How Will Insurers Implement This Model?

So like I said at the above link, Obamacare, just like the markets is the continuous rise and fall of the machines and we do need to start asking for accountability with math models, now.  It’s not the politicians, it’s the code running on servers 24/7 making life impacting decisions about all of us.  BD

http://www.youtube.com/watch?v=AtoInCtk74E