Nancy Pelosi on Obamacare And The Website “It’s Not My Responsibility” We Just Work Hard and Pass Bills, Blame Sebelius at HHS…Jon Stewart At the Daily Show

Do you have your insurance..Jon says…again it’s the same old same old…digital illiteracy…folks your jobs are changing with the need for “some” IT knowledge.  Stewart talks about the Obama’s IT guy being incompetent..well yeah just look at the current marketing campaign that targets the imagereading levels of 5th graders. 

Sad the White House has been a bit into the templated “dummy down” routine..I’m tired of pictures of tea cups.  Pelosi says there’s more of a problem at the  Executive branch of late.  I come back to this link below again and this is big and you should read it as it’s all over the place, with everyone.  I have to laugh at the GOP wanting to rip and repeal, well we might need mass graves to bury the software engineers as they die of exhaustion.  The democrats worry about the GOP brining it up as they don’t know what a model is either (grin).  People don’t know where the virtual world leave off and begin and how it does or does not relate to the real world.  Former Goldman quant Emanuel Derman says the same thing in video # 2 below “people don’t work that way” when he discusses some of the weird quantitated models that are out there that people get duped on, aka quantitated justifications for things that are not real. 

Movie “HER”– Good Example On How Folks Can’t Separate And/Or Unite The Virtual With The Real World, Billionaires Are Made Out of Those Who Know How to Keep These Areas “Gray” With Creating and Maintaining The Addictive Code That Does It…

I have a name for the Healthcare tech issues..it’s called the Sebelius Syndrome…and the RNC has it too.  There is hope though as a former Microsoft Executive is working on the Syndrome, but still of the Syndrome is in charge (grin).

White House Names Former Microsoft Executive To Head Up Fixing “The sebelius syndrome” Plaguing What Ended Up On Healthcare.Gov

And here’s part two…government having a role…technologically almost impossible..more about the website and the VA…sorry majority is not helping much with digital illiteracy…oh yes everyone is unhappy…ok here we go, change how politicians campaign (grin)..that’s will fix it.  She tries but so much of this and the mechanics is over her head too, God forbid pass a law with some digital IT infrastructure in it.  She says we can do better.  Poor thing she thinks that current laws will have impact with Wall Street…no it’s more like this, link below..and more at the AlgoDuping page for even more…

Not Only Is It Time to Hold Banks and Corporations Accountable, But Rather Hold Their CEOs, Math Model Creations and Proprietary Computer Code Accountable As Well…

 

Makes a big case for the restoration of the Office of Technology Assessment that I have been screaming about for over 2 years now.  Amazing in the most complex times ever, they don’t want help in Congress…guess they know it all right? 

Congress Needs a bigger brain–Restore the Office of Technology Assessment And Truly Assess What is Useful And Remove The Algo Duping Permeating In Government–Fantasy Perceptions That Are Not Real Can Be A Dangerous Thing

And here’s Part 3…still good intentions for sure…but technology is way over their heads..Stewart gets it…”green knows no party”…she gets “green”confused…with environment issues…ok enough said.   

Not bad with good intentions from a time era that has passed and we just don’t live in that era anymore.  BD

Movie “HER”– Good Example On How Folks Can’t Separate And/Or Unite The Virtual With The Real World, Billionaires Are Made Out of Those Who Know How to Keep These Areas “Gray” With Creating and Maintaining The Addictive Code That Does It…

Of course the movie is an exaggeration and is for entertainment but when you look at how this man is existing it’s not far off from what we see out there today.  We have a lot of quantitated imagejustifications with a lot of marketing and a lot of computer code out there.  I wrote about that a couple months ago and observing some of this long before the movie came out.  I’m totally logical though and that’s what drives my thinking.  Learning how to write code did that to me, not on purpose at all, just a by product. 

Quantitated Justification For Believing Things That Are Not True And Using Mathematical Processes To Fool Ourselves-The Journalistic Bot Functionality Debuts As Media Can’t Resist the Formulas…

If you have been on a dating site and I would guess over the age of 40, you kind of see some of this already as folks settle for emails with many people that just want to chat and really don’t want make themselves available for a relationship with another human and have settled for that.  The mathematicians that write the algorithms for the sites are very smart and know how to keep people addicted and coming back so they get more ad exposure and clicks and make more money.  It’s really sad but that’s the reality and one site will even send you flow sheets and stats, which of course is yet one more addiction…in the video clip below Professor Siefe does a good job with telling you how this happens and how they play on the ignorance of math.  You can watch the entire video in the footer of this blog.

Even the other day we had Mr. Perkins, the millionaire have a public meltdown feeling he was being picked on by the poor so both the rich and the poor are sucked in at different levels to virtual worlds and it is getting to be a problem as people don’t know when the virtual world leaves off and the real world begins and the same with the values. I watch people that go nuts on Twitter and re-tweet every stat or infographic they see…and some are good of course but you really need to be a skeptic on some of this.  Good essay here on being a skeptic from a former Wall Street Quant who knows all about how financial models lie and hide risk. 

“On Being a Data skeptic- Modelers Have A Bigger Responsibility Now Than Ever Before”–A Must Read Essay, Start “Sniffing the Data”…

Who better to listen to when one who has been there, but she’s over on our side now and not working in the virtual worlds that suck in both you and your money too. 

HER–The addictive virtual world..

Facebook is very financially successful virtual world as everything you do there is virtual and it’s a bunch of algorithms that from time to time dump your personal data on the web and addict you to their algorithms so they mine and sell your data profiles and increase their ad business.  As you cans see, Wall Street loves the virtual worlds and the confusion it creates as they make big money off it and do anything needed to build the perception that you can’t live without it.  Watch video #2 below, the quant documentary and some veterans of Wall Street tell how it works as they used to do the math models. 

So when you think of the virtual female in the HER movie, think of the financial wizards that know how to create HER and let the virtual world into you bank account and you even feel good about it as the algorithms and models are created to make you feel that way, like you got something..well mostly what you got was being connected to something with no tangibles to speak of.

The virtual world will win when we can all fry a “like button” in a skillet and eat it for breakfast.  Bill Gates is one of the few that keeps this in check and you heard him say back in November that getting connected to the internet is stupid. Davos needed a good whack of his logic but I don’t think it happened, link below.  His words not mine but they are true and I hoped that he could have addressed it at Davos as all you needed to do was listen to the Pepsi CEO and she was way out there and just complained about the press.  Well the news is the vehicles that the bots react to that move stock and are starving for income now.  She didn’t see that side of it and again was so in her own virtual world she couldn’t see the big picture, otherwise she would be throwing some serious advertising money at more news papers. 

World Economic Forum Needs A Dose of Bill Gates To Help World Leaders Comprehend Where Virtual Software Worlds Work and How To Unite With the Real World, Too Much Math In Financials-Nobody Seems To Understand The Mathematical Causes and Effects Of Economic Complexities…

This is really is an issue as I have said and if you suck up all the marketing, stats, surveys, etc. you come across, well that’s your gateway to being lost in the real world and not able to stay in touch with the real world where those models don’t work…”people don’t work that way”..quote from Emanuel Derman, former Goldman quant featured the Quant documentary, video #2 below.  I’m telling you when the folks that are physicists, mathematicians and computer scientists that know how to get you addicted tell you how it works and you don’t listen, then you get stuck with not knowing how to apply and work with technologies in the real world. 

There’s good stuff out there too and that’s the problem and where it gets gray as you have so many marketing folks pouncing on you at every turn.  Heck I even have Microsoft in my face pushing Facebook, well because they own a portion of it with stock.  So when I see that, they just want the stock to go up, don’t care about you or me:)

Mike Osinski is very good too with his explanation, he wrote the software that banks used, remodeled and abused for subprime..”with software you can do something about everything” and then he talks about his oysters, and says “that’s what matters, the real world as you can be totally absorbed in a fantasy software world”..voice of experience from when he was programming as he said he didn’t even know what day it was at times as the concentration is that fierce (and I’ll agree there being a former coder) and “you can’t be wrong”…

I get addicted to writing about it as myself  being so darn logical and being able visualize the data mechanics I walk around see it all the time with people not making sense and looking for algorithm fairies.  No you can’t wish and pray for for code or for code work right…doesn’t work that way.  HHS thought so in October though (grin).   

More videos at the Algo Duping Page from people smarter than me with a lot of logic who visualize even better than me and they will make you mad if you begin to understand the process and how you are duped and duped again.  Of late too, the White House has been kind of duped too with this templated marketing campaign I have seen in other places, like MasterCard getting in to everyone’s digital pants , and not much there worth watching there either as most of it seems to be targeted at the level of a 5th grader and there’s no time for “dummy down” stuff where I come from, but that’s just my opinion and what I see.  Now that I see Facebook in partnerships with Barclay’s bank, one more reason to be cautious as now you have Quant at the banks and data scientists at Facebook collaborating for more that mine and sell your data a and hide risk at the same time so Zuckerberg gets richer and the bank makes money at it too.   BD 

MasterCard Recruiting Software Engineers For New e-Commerce Technology Lab, Maybe More Slicing and Dicing of Our Data To Sell to Insurance Companies for One? Be Wary of Corporate “Algo Dupers” Out There Feeding on “Non skeptical Consumers”…

http://www.youtube.com/watch?v=WzV6mXIOVl4

Sanofi Sues Eli Lilly Over Drug Insulin Drug Patents –Is It A Tactic To Stall Generic Version?

You kind of have to ask that question as the lawsuit gives 30 months to keep a new generic produimagect off the market, which occurs by just filing the lawsuit.  So Is Sanofi buying time here with preventing Lilly from producing a generic version of the drug Lantus? 

Sanofi also has another insulin drug  in the works called U300, which needs approval but depending when it may or may not get approval, this buys more time to switch patients to their new potential insulin drug.  Lilly of course is challenging the lawsuit.  One Lilly filed with the FDA looking for permission to sell generic version, the lawsuit appeared.  BD 


Jan 30 (Reuters) - French drugmaker Sanofi sued Eli Lilly and Co on Thursday, alleging that the U.S. pharmaceutical company infringed patents on its top-selling diabetes treatment, the insulin product Lantus.

The lawsuit, filed in United States District Court for the District of Delaware, was triggered by notification from Lilly last month that it applied with the U.S. Food and Drug Administration (FDA) seeking permission to sell a generic version of Lantus, known chemically as insulin glargine.

Lilly, in its submission, challenged the validity of several patents on Lantus held by Sanofi.

Lantus is the world's most prescribed insulin product, with annual worldwide sales of about $7 billion.

But the patent infringement lawsuit triggers an automatic 30-month stay of a generic approval by the FDA, which would keep Lilly's generic off the market until mid-2016.

http://www.reuters.com/article/2014/01/30/sanofi-lilly-insulin-idUSL2N0L42H720140130?feedType=RSS&feedName=rbssHealthcareNews

When Doctors Give Patients Money, Hospitals Pay Patient Insurance Premiums, Humans Helping Other Humans As The Attacks of the Killer Algorithms Grow Stronger Everyday While Gov Can’t or Won’t Model Or Wake Up For That Matter…

I don’t have a clue as to when buzzer’s going to go off but all the money the Health IT folks are counting on for income from Hospitals is going to reach a breaking point at some time as both patients and hospitals are looking for money.  Of course there are a few exceptions with the UPMC who hauls in a billion a year and has imagethe city of Pittsburg trying to take their non-profit status away as they need the money, and there are worker protests galore on poor pay, but those are a few exceptions and not the norm.  Here’s 6 hospitals this week that went up for sale due to lack of money..

Hospitals Feeling The ACA Crunch In California As Financially Strapped Daughters of Charity Health System Put Six Hospitals Up For Sale

Sometimes your perception just kind of depend what news story you read with a smaller focus and thus so you could miss the overall big picture.  So if you were to read about UPMC you think those rich hospitals are really making out right?  Well go read a few more and see what you think.  Just do a search on hospital layoffs and you probably will get a better overall picture. 

Then you get the big stink about hospitals potentially paying for patient premiums..well why they not..if money is not looking good, who’s going to sit there and say well we shouldn’t do this..bull..use your head.  Why would a hospital sit there and say well we are going to go a bit further into the hold here with our charity care when all that’s needed is to pay a few premiums and shift it back to insurers.  This morning there’s a study that came out with hospitals not recognizing the signs of bankruptcy!  Can you believe that…you can’t make this stuff up.  It’s the same issue I keep talking about with folks not being able to see the difference between virtual worlds and the real world so let’s flip this around and blame hospitals for being negligent..it’s the perception that is put out there with news and what other people see and it may not be true at all, just a number crunch and a small focus for a story. 

Hospitals Could End Up Paying Insurance Premiums With Consumer Policies Bought Through Exchanges If Patients Fall Under Major Income Stress Leading to Payment Default

And then you have others that are becoming bed partners with insurers in different ways too..here’s a couple..as subsidiaries of insurers in place can keep a closer look and suggest maybe some data selling revenue streams.  Or in the case of United they want to be the everything/anything integrator with medical records for a few large vendors…eye on the money.  You have Mayo Clinic doing their thing with telling you they are not looking for money to grow and practically doing commercials to get some revenue streams with working with United Healthcare labs on selling data. 

Sutter Health Forms New HMO Plan, SignatureValue Alliance and Hires Former OptumInsight (Ingenix-United Healthcare) Executive To Run It
United Healthcare Adding Yet One More Subsidiary to the Very Large Number of Subs They Already Own/Operate-Optum and dignity Healthcare (A System Wide Cerner EHR Client) Form New Venture Called Optum 360–Subsidiary Watch

So this is where the responsibility and caring  taking place, with humans, not the corporate algorithms that crudely deny your access at times with no human to explain why the algorithms of health insurers, HHS and CMS say no.  Where’s the next pot of gold for all the Health IT money going to come from?  There’s a real need for adding some real modeling to government budgets and not to mention getting folks in positions that understand this and how code works. If you are relating to a brand only in healthcare today, well there’s a good chance you have been brainwashed as that breaks down the human to human relationship. 

We have it with banks and proprietary code and same goes with insurers and other healthcare entities, some who dump your data all over the place too, there’s no accountability and a government who runs for the hills when it comes to math.  They could cut to the chase as there’s a lot of modelers who have been on the other side willing to help and educate.  It hard when you watch executives running HHS that still seem to think that algorithm fairies exist and those examples have been numerous in the press the last couple of years (i.e. let’s hurry up Health IT and everyone cheats on billing). 

Not Only Is It Time to Hold Banks and Corporations Accountable, But Rather Hold Their CEOs, Math Model Creations and Proprietary Computer Code Accountable As Well…

Insurers just like hedge funds are having a hell of a time getting their quants to find those magic formulas today and after a while they don’t work anymore.  Watch the 4 videos in my footer to learn how this works or visit the Algo Duping/Killer Algorithm page.  You don’t have to take it all in at once, just keep going back.  BD 


A physician recently wrote in JAMA about giving a patient $30 to help pay for a medication after a two-hour phone battle with the insurance company came to naught. He was cited by his institution for unprofessional behavior, but was also deluged with letters from doctors and nurses who have been in the same position and done the same thing.

We hear daily about “health care costs,” a lumbering behemoth that dominates the news and the economy. But it is the smaller amounts, literally the pocket money, that often has the most profound and palpable effect on the concrete currency of health.

http://well.blogs.nytimes.com/2014/01/30/when-doctors-give-patients-money/?_php=true&_type=blogs&smid=tw-nytimeshealth&seid=auto&_r=0

Lie Witness News–State Of The Union Address From Jimmy Kimmel Conducted “Before” The Telecast, “We Can Take A Lot Of Social Network Survey Data Content Value And Shove It” After This Great Display of Quantitated BS…

This is so funny…this was done yesterday before the broadcast…how much faithimage do you have in surveys?  You can can a lot of what rolls out of Social Networks based on this…sorry folks for all of you that spend your time with queries and algorithms trying to sell it:)  “Did Joe Biden embarrass himself”…

I love this video!  I wonder if they were thinking about the State of the Union from the last broadcast?  How about Obama’s tie?  One guy watched in a hotel room with his wife.

There was too much product placement…What do you think about Obama faking the heart attack at the end…great questions…what was your favorite part…the end.  People lie…and have fun with it…so as I said, what’s the value of all the social network surveys for accuracy and real feelings..well you have seen it here…so quit selling that stuff and cut with the quantitated justification  bullshit..more on that topic at the link below…cheers!  BD 

Quantitated Justification For Believing Things That Are Not True And Using Mathematical Processes To Fool Ourselves-The Journalistic Bot Functionality Debuts As Media Can’t Resist the Formulas…

State of the Union Survey…Jimmy Kimmel..

http://www.youtube.com/watch?v=kWI58bgdVfw

WellPoint Fourth Quarter Profit Drops 68 Percent, Not All Insurance Exchange Related, Company States Policy Pricing Models For Exchanges Are Correct As The Algorithms All Come Out To Play And Run Financial Code…

Part of the report included a sell off of the eye glass business which was completed recently.  During the fourth quarter there was higher usage as many visited the doctor to take advantage of end of year services before a new year of deductibles begins and that happens everywhere just imageabout with both employer and individual accounts.

WellPoint Sells 1-800 Contacts And glasses Subsidiary To Private Equity Firm–Subsidiary Watch

WellPoint is probably the most volatile here with insurance carriers as a large portion of their business compared to others is individual polices and the company is participating nationwide with health insurance exchanges.  They had to do some adjusting and were hit with a fine when it came to how they were handling the algorithms that were dropping policies for clients as well. 

Anthem Blue Cross to Pay $6 Million in Fines for Illegally Dropping Policy Holders–Fixing the Policy Dropping Algorithm Parameters…

As I wrote back in October of 2012, in California this was the status of affairs with doctors accepting patients who purchase their policies  from Covered California..doctors get paid about 30% less than other retail type individual policies.  This with Blue Cross as well as Blue Shield turned into a bit of stink as well as both carriers were working to re-negotiate with doctors are too many were dropping out and what the new agreements are, I don’t know.  Over here today, WellPoint states their pricing model is correct. 

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

This is getting tough to get all the algorithms with both coverage and pricing to come together.  Insurers have been in the driver’s seat for a long time with their risk assessments and models that price policies, however things are changing a bit as that math model is now challenged in areas with Obamacare with providing basic services that policies have to meet with insurance sold via exchanges.  Everyone’s experience from all the way around is being based on how the algorithms come to play and interact with each other..and it’s a complex issue.  I have been talking about that for quite a while now. 

Obamacare for 2014, How In the World Are All Those Algorithms Going To Play Together, World of Complex IT Infrastructures That Are Attached To Almost Every Law On the Books Might Pose Some Issues To Recently Generated House Bills…

The Feds though have provided some re-insurance for carriers for 3 years that participate with insurance exchanges and this is like a safety net and is probably of more interest of course to WellPoint than others since they are again bigger with individual polices than the rest of the insurers.  Some carriers like Aetna have taken out their own re-insurance plans.  Here’s a short run down at the link below that gives a few details on the Fed re-insurance safety net.  BD

Obamacare Re-Insurance: 3 Year Protection Plan Covering Insurers Participating in Health Insurance Exchanges Relative to Catastrophic Claims


(AP) — WellPoint's fourth-quarter earnings tumbled 68 percent, as customers of the nation's second largest health insurer raced to use their coverage last fall before it lapsed due to the health care overhaul.

The Indianapolis company said Wednesday that its medical expenses spiked 18 percent to $14.58 billion due in part to higher use of individual policies in advance of overhaul-mandated changes that unfolded this year.

WellPoint Inc. runs Blue Cross Blue Shield plans in 14 states, and its biggest market, California, did not allow these plans to be continued. The insurer did not say how many of its customers received cancellation notices. It provides individual insurance coverage for about 1.8 million people, or 5 percent of its total medical enrollment of 35.7 million.

WellPoint said results also were affected by a charge it booked for unloading its 1-800-Contacts business and by a higher income tax expense.

WellPoint also said it has received about 500,000 applications for individual coverage, mostly from the overhaul's exchanges and from people who were not WellPoint customers previously.

http://www.sfgate.com/business/article/Insurer-WellPoint-s-4Q-profit-drops-68-percent-5184290.php

Former AllScripts Corporate Auditor Charged With Insider Trading, Attempting To Profit From Poor Financial Results..

One more in the Allscripts file as the company has had their issues.  I wonder if this guy had any part in the reporting  to shareholders where they lied about their code being done withimage integrating another software product they purchased a couple years back that cost the CEO his job?   A couple years ago people were not looking at computer code but now they do.  It’s either done and ready to go or not and you don’t project sales on work and code that is not ready to rock and roll as a lot can happen in the development process to cause delays, etc. 

Allscripts CFO Resigns Along With A Few Other Key Individuals, Board Fires Chairman–1st Quarter Had Lower Sales And Net Earnings Down–Long Haul to Get Software Technologies Merged So They Work

So here we have someone in what you might call the “bean counter” side of the business who’s oblivious to what occurs on the tech side, but knows enough to figure out things are going down it appears.  He sold 1000 shares of stock in the weeks prior to the earnings release and I think all remember that call.  After the profits were made on the sale he closed his positions and had been using his wife’s account.  This is not the first time as a couple years ago we had the big issue at the FDA with trading on insider information with using family accounts.  Looks like the SEC is starting to take a serious look at auditors all over, which is a good thing as books can be cooked just like code can be cooked to hide risk.  BD 


A certified public accountant and former director of corporate audit for Chicago-based Allscripts Healthcare Solutions has been indicted on insider trading charges.

Federal prosecutors charged Steven M. Dombrowski with 16 counts of securities fraud in an indictment  announced Wednesday. They allege the trades resulted in a $286,000 profit.

Each count of securities fraud carries a maximum penalty of 20 years in prison and a $5 million fine. 

Dombrowski and the employees he supervised were responsible for auditing and testing the processes and procedures Allscripts used to compute and report its financial performance.  Allscripts makes electronics for the healthcare industry.

http://www.chicagotribune.com/business/breaking/chi-allscripts-cpa-charged-with-insider-trading-20140129,0,5353920.story

Office of Inspector General Tells Post Office They Should Consider Offering Banking and Financial Products–Bring It On As New Affiliations With Credit Unions And Other Financial Entities Could Be On the Table For Discussion

We talk in healthcare about “rural” areas a lot and their access to healthcare, well this could also stand to help provide access to folks in rural areas to make payments easier too.  imageThe report suggests the post office could be selling pre-paid credit cards and why not, as JP Morgan is getting out of that business.  This is interesting as the post office would have the opportunity to model and build their “own” infrastructure to handle this. 

Furthermore the report states that the post office should look into online and mobile technologies to allow customers to check balances, transfer funds, pay bills and so on.  The report said if the post office could capture 10% of this business it could answer a lot of their budget shortages too.  This is a trend happening in other countries as the UK and New Zealand already does it and India is looking at this as well.  US Post Office ATM machines sitting right next to some Bitcoin ATMS or maybe one in the same there too:)  The Post Office already does offer money order services and partners with American Express on prepaid credit cards, so yes why not their own. 

What’s cool too is that we as citizens can have a voice here too..like don’t sell out data with who the post office might contract with.  You have T-Mobile jumping in here too…and they will probably sell data. 

Post Offices can offer more locations than branches of banks as they are already there.  I talked with my local mail carrier and he indicated their recent partnership with Amazon is also working well.  The post office could be loaning money…and already has the authority to launch several types of products.  Who knows as far as affiliations, and perhaps partnerships with credit unions could emerge too.  We heard about the new MyRA announced by the President…potential there to perhaps connect access through the post office, maybe.  Again this definitely has potential for access for rural communities for sure.  Below is the report and study from the OIG.  BD 

Providing Non-Bank Financial Services for the Underserved


The US Postal Service should consider offering financial products such as pre-paid cards to the underbanked as a way of shoring up its own balance sheet, a watchdog has said. Meanwhile, the service's Indian counterpart has already begun its assault on the banking market.image

In a white paper, the US Postal Service Office of Inspector General says that the post office should think about targeting the quarter of American households - 68 million adults - that are underserved by the banking industry.

With its huge physical network, the postal service is well placed to move into this area, picking up the slack left by banks shutting down their branches. However, the white paper stresses that this should not be done by becoming a bank but rather through partnerships with traditional lenders.

http://www.finextra.com/news/fullstory.aspx?newsitemid=25662

CCHIT Announces They Will No Longer Offer ONC Testing and Certification Services, New Focus Will Offer Direct Counsel Services and Work With HIMSS For Software and Policy Guidance

CCHIT was the first company that provided certification services to electronic medical records vendors and I might guess due to that fact they have certified more vendors that the others who joined in later.  This sounds like the change is not unlike what’s happening in a few other areas of Health IT with changes.  imageThe certification guide will still be provided as that appears to be a large part of the new focus with education efforts as well.

As certification exists today with complexities some of the business has slowed down so there’s not as many vendors able to have their software ready for the next level of certification.  This is an interesting topic as it’s something that has crossed my mind too with this responsibility and the other certification contractors of course will have to deal with it.  Even systems that have been certified have had issues so there’s really no 100% guarantee as it’s the times we live in.  Sometimes I wonder how this goes too over at the ONC with policy, as it may be ok today but something can generate a change at any time and you have to act quickly.  CCHIT has also developed framework for ACOs as part of the services they provide.  With complexities as I said a while back and this not only applies here but in almost everything today, we have become hostages of our own tools and infrastructure as software builds on itself.  I made post yesterday too about how the healthcare law can’t be repealed and replaced either due to this. 

And Now For A Word From The Companies That Certify EHR Software Systems Relative To Views On Complexities With Meaningful Use Two–Are We Hostages of Our Own Tools and Infrastructure? I Think That Can Be Safely Said…

GE Centricity was one system certified and they had to fix some algorithms a while back and held up attesting for a short while for a few clients. 

With the current course with medical records this absolutely calls for executives with data mechanics logic for sure and is pretty much an area beyond the comprehension of the average doctor anymore and is an area to where help and assistance is needed.  You can read the full article at the link below and at the HIMMS conference more information will be available as well.  BD 


CHICAGO – Jan. 29, 2014 – Today, CCHIT announced a new strategic direction that will return it to its founding public mission of supporting the adoption of robust, interoperable health information technology.  CCHIT plans to offer direct counsel to both healthcare providers and health IT developers on the requirements for certified EHR technology and how to best satisfy HIT regulations published by organizations and governments.  With a more global focus, and in alliance with HIMSS, CCHIT will also develop new programs and policy guidance aimed at achieving interoperability and supporting change in the way providers and patients around the world use IT to positively transform health and healthcare.

As part of this change, CCHIT will no longer offer ONC testing and certification services, or its independently developed certification programs. 

CCHIT will continue to operate The Source™, its subscription-based ONC testing and certification preparation service. At the completion of CCHIT’s transition, a new menu of individualized services focused on topics such as Understanding ONC Certification Criteria and Test Methods, Interoperability, and Clinical Quality Measures and Meaningful Use Reporting will be added to help EHR developers. New services designed especially for healthcare providers will be added incrementally.

CCHIT’s customers have been notified of this change. CCHIT has recommended that its customers accept an offer from ICSA Labs to maintain their certification or apply for new testing services. CCHIT chose ICSA Labs, an independent division of Verizon Enterprise Solutions, and an ONC-Authorized Certification body and Accredited HIT Test Laboratory, to support its customers because of the expertise of its staff and its processes. CCHIT will assist and support its customers as services are transferred. 

http://www.himss.org/News/NewsDetail.aspx?ItemNumber=27681

Repeal and Replace Obamacare? Not Hardly From a Technological Standpoint As It Needs a Model-Nobody Wants to Swap Out Old Glitches For New Glitches: Modeling, Virtual Software Worlds and More Importantly Complex IT Infrastructure Reality, Get Hip…

Ok so had everyone had enough of Healthcare.Gov and glitches?  You want some new glitches to add on?  I’m talking flat out reality here with the technology side..have you watched how long it has taken to model and build the ACA with the website being a huge part of it?  Did you notice it was not ready for prime time on October 1st?  We live in some very complex IT infrastructure times today and thus it’s hard to change and do a repeal and replacement.  You can take sections and work on models and revise as it goes along but you can’t rip the carpet out from underneath it as it stands today.

Back when the ACA was crafted, IT infrastructure just a short few years back was much simpler than what we have today.  I like to go back to “silos” for development purposes (grin)..but of course we are not going back; however updates and revisions were a lot easier then, why?  We were not all connected via the web like we are today.  So what you would have here is shoving Healthcare.Gov in reverse and adding on some addition disruption for all, not to mention the time required to hire enough engineers to re-write what ever the GOP modeled..but did they model?  With as many financial areas as the healthcare system we built has today, you have to simulate it and create fake data hospital that does billing for example a few fake patients, a few fake doctors, etc.  These are all data simulation characters whereby you can “test the computer code” before it goes out.  It’s just like making a drug today where a lot of the research is done and simulated on computers before a web lab is ever set up.

US Consumers and Government Are Learning a Cold Hard Reality Lesson About IT Infrastructure Complexities With Models and Algorithms Thanks to Health Insurance Exchanges

I read through this and I didn’t seen any model mentioned.  Granted back when Obamacare was crafted we had not so good luck too of the DeParle and Sebelius team…as soon as the math got tough, DeParle left.  So their project was taking the verbiage of the law and setting up the technologies, contractors, etc. to do all the work and granted some was delegated and we have heard over and over about how that didn’t work too well with non technologists and their strange perceptions messing it up.  You can’t really do that any more without someone having some data mechanics thinking along the line and I think we have it now with  a former Microsoft executive and actually Sebelius should be working for him in my opinion as algorithm fairies are part of the issue and her perceptions.  I had that with doctors all the time so I know it well and had to explain it is not as you perceive it, you think you do but you don’t really.  This is the world we live in, the continuous rise and fall of the machines, insurers built most of the complexities as it would allow greater profits for them. 

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…

So there’s some budgets and ideas here in the list below but that’s it, where’s the rest of it?  I am just being flat out blunt and telling you what kind work is involved, what kind of time it would take and again, more glitches to ride.  Paul Ryan was the luckiest guy around that nobody liked his Medicare voucher program..how do you think folks on Medicare would like a roll out similar to Healthcare.Gov…we know that answer well and thus he’s lucky it died as there was no simulation model there either, just budgets and spreadsheets from what I read and saw.  I’m reading these provisions below and going through my head just skimming over I see a few budget and financial models and code that would require some time.  Software builds on itself too and we don’t tip and migrate servers much anymore either like we used to. 

So there you have it, an idea of what it would be like in the real world to technically tear the whole thing down and hope for a rebuild, could not be done what so ever by any sane contractor or integrator without a model for sure. 

So for God’s sake let’s look at things in the real world with time, money, etc. and stop with the insanity of running in with a bunch of spreadsheets of budgets and take into consideration that this needs to be modeled today and there’s a huge complex IT infrastructure attached to all of this.  

Whether It’s An Insurance Exchange or Stock Exchange Nobody Knows for Sure What You May See When The Screeching & Sometimes Spasmodic Algorithms Come Out To Play..

The algorithm fairies don’t exist and the short order computer code kitchen burned down and there was no fire sale.

I can’t understand why Congress will not restore a tool that is need more now that it has ever been to help them with restoring the non partisan Office of Technology Assessment…and Senator Cruz is the current poster boy, was McCain before. 

For goodness sakes get some resources that can help you model or create…what do think everyone else does?  The link below will tell you all about it my frustrated rant on how this could really help and we would all benefit!

Jon Stewart Discusses “Little Paper Senator Cruz”–Yet More Startling Proof For the Need to Restore the Tool Congress Needs–The Office of Technology Assessment

I was hoping this issue of folks not being able to tell the difference between virtual software worlds models and the real world would get addressed at Davos but that didn’t happen there either and we heard from a VC on Bloomberg this week, Perkins, he can’t tell either where the virtual worlds and real world unite or separate…BD

World Economic Forum Needs A Dose of Bill Gates To Help World Leaders Comprehend Where Virtual Software Worlds Work and How To Unite With the Real World, Too Much Math In Financials-Nobody Seems To Understand The Mathematical Causes and Effects Of Economic Complexities…


1) Eliminates the requirement that all citizens have health insurance. And eliminates the basic requirements that the ACA required of any policy. So, that part is back to where we were before.

2) Eliminates all the additional taxes and fees involved in the law which means that the subsequent tax subsidies that help pay for insurance are gone.

3) No requirement to cover people with pre-existing conditions...although people who have had at least 18 months of continuous coverage are eligible for future coverage.

4) While the proposal states that it keeps the ACA "no limits" on lifetime coverage, there is a loophole that allows insurers to begin to impose those limits again.

5) There will be some tax credits for the poor to help pay for coverage. These credits can be adjusted for age (as they are now), but NOT on geography. Which means that geographic areas with higher premiums will NOT get higher tax credits. The credits will be uniform.

6) These tax credits would be available to lower incomes that are 3 times the poverty rate. (The ACA allows credits up to 4 times the poverty rate).

7) Older people would pay more under the GOP plan. Currently, the ACA limits premiums for older people to be limited to a maximum of 3 times what a younger person would pay. The GOP plan raises that ratio to 5 times the rate.

8) Although Medicare coverage would not be changed, the GOP plan revamps the Medicaid program. Limits on funding. Limits on populations. And eliminates the "expanded" Medicaid, which is currently an option for the states.

9) The GOP plan says they are leaving employer based programs alone. However, the limited tax credits, still available, are financed (remember taxes and fees have been eliminated) by taxing 35 per cent of the employer benefit....treating it as additional income to the employee.

http://www.minnpost.com/minnesota-blog-cabin/2014/01/last-we-see-republican-version-health-care

Aetna Completes $200 Million Dollar Cayman Island Re-Insurance Multi Year Protection Bond Deal

Aetna has had other re-insurance agreements with the same organization over imagethe last few years.  It’s kind of an interesting re-insurance program and it’s with same company as before.  Vitality Re V Limited is a Cayman Island domiciled insurance company.  This is an insurance linked security. 

This contract was a reset of the original medical benefit ratio so they can begin collecting at 96% instead of having to wait for a catastrophic 116% as prior agreements had stated.  BD 


Health insurance company Aetna has successfully secured $200m of multi-year reinsurance protection with the completion of Vitality Re V Ltd. (Series 2014-1), its latest medical benefit claims ratio linked insurance-linked security (ILS).

The Vitality Re V transaction, a catastrophe bond type deal which provides Aetna with coverage for escalating medical benefit or health insurance claims rates, is Aetna’s fifth visit to the capital markets for reinsurance protection through sponsoring an ILS.

The reinsurance protection secured from the sale of the two tranches of Vitality Re V notes, a $140m Class A tranche of notes and a $60m Class B tranche, runs for a five-year term, with maturity of the notes scheduled for the end of 2018.

Aetna will be entitled to begin to receive payments from Vitality Re V under the reinsurance arrangement if the MBR of the covered business for calendar year 2014 reaches an initial attachment point of 96%.

The full $200 million of coverage would be paid to Aetna if the MBR of the covered business reaches an initial exhaustion point of 116% for calendar year 2014.

http://www.artemis.bm/blog/2014/01/27/aetnas-200m-vitality-re-v-health-insurance-ils-completes/

Hospitals Feeling The ACA Crunch In California As Financially Strapped Daughters of Charity Health System Put Six Hospitals Up For Sale

It is strange when you look at how medical money got re-distributed as well as on Wall Street.  Different hospital systems had different models and let’s face it Kaiser was ahead of the game as for years they imagehave had both care and insurance under one umbrella and this the model that others are trying to go to.  Outside of a closed system, trying to recreate that model is not easy either.  Four hospitals in Northern California and two in the Los Angeles area will be sold as they are strapped for money.  On the other side of the coin we have UPMC having excess profits of one billion a year with the City of Pittsburgh filing a lawsuit to take their non profit status away as the city needs the money.

You can read about Mayo who’s not cash strapped, but they see income going down and with taking in about $9 billion and having excess revenues of $367 million as their profit with $300 million of that figure being gifts, well you get my drift and they are looking to do the medical record deal with United Labs to where they can sell crunched data. 

Of course there’s the Medicare fines too that can enter in here with any high rates of avoidable re-admissions for heart attacks, heart failure or pneumonia.  There’s also mention of 2 children’s hospitals uniting to save money and stay in business below.  Medicaid payments are at the very bottom of the barrel when you compare compensation with other states.  Well let’s hope they find a buyer for the hospitals.  It used to be easier to roll out a model with regulations and fines for all hospitals but not anymore since there such diversity on financial health anymore.  Maybe CMS is starting to take note?  BD   


The new system is similar to Kaiser Permanente's model, which coordinates the work of its primary care physicians, specialists, hospitals, pharmacies and laboratories. The end-to-end experience for patients enables Kaiser to improve the quality of care and find efficiencies that reduce costs.

"When you move to those kinds of models -- as Kaiser has done so successfully -- where you handle many patients on an outpatient basis, you reduce the need for patient hospitalization," said Mark Laret, CEO of UCSF Medical Center and the UCSF Benioff Children's Hospital.

"If hospitals cannot adapt and play under the new rules," said Maribeth Shannon, a director at the California HealthCare Foundation, "it will be a challenge for them to survive."

Just this month in the Bay Area, the financially strapped nonprofit Daughters of Charity Health System, based in Los Altos Hills, announced it will sell its six hospitals -- four in the Bay Area and two in Los Angeles. And last week, UCSF Benioff Children's Hospital and Children's Hospital in Oakland formally linked arms to help broaden their services and cut costs. In October, Sutter Health transferred ownership of the beleaguered San Leandro Hospital to the Alameda Health System.

The law also reduces Medicare payments to hospitals that report excessively high rates of avoidable readmissions within 30 days of discharge for patients who were treated for heart attacks, heart failure or pneumonia.

Just this month in the Bay Area, the financially strapped nonprofit Daughters of Charity Health System, based in Los Altos Hills, announced it will sell its six hospitals -- four in the Bay Area and two in Los Angeles. And last week, UCSF Benioff Children's Hospital and Children's Hospital in Oakland formally linked arms to help broaden their services and cut costs. In October, Sutter Health transferred ownership of the beleaguered San Leandro Hospital to the Alameda Health System.

http://www.mercurynews.com/health/ci_25006427/new-health-care-law-hospitals-pressured-slash-costs

Spike In Flu Creating Shortage With IV Saline Solutions In Hospitals Across the US

There are 3 manufacturers in the US and they are beefing up production and the FDA is looking for alternatives overseas if needed.  Saline solutions are of course heavily used in hospitals and is like a staple. 

It is possible for hospital pharmacists to compound sodium chloride IV solutions using small volumes from very high concentration sodium chloride injection vials but only as a last resort.  The government also has a reserve stockpile.  BD 


A shortage of intravenous saline is causing hospitals and dialysis centers to scramble to manage their supplies of one of the most commonly used drugs.

Healthcare providers are asking doctors and staff to use smaller IV bagimages and find alternatives, if possible, to cope with the shortage, officials and executives said. Officials have not yet heard of any facilities running out of the solutions, “but we know that hospitals are still reporting that they may only have a few days supply,” said Valerie Jensen, associate director of the drug shortages program at the Food and Drug Administration.

The agency is also looking into alternative sources, including overseas suppliers. Baxter HealthCare Corp., Hospira Inc. and B. Braun Medical Inc. have stepped up production in response. Baxter spokeswoman Deborah Spak said the company has increased its production and is managing inventory to supply customers with the most critical needs. It has notified customers that normal production should be in place by the second quarter of the year.

http://www.washingtonpost.com/national/health-science/shortage-of-saline-causing-hospitals-dialsysis-centers-to-scramble-to-manage-supply/2014/01/28/9cfe2b8c-8862-11e3-833c-33098f9e5267_story.html

Emotion Labeling Software to Assist Autistic Patients Turns Into Facial Expression Algorithmic Program Wanted by Marketers to Make Money, Face Coding The Next Invasion Of Your Privacy As Marketers Have No Limits On How They Want To Obtain Anything Measurable for Quantitated Engagement Stats…

This article discussed a few different software companies jumping in here but the first one Affdex was no developed to be one of those and folks in marketing wanted it so spun off imageanother company.  Now we have this emerging into to the field of marketing.  Next time you go for an interview, get a Phantom of the Opera mask to wear and torture the algorithms with only partial information (grin). 

“Affdex originated with academic research founder Rana el Kaliouby conducted into autism. Those affected by autism can’t recognize emotion in human expressions the way most people can, and el Kaliouby first sought to use emotion-labeling computers to assist autistic patients. Marketers quickly saw the utility of the system for them and el Kaliouby spun off a company.”

That almost sounds painful, face coding and you get “cloud based emotion analytics”…everyone wants to know how you are engaging.  As you can see from the image above one use is to create brand loyalty and I have issues with that because instead of relating like humans, you get enough of this around you and all you relate to is a brand and not a human…good for the ad business, bad for the human business. 

image

 

 

 

 

 

 

 

 

 

So already Procter and Gamble, Pepsi and other big companies have already used such services.  Here’s another company, Emotient…

It measures lip pucker, has a dimpler, jaw drop…geez…even a nose wrinkler…and micro expressions…how far do you need to go.  Well gee I just had a micro expression (grin).  Again it’s all about customer engagement and any frigging thing they can think of to analyze.  This is definitely sending people the other way, it is me. 

And again hard to police and regulate..one more that needs a data selling license for sure. 

Senator Rockefeller Puts the Data Sellers on Notice–We Need to Index and License All Data Sellers to Include Banks, Insurers And Other Companies In Addition to the Data Brokers..

Sure you bank could see your expression when they tell you that the determined that you are” “Underbanked”..and speaking of such read the link below as you have some bull shit marketing from MasterCard talking about their engagement bureau…give me a break the marketing makes me want to puke and it gets pukier with the marketing telling you they have great news, they have identified one of give personas in which you below…yuk!  Just look at the image at the right from the MasterCard page…do you give a rat’s ass which online personality you are?  Don’t get sucked in too fast…

MasterCard As Well As Other Financial Institutions Using Big Data To Get Into Your “Online Pants” As Many Consumers Seem To Be Accidentally And Inadvertently Leaving Their “Internet Fly” Open
MasterCard Recruiting Software Engineers For New e-Commerce Technology Lab, Maybe More Slicing and Dicing of Our Data To Sell to Insurance Companies for One? Be Wary of Corporate “Algo Dupers” Out There Feeding on “Non Skeptical Consumers”…

It’s an illusion, listen to former Goldman Sachs Quant below…he tells you it’s not something you can count on, you know it’s not going to be right…people don’t work the same as all the algorithms do and you can get some indications but this too will taken too far and out of context for sure, you can see that coming.  One little twitch of your nose and you have thousands of algorithms evaluating that one twitch…excuse me…do we really need all of this so the marketers can make more money.  There’s no benefit for the participant and it’s gray on how this could be used to access web cams on computers. 

This link below has more information to help you understand how you get duped with a lot studies and stats that are not true. 

Quantitated Justification For Believing Things That Are Not True And Using Mathematical Processes To Fool Ourselves-The Journalistic Bot Functionality Debuts As Media Can’t Resist the Formulas…

So we come down to Algo duping and The Killer Algorithms basically on a lot of this and there’s more videos and links to help you understand how the financial and healthcare world preys on you at times, as the old saying goes “just throw numbers at them to get them to buy in”.  BD 


A handful of companies are developing algorithms that can read the human emotions behind nuanced and fleeting facial expressions to maximize advertising and market research campaigns. Major corporations including Procter & Gamble, PepsiCo, Unilever, Nokia and eBay have already used the services.

Companies building the emotion-detecting algorithms include California-based Emotient, which released its product Facet this summer, Massachusetts-based Affectiva which will debut Affdex in early 2014, and U.K.-based Realeyes, which has been moving into emotion-detection since launching in 2006 as provider of eye-movement user-experience research.

They’ve all developed the ability to identify emotions by taking massive data sets — videos of people reacting to content — and putting them through machine learning systems. (The startups have built on a system of coding facial expressions developed in the 1970s for humans to carry out.) Machine learning is the most straightforward approach to artificial intelligence, but it’s mostly limited to deductive reasoning and isn’t likely to give rise to nuanced artificial intelligence.

“It would be very difficult for the companies to ensure consent of third parties, especially if the technology becomes mobile — that is, if it is used as part of a mobile application. We’ve already seen instances where similar technology has been used in televisions without consumer consent,” privacy advocate McCall told Singularity Hub.

http://singularityhub.com/2014/01/19/with-emotion-recognition-algorithms-computers-know-what-youre-thinking/

Not Only Is It Time to Hold Banks and Corporations Accountable, But Rather Hold Their CEOs, Math Model Creations and Proprietary Computer Code Accountable As Well…

This week you didn’t have to look much further than J P Morgan to see what holding banks accountable does, well Jamie Dimon, CEO of J P Morgan gets a big raise. Did he tell shareholders he’s got some new models to roll out that will ensure profits?   Is that any shape or form of accountability?  It certainly does not have that appearance does it?  Today everyone relies on some form of math business model or code to run their business and when you reach the levels of big bank, insurers. credit agencies, big accounting agencies, etc. we’re not seeing much in this area at all.  All the business they do relies on computer code.  Banks and insurers over the last few years have morphed into huge software companies that control a lot of money and access to money.  Actually at the link below myself and a banker agree with banks being “huge” software companies..a rare meeting of the minds, but it’s true. 

Banks Are Actually Just Software Companies and the Same Can Pretty Much Be Said for Health Insurance Companies As Well-5 Unspoken Reasons Tech Projects Fail

You get a visual by looking at buildings that house banks and corporations but that’s only a shell, as it’s what happens inside or at off shore locations that’s running their businesses.  As a matter of fact, not too long ago the CIO of Bank of America did an interview and nothing barred there, as he said “IT is their business”…if you need a quick translation of this “IT business = computer code and models” 

“IT Is A Business” States CIO of Bank of America–I Said a While Back That Banks and Insurance Companies Have Morphed Into Big Software Companies That Control A Lot Of Money and Lives For That Matter With Models and Segmentation Algorithms…

Sure as a consumer you don’t get to see the math models and computer code but at least be  aware it’s there and it all lives in propriety packages..you’ll never get to see it and much less understand it.  It’s all in the way that they use it.  Let’s go very simple here and use a Word document as a simple example.  It’s great software and you can do a lot with it and it’s a great business standard, but let’s say you were to create a Word document that was full of slander, lies, and so on…there’s the other side of using software in a not so good fashion and this layers up all the way to the top with the same mode of thinking with everything that is out there…what you do with it.

So we can go back and visit the Sub Prime crisis…how did it happen..with computer code and models.  Math models used by banks and companies are the next level up the ladder from software creation and a lot of the time is basis for the creation of software that runs certain processes.  Nothing new in that respect but things have changed tremendously in the last few years with complexities and so has the software and the models.  Way back when Microsoft and Bill Gates created windows, it was done to give us productivity and to allow everyone to fulfill the dream of having their own computer at home.  Nobody back in the early days I don’t think could have ever dreamed the progression of what we have out there today as others jumped in the game and realized that software could go beyond just intelligence and productivity to actually “control” a lot of money and access. 

Banks, insurers, and corporations get to just skate along and their only real concerns to deal with when it comes to the government is the fear that they will be prosecuted on the “end results” when the low hanging fruit of criminal investigations give law enforcement valid real world actions that everyone can see as a result of running math models and code, in other words, they never get to the source as mostly they don’t understand how it functions. As a matter of fact the video below has a video that makes a lot sense…with so many thinking that big data is some of “God” by the time you read of the media out there.  Well maybe it is, but it’s also the devil too, so we have big data from God I guess and the big data from the devil, and yes both are out there.  It’s still humans that write and create models and code…so numbers don’t lie, but people do.  Software that informs us in advance can be great, but with banks armed with some of these technologies can be dangerous as it’s not all a proven facts out there…big errors. 

Big Data Revolution-Dangers of Using It To Drive Ourselves Off a Cliff -Debunking Myths of Algorithms Replacing Humans In Decision Making Processes in the Healthcare Business (Video)
Driving Ourselves Off the Cliff…

We are the “data” product as consumers and big business knows this.  There’s a lot of good stuff out there as well but there’s a lot of confusion as to what has value.  If you watched the video above you can see where “dashboards” can also be confusing…”people just love to put more data on the page”…and that of course makes you think about electronic medical records in that respect as that’s a big part of what goes on with those technologies for sure and where the meeting of the minds occurs all the time with doctors getting some pretty complex screens to use. 

Back on track, I could write a simple piece of software that would people the “same” outcomes every time they use it and could market it with a formula made with simple algebra that substantiates my work. People would suck right in for a long time until someone would come along and really test me and call it a fake when the numbers don’t make sense or give a good decision making result. It’s would take aimage while though as I would compile my work into “propriety” code so nobody can test it and well guess what, “they have to believe me as I would have taken great pride to hide all the code and not make it accessible to anyone. 

That was a very simple example of course, but guess what, this exactly what happens and so computer code and what’s in it never gets held accountable and sure folks look at it and know something is wrong but they can’t touch me at all.  So going back to banks and companies, you can’t see or touch their code either, same process but much more complex of course and there’s Quants and software teams doing it today.  They know too that they can follow that same process and put an algebra formula out there and “bingo” it had credibility as someone who knows math made that formula, it’s give immediate credibility.  We end up with this, quantitated justifications and believe things that are just not true.  Scroll down and watch video #1 in the footer for more on this topic.

Quantitated Justification For Believing Things That Are Not True And Using Mathematical Processes To Fool Ourselves-The Journalistic Bot Functionality Debuts As Media Can’t Resist the Formulas… 

Does government ever dig this far, of course not as they believe it too and this comes back around to the Big Dupe, which I call AlgoDuping and I put together a collection of videos and links that I think do a good job of explaining this, most all at layman level, from folks who are a lot smarter than me and have worked creating models and software.  Scroll on down to the footer of this blog anytime and I have 4 of them right here as well.

So we have all of this knowledge out there and why don’t we act on it?  It’s a very good question as I described above people get confused in where the value lies with decision making software and what we are marketed that has “real” value.  To make the point here and I have said this a few times when it comes to data value, I can’t eat a “tweet” for breakfast, nor can I drive a “like” to get to work and even more I can’t sit on a Pinterest “toilet” either.  Sure there’s value with social networks but not to what you have been lead to believe of course as Wall Street and the Silicon Valley with all the hype  tell you every day, these are the cat’s meow.  They’re not, but they have a place and value but not where the “virtual value” has been placed today.  It’s virtual as all you have is bunch of servers with data running a bunch of algorithms that connects to other data…zero in the tangible world.

By comparison let’s go back to toilets for a moment…the Gates Foundation does help create toilets, a very basic need for all and they use technology and research to make better ones..so again look at the value the Pinterest toilet is just a nice picture someone put up there, but doesn’t do me any good in the real world; however the ones that the Gates Foundations are working, yeah, I can sit on one of those and take care of an every human basic need:)  Better toilet technology too is a challenge as along this pathway were get this too, ones that explode.

The Gates Foundation on Reinventing the Toilet-Let’s Get Our “Crap” Together and Do It (Video)

Are you beginning to get this as far as where true value lies…I was hoping that topic could arise at the WEC in Davos as you can go all the way up the ladder to CEOs, they don’t get it either.  With due respect the CEO of Pepsi with her comments was a blazing example beating up the press.  She’s confused, stuck out like a sore thumb when it came to where she placed value.  She spent a lot of time beating up the media who as we all read today are struggling to find new revenue sources to keep news out there for us.  She just didn’t like what was out there and she stopped right there.  Now where can she contribute to help make things better…she’s stuck.  Below is the video from the Gates Foundation…a vision with using technology to make a better place.  When it comes to value and finding a use the crap we all produce, that’s right up there and the product that Pepsi makes is one ingredients of it (grin).

Get Our Crap Together–Gates Foundation

As we all know the news is what drives stock prices up and down and well guess what Pepsi has that, stock that people buy in her company right?  Well if you want to support the media and make sure they are around and have good humans working with machines to get accurate news out there, throw some serious money their way and spend some substantial money on advertising for one.  If not, automation in media will continue to grow and more bots will take over and we will end up with news content farms there too, and how happy will she be when that occurs with large margins for errors..do want humans in there overseeing quality of news or do you want to let a bot take over, and that’s exactly what will happen. 

CEO of Pepsi, sucked right in and confused in not seeing the whole picture here of imagehow computer code and automation works in business so when stock goes down and the bots are in control…well you get the picture there and it brings me around to how computer code works and accountability today. 

World Economic Forum Needs A Dose of Bill Gates To Help World Leaders Comprehend Where Virtual Software Worlds Work and How To Unite With the Real World, Too Much Math In Financials-Nobody Seems To Understand The Mathematical Causes and Effects Of Economic Complexities…

So being what I said above, where’s the value…what comes first the toilet or the Pepsi?  The toilet taking care of a bi-product produced by Pepsi and so I would think there could be an interest there maybe in what the Gates Foundation is doing here right? 

Banks and companies use a lot of Quantitated Justifications today for that code that runs on servers 24/7 making life impacting decisions about all of us…and the the second bi-product here is another data disease that runs out there too with the data selling epidemic…is all the data created for sale going to have real decision making impact..no..but it will have value to allow banks and companies to create that vision so they can mine and analyze it and have you snowed that it all has value, it does not.  A lot of it could easily be flushed down that Gates Foundation toilet for that matter (grin).  This is where the marketing spin comes in that tells you every day that every stick of code has value, it does not.  It could be pure bunk but if you are sold and sucked in, well look a the world today…a sold and sucked in world for a lot of stuff that is not real and has over inflated values.  What good is that Pinterest toilet going to do me when I need a real toilet?  So think of it that way as we need tangibles to live and exist and the technologies that make those better for us. 

Banks and companies are hiring more and more Quants and Data Scientists today.  You can look at the classifieds and see a serious uptake with the health insurance industry.  They are all looking to find the non linear magic to make money versus looking for the magic that can make better tangibles for us. Here’s a good example of marketing, a new term calling folks “unbanked”..what the heck is that you might say…it’s marketing and the post below goes into a bigger dissertation on privacy.  It’s kind of a waste right now as everyone talks about it and yes does nothing with a process that would allow some kind of regulation..you need an index and nobody gets that.  You issue licenses to group of people who drive cars, who get married, practice medicine, practice law, own a dog..and so on. 

The inability of all who want privacy to leave this one little item out as far as creating a index to regulation is amazing..they can’t connect an IT infrastructure to beginning with stage one in creating an index to identify who need to be regulated and it’s a big mix, just like the mix of an index of those who drive cars. Data selling epidemic is a big cause and effect for lack of privacy.  If the data wasn’t worth anything, would anyone bother? 

 If folks really want to do something, step one is important, otherwise accept the fact that there’s people and companies a lot smarter than you and put and shut up and face that the fact that privacy advocates can’t create a model, but just spend a lot of time with awareness, and it all ends right there.  Banks and corporations have the code and use it to make big money while privacy folks can’t create a model to attack it.  Even with the federalconsumer financial agency they are going after the low hanging fruit there too where computer code and math doesn’t have to be addressed, God forbid the words “computer code” gets in there (grin), and again the case of one more attorney, Richard Cordray stuck on verbiage while computer code runs hog ass wild.

The other side with banks and corporations has tons of models with selling our data for huge profits..so again there’s the consumer side with not understanding where the virtual software worlds get your money and we get left with the end results in the real world with errors, being denied access and money and so on. The money making data selling code runs hog ass wild out there and about the best you can expect anymore is reading yet one more article saying “we need privacy”.  I get tired of the news myself and would like to see something done but privacy if folks can’t a built a model (or realize that the need one), thus so Wall Street and others continue to profit off our backs…I see it, but few others can get their heads around it so banks and corporations win again as nobody is asking about their proprietary money making computer code.  It’s a great rip on consumers as the banks and corporations have “free labor” to fix the errors, and that would be us as we get stuck with no access when their errors attack us…Attack of the Killer Algorithms. 

Senator Rockefeller Puts the Data Sellers on Notice–We Need to Index and License All Data Sellers to Include Banks, Insurers And Other Companies In Addition to the Data Brokers..

If you go back to video number one above, the humorous  but relative example of how one guy is gay according the the data analytics and his television choices with machine learning data told him so.  Not holding banks and corporations accountable for their code and and proprietary software is a crime. We will see more and more members of Congress with digital illiteracy meltdowns taking place as they just don’t get it…and seem to fight every element of learning and understanding this and that’s relative and seen all the the time when what we see in the news delegates down to some Senator reading Dr. Seuss and another playing poker on his cell phone during session…it’s over their heads and they don’t want to even think about going there and requiring responsibility for proprietary code that is at the root of a lot of our problems…but damn it makes for good soap opera news from DC, and we have that factor in there too with reporters now being on pay for performance too on how many clicks the stories get and this is important as it goes down to media profits on how many ads you are exposed to.  Reporters work for the ad services that generate income for newspapers if you will as without other companies supporting them they need to have income from somewhere.   imageAmazing I have pounded a drum as a positive effort to help Congress help themselves with restoring the office of technology assessment to help them.ignored…let’s just stay with verbiage as that’s easier for them, right?  Code runs hog ass wild all around them..and we suffer. 

So that’s part of the reason why the face of news is changing with reporters and it’s not their fault as they have the same old business model that healthcare tossed in there for doctors with pay for performance, and it not worked well there either.  So with reporters needing those clicks to generate their income, they go furiously to the OMG and soap opera articles that bite you in the jugular and create commenting forums to get you to jump in there and add more data in the form of comments or taking surveys, etc..  Forbes has their media platform up for sale and about 2- to 25 percent of their articles are contributed and posted by bots.  You can search the web and read about it, there’ no secrets there and the articles published by companies who pay them for some bot written news get mixed in with the reporter news.  The ads on those pages now as I read is about 25% of their ad revenue so run bots and increase your ad revenue is a lot of what is going on and of course this impacts what you read in another way. 

So I come back to my post I wrote before Davos..we have issues with folks not being able to determine where the virtual fantasy worlds have their value and how they intersect with the the real world.  Right now virtual worlds of software and algorithms are sadly winning as people everywhere from CEOs to Congress to most of the folks at Davos can’t see the lines on where virtual worlds need to unite and the other side of where virtual worlds need to be removed from the damage they are doing to the real world. 

Big Challenge at Davos This Year Will Be On How To Unite The Virtual Technology World With The Real World To Simplify Getting Things Done, Making The World Less Complex As We Are Hostages Of Our Own IT Infrastructures, Open Target Day On “Killer Algorithms” Please...

Quants hired by banks and corporations create the models for these virtual worlds and they are good at it but they are not always accurate and the models that the banks and companies want may not be the accurate ones but rather the models that make money..and we have no clue what computer and formula codes their models hold, it’s all proprietary under lock and key…so again until the Pandora's box of models and codes gets unlocked and held accountable in the financial and healthcare worlds, those serving us as lawmakers just look like a bunch of suckers.  They are so busy with their verbiage and not incorporating any IT Infrastructures in the laws that it make it’s a easy challenge for the Quants and Data Scientists to create new models that can circumvent and find loop holes with verbiage and yet can still run and make money with hiding risks, sure don’t change that portfolio, just change the risk as we have proprietary code and nobody gets to see it, so there’s the spot where you go write some nasty models and subsequent algorithms and code to keep it rolling.

Banks and corporations have huge arsenals of both Quants and Lawyers, all we get is lawyers on the the government side and the recent roll out of Healthcare.Gov is prime example of how there’s a huge fear to go there with getting folks on board that help them understand how the other side works as just any old executive head has enough data mechanics logic to handle such a project (grin), aka known as the “Sebelius Syndrome” and it lives in other agencies and with other politicians too. You better believe banks and corporations use both, that’s their profit, the proprietary compute code.  If you read and listen, well they kind of brag about it too, the Bank of American CIO did.  IT is business but around government it’s only verbiage and with Quants that are extremely talented, they know how to write proprietary code that nobody gets to see that can stay within the verbiage for sure.  Here’s MasterCard wanting into your internet pants…do you need a credit persona….(grin)…heck no just quit selling my data and keep the fees low.  Quants and marketing people create all of this and kind of sad too that with all the data breaches they are choosing to spend more money on marketing than security.  I have been reading some articles other have written about where they are spending money.

MasterCard As Well As Other Financial Institutions Using Big Data To Get Into Your “Online Pants” As Many Consumers Seem To Be Accidentally And Inadvertently Leaving Their “Internet Fly” Open

You want to talk about inequality?  Not changing as nobody attacks the code..good effort and talk by the President but code rigs the system..and again get lawyers out to word on that verbiage and let that code and those math models run hog ass wild. 

President Obama Defines Inequality As A Real Problem in the US That Needs to Be Addressed–Most of It Is Modeled By Banks and Companies With Power and Code to Move and Gain Money and Restrict Access–The System “Is” Rigged…

Another great article from a journalist at Reuters who sees this as well.  Felix Salmon can’t make it any clearer with this quote from his article…so there you go, models that encourage cheating…anyone ever going to ask about the models and code?  Probably not, there’s too much verbiage to look at to think about this side that executes everything (grin). 

“Once quants disrupt an industry, they often don’t know when to stop—and they create systems that encourage cheating.”

“On a managerial level, once the quants come into an industry and disrupt it, they often don’t know when to stop. They tend not to have decades of institutional knowledge about the field in which they have found themselves. And once they’re empowered, quants tend to create systems that favor something pretty close to cheating. As soon as managers pick a numerical metric as a way to measure whether they’re achieving their desired outcome, everybody starts maximizing that metric rather than doing the rest of their job—just as Campbell’s law predicts.”

“Campbell’s law: “The more any quantitative social indicator is used for social decision-making,” he wrote, “the more subject it will be to corruption pressures and the more apt it will be to distort and corrupt the social processes it is intended to monitor.”


Back to the first video above and an excellent example of folks using data to drive themselves off the cliff with ignoring the real world and common sense…folks using GPS and they know there’s a cliff there but GPS says that’s the way go..you can read about how stupid people get with data…prime example where the virtual software world and the real world realities need to meet…again more of that quantitated justification stuff that fools you, literally here.  Nothing personal but I have written about the Sebelius Syndrome here and she’s the perfect example and we hear in public from here with yet another foot in mouth episode all the time as she’s stuck there and and just has some really goofy off the wall perceptions and should be quiet sometimes. 

This week on Twitter, some one caught another one saying we don’t’ need to learn from other countries on healthcare technologies, we have it all here in the US..you listen to that and say “WTF”…we all learn from everywhere..what a bit of stuck snob could be a translation there…so again she’s just out there broadcasting right and left and is one of those “who runs for the hills’ when math and codeimage comes up and she makes horrific statements and decisions as she want those algorithm fairies to run in and save they day and gets kind of ridiculous in public speeches when the fairies don’t do it for her (grin). 

You absolutely have to roar when you hear of Sebelius asking the OIG to audit how the website project was done as the OIG needs Red Hat, Oracle, MarkLogic and several other technology experts to do that and last remember when Healthcare.Gov needed help.  

Sebelius Asks Inspector General To Review Healthcare.Gov, How Many JBoss, Red Hat, Linux, Oracle, MarkLogic And Other Experts Does OIG Have? Time Elements of Baking A Cake From Scratch With Writing Custom Code Was Just Not There..

The White House had to go find those folks, so again, another foot in mouth and lack of data mechanics logic thinking it was possible to pass that buck to the Office of the Inspector general when they don’t have the resources and one that really hacked off a lot of folks in the Health IT business was the big cheating letter that HHS and DOJ sent out, clearly out of some insecurity or again lack of logical thinking here.  That kind of stuff is out there all over the place sadly with those who are stuck in the verbiage world and can’t bring themselves to get that IT infrastructures are attached almost laws out there.  Shoot having Kurt DelBene work for Sebelius is kind of silly as the role should be reversed, she should be working for him by all means as Health IT has eaten her alive just as I said it would

HHS and DOJ Send Letters to Hospital Trade Associations Warning of Gaming Billing System Via Use of Electronic Medical Records–Hospitals Just Learned How to Bill Better & Hired Consultants–Case of Being Algo Duped With Numbers?

But what do I know (grin)…I said way when she was nominated in 2009 that give it a few years and Health would eat her up…anyone want to dispute that?  Who knows if Daschle would have paid his taxes if it would have been much different (grin).  We have same issues at the SEC relating to the power of code and no challenges there either in areas where there should be with Mary Jo White choosing not to publicly keep putting her foot in her mouth with some whacked out perceptions that are not logical like we have at HHS. 

I think next month at the big HIMSS Health IT convention the smart folks who understand how models and algorithms work will be over there lining up to get a copy of Dr. Halamka’s (Harvard Medical CIO & #1 expert in Health IT technologies) book he wrote with all his blog posts with great information and insight,  rather than listening to what HHS might have to say at this point as they are struggling all over the place themselves with a lot of quantitated justifications and problems and errors with their analytics, although it’s the law and we all have to abide by what’s there of course.  I don’t know why they don’t get heavy duty quants on board as the actuaries don’t have enough impact as most of them don’t write code and rather work with a lot of the tools created by quants and other software developers.    Here’s the reality of Obamacare..it’s all about how that code and those algorithms play with each other along with your information that determines what kind of an experience you will have. 

Obamacare for 2014, How In the World Are All Those Algorithms Going To Play Together, World of Complex IT Infrastructures That Are Attached To Almost Every Law On the Books Might Pose Some Issues To Recently Generated House Bills…

So coming full circle here digital illiteracy is killing us and the fact that nobody seems want to add accountability for proprietary code running out there is not going to change much as there’s the root of a lot of problems.  It’s like this PLOS one Study stated and yes I have referred to it in jest a bit but the study is real and perhaps it’s all this physical pain that stands in the way here (grin). From what I am seeing there’s a lot of pain out there and if that’s the case with lawmakers and other executives in government, they might want to see if they can do something with their “Pain” as we feel it even more when accountability for propriety code in the financial and healthcare worlds is allowed to run hog ass wild…and we just can’t seem to expand any horizons out of the verbiage world out there for all to understand how they connect and basically keep inequality rolling ahead.  I think even Bill Gates could maybe have an interest in this study…if the fear of math and pain is what’s seriously holding us back(grin).

“Algo Duping” – PLOS One Journal Publication Explains Why The Fear of Math Plays a Big Role As One Underlying Reason We All Get Duped And Those Who Don’t Fear Math Take All the Money, Gradually, Using “Mathematical Formulas & Algorithms”

“SUMMARY:  When anticipating an upcoming math-task, the higher one’s math anxiety, the more one increases activity in regions associated with bodily threat detection and the experience of visceral pain itself (INSp). Given our findings were specific to cue-activity, imageit is not that math itself hurts; rather, merely the anticipation of math is painful. Anticipatory anxiety about math is grounded in the simulation of visceral threat and even pain. These results also provide a potential neural mechanism to explain the observation that HMAs tend to avoid math and math-related situations, which in turn can bias HMAs away from taking math classes or even entire math-related career paths”.

“Our data go beyond these results and suggest that even anticipating an unpleasant event is associated with activation of neural regions involved in pain processing.”

It’s that big math model and “code elephant” out there crapping in everyone’s living room it seems and you just can’t shovel up after it fast enough  and even the Gate Foundation alone can’t create a toilet big enough to capture it all…time to wake up folks and come out of the quantified world of spoofing and think about what code on servers is doing out there for true accountability.   BD